| Decreased incidence of cervical cancer in medicare-eligible California women. | |
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MedLine Citation:
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PMID: 12100807 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine if the incidence of invasive cervical cancer relative to carcinoma in situ decreased in Medicare-eligible women. METHODS: A retrospective cohort was amassed from the California Cancer Registry database. The hypothesis was prospectively specified. Mean ratio of invasive (International Federation of Gynecology and Obstetrics Stages I-IV) to in situ cervical carcinoma in 1988-1990 versus 1991-1995 was stratified by age (24 or younger, 25-44, 45-64, 65 or older) and race (all races, whites, blacks, Hispanics, Asian/Pacific Islanders). RESULTS: The mean ratio of invasive to in situ cervical cancer incidence for women at least 65 years old was lower in 1991-1995 compared with 1988-1990 (P <.001, 95% confidence interval 0.893, 0.954); and had decreased more than observed for women aged 45-64 and 25-44, for all races combined, and for white women. The decreased ratio of invasive to in situ cancer for blacks, Hispanics, and Asian/Pacific Islanders at least 65 years old was no different than the decreased ratio in younger women. CONCLUSION: In California, in the 5 years after the 1990 change in Medicare funding statutes for cervical cytology screening, the ratio of invasive cervical cancer to in situ disease decreased more in Medicare-eligible patients than in younger women. |
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Authors:
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Terri L Cornelison; Fredrick J Montz; Robert E Bristow; Betty Chou; Alessandro Bovicelli; Scott L Zeger |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Obstetrics and gynecology Volume: 100 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 2002 Jul |
Date Detail:
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Created Date: 2002-07-08 Completed Date: 2002-08-02 Revised Date: 2009-10-26 |
Medline Journal Info:
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Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 79-86 Citation Subset: AIM; IM |
Affiliation:
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Kelly Gynecologic Oncology Service, Department of Gynecology, The Johns Hopkins Medical Institutions, Baltimore, Maryland 21210, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Distribution Aged California / epidemiology Carcinoma in Situ / diagnosis, economics, epidemiology* Cohort Studies Female Humans Incidence Mass Screening / economics* Medicare / economics*, standards Middle Aged Policy Making Registries Retrospective Studies Risk Factors Uterine Cervical Neoplasms / diagnosis, economics, epidemiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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