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OBJECTIVE: To determine whether women in the National Breast and Cervical Ca nc er Early Detection Program (NBCCEDP) who had findings on a Papanicolaou (Pap) te st of atypical squamous cells of undetermined significance (ASC-US) or low-gra de squamous intraepithelial lesions (LSIL) were followed up in accordance with t he interim guidelines for management of abnormal cervical cytology. METHODS: For this study period, the guidelines for a Pap result of ASC-US or LSIL specified follow-up by Pap tests repeated every 4 to 6 months for 2 years. If a second r eport of ASC-US or LSIL was made, the patient was to have colposcopy. We analyz ed data from 10,004 women who had a result of ASC-US or LSIL followed by a seco nd ASC-US or LSIL from 1991-2000. RESULTS: As judged by the guidelines, 44%of women who had 2 low-grade abnormalities were followed up appropriately with co lposcopy. Among women with 2 ASC-US results, those aged less than 30 years were more likely to receive colposcopy than the other age groups, while women who we re aged 60 years and olde r were more likely to be followed up with a third Pap test. For each of the 4 re sult groups, American Indian or Alaska Native women had the highest percentages of a third Pap test, whereas Black or African-American women had a higher perce ntage of no follow-up. CONCLUSION: More than one half of the women studied were not followed up in accordance with the established guidelines for managing abno rmal cervical cytology. Factors such as age and race or ethnicity influence whet her women with cytologic abnormalities receive appropriate follow-up.
OBJECTIVE: To determine whether women in the National Breast and Cervical Cañer Early Detection Program (NBCCEDP) who had findings on a Papanicolaou (Pap) te st of atypical squamous cells of undetermined significance (ASC-US) or low-gra de squamous METHODS: For this study period, the guidelines for a Pap result of ASC-US or LSIL specified follow-up by Pap tests repeated every 4 months to 2 months for 2 years. If a second r eport of ASC-US or LSIL was made, the patient was to have colposcopy. We measured data from 10,004 women who had a result of ASC-US or LSIL followed by a seco nd ASC-US or LSIL from 1991 to 2000. RESULTS: As judged by the guidelines, 44% of women who had 2 low-grade abnormalities were followed up appropriately with co lposcopy. Among women with 2 ASC-US results, those aged less than 30 years were more likely to receive colposcopy than the other age groups, while women who we aged 60 years and olde r were more likely to be followed up with a third pap test. For each of the 4 re sult groups, American Indian or Alaska Native women had the highest percentages of a third Pap test, while Black or African-American women had a higher perce ntage of no follow-up. CONCLUSION: More than one half of the women study were not followed up in accordance with the established guidelines for managing abno rmal cervical cytology. as age and race or ethnicity influence whet her women with cytologic abnormalities receive appropriate follow-up.