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Cervical cancer screening among HIV-infected women in an urban, United States safety-net healthcare system

AIDS Jul 31, 2018

Barnes A, et al. - In order to assess the cervical cancer screening and results patterns among HIV-infected (HIV+) women in real-world healthcare settings, researchers performed retrospective cohort study characterizing two periods of screening opportunity. While analyzing data from electronic medical records (EMR) of 1490 HIV+ women receiving care between 2010–2014, they categorized a woman's Pap status 15 months prior to index date as under-screened (vs screened), and cytology result (normal vs abnormal) at baseline. Screening completion and results, and colposcopy uptake and results after an abnormal screen, were then examined in the subsequent 15-month period. Findings revealed insufficient screening for cervical cancer in most HIV+ women receiving care in a safety-net system who remained at exceptionally high risk of developing high-grade dysplasia.
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