Abstract:
:The expeditious diagnosis and treatment of high-grade cervical precancers are fundamental to cervical cancer prevention. However, during the COVID-19 pandemic healthcare systems have at times restricted in-person visits to those deemed urgent. Professional societies provided some guidance to clinicians regarding ways in which traditional cervical cancer screening might be modified, but many gaps remained. To address these gaps, leaders of screening programs at an academic medical center and an urban safety net hospital in California formed a rapid-action committee to provide guidance to its practitioners. Patients were divided into 6 categories corresponding to various stages in the screening process and ranked by risk of underlying high-grade cervical precancer and cancer. Tiers corresponding to the intensity of the local pandemic were constructed, and clinical delays were lengthened for the lowest-risk patients as tiers escalated. The final product was a management grid designed to escalate and de-escalate with changes in the local epidemiology of the COVID-19 pandemic. While this effort resulted in substantial delays in clinical screening services as mandated by the healthcare systems, the population effects of delaying on both cervical cancer outcomes as well as the beneficial effects related to decreasing transmission of severe acute respiratory coronavirus 2 have yet to be elucidated.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Sawaya GF,Holt HK,Lamar R,Perron-Burdick M,Smith-McCune Kdoi
10.1016/j.ypmed.2021.106569keywords:
["COVID-19","Cervical cancer screening","Consensus guidelines"]subject
Has Abstractpub_date
2021-10-01 00:00:00pages
106569eissn
0091-7435issn
1096-0260pii
S0091-7435(21)00153-5journal_volume
151pub_type
杂志文章abstract:BACKGROUND:Leg strength correlates with functional ability in the frail elderly, many of whom can be reached through a private practice setting. The purpose of this study was to demonstrate the feasibility of physician-prescribed, home-based, clinic-monitored, high-intensity leg-strengthening treatment...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1998.0406
更新日期:1999-02-01 00:00:00
abstract:BACKGROUND:Incidence of and mortality from cardiovascular disease, cancer, diabetes, and other chronic diseases are rapidly increasing among American Indians; however, the utilization of preventive services for these conditions is not well characterized in these ethnic groups. journal_title:Preventive medicine pub_type: 杂志文章 doi:10.1006/pmed.1998.0401 更新日期:1999-02-01 00:00:00
METHODS
abstract:OBJECTIVE:The purpose of this study was to examine the association between tobacco marketing efforts and daily cigarette smoking by adolescents.
DESIGN:This was a longitudinal study of uptake of smoking on a daily basis with smoking data from the Monitoring the Future project. D...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1998.0410
更新日期:1999-03-01 00:00:00
abstract:BACKGROUND:Demographic and psychosocial correlates of activity in domains other than recreational activity have not been well characterized and may be particularly relevant for health promotion efforts aimed at women.
METHODS:Cross-sectional relationships between recreational, o...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1998.0470
更新日期:1999-03-01 00:00:00
abstract:BACKGROUND:The preventive role of polyunsaturated fatty acids in cardiovascular disease has been recognized. We conducted a cross-sectional study to assess the association between walnut consumption (oil and kernel) as a source of polyunsaturated fatty acids and blood lipid levels.
METHO...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0460
更新日期:1999-04-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to evaluate the relationships between age, health status, access to care, and breast and cervical cancer screening among multiethnic elderly and nonelderly women.
METHODS:A structured telephone survey of a quota sample of 1,420 New York City w...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1998.0446
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:Earlier meta-analyses have not made a distinction between very brief (5- to 20-min) interventions and extended (several visits) brief interventions.
METHODS:Literature searches identified seven publications, comprising 14 data sets, meeting the inclusion criteria: sam...
journal_title:Preventive medicine
pub_type: 杂志文章,meta分析
doi:10.1006/pmed.1999.0467
更新日期:1999-05-01 00:00:00
abstract:BACKGROUND:The less favorable trend in smoking prevalence in women compared to men may be due to lower cessation rates. We analyzed determinants of spontaneous smoking cessation with particular reference to gender differences.
METHODS:Data on smoking were collected by questionna...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0510
更新日期:1999-07-01 00:00:00
abstract:BACKGROUND:In 1995, Japan's Hanshin-Awaji area was severely damaged by a major earthquake. Lifestyle factors, sometimes associated with physical health and mortality, have also been known to be associated with mental health status. This report examines the relationship between the subsequent change in ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0528
更新日期:1999-09-01 00:00:00
abstract:BACKGROUND:Radon and cigarette smoking have a synergistic, multiplicative effect on lung cancer rates. Smokers, and perhaps nonsmoking residents, of smoking households are at increased risk for lung cancer even when radon levels are relatively low. A behavioral risk reduction strategy emphasizing smoki...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1006/pmed.1999.0531
更新日期:1999-09-01 00:00:00
abstract:BACKGROUND:It is unclear whether older primiparas are at increased risk for complications of pregnancy other than an increased cesarean section rate. The aim of this study was to compare the rate of complications of pregnancy and delivery of primiparas aged 40 years or older with those of primiparas ag...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0536
更新日期:1999-10-01 00:00:00
abstract:BACKGROUND:Despite the potential influence of cigarette advertising on youth smoking, few studies have characterized brand-specific magazine advertising exposure among youths or examined its impact on youth smoking behavior.
METHODS:A longitudinal youth survey was conducted to a...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0554
更新日期:1999-11-01 00:00:00
abstract:BACKGROUND:Physician mammography referral remains below optimal levels despite a long-standing recommendation that all women ages 50 to 69 years receive screening mammography every 1 to 2 years. The purpose of this study was to determine physician and practice environment predictors of family physician...
journal_title:Preventive medicine
pub_type: 杂志文章,多中心研究
doi:10.1006/pmed.1999.0558
更新日期:1999-11-01 00:00:00
abstract:BACKGROUND:Breast cancer is the second leading cause of cancer death among American Indian women. Southwestern American Indian women are more likely to have distant spread of the disease, and 5-year survival from breast cancer is poor in comparison to U.S. whites. Mortality from breast cancer could be ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0564
更新日期:1999-12-01 00:00:00
abstract:BACKGROUND:This paper addresses the question of whether individuals who are most in need of household and car smoking bans, such as individuals with children living at home or who have many friends who smoke, are the ones who have them.
METHOD:A representative sample of 6985 Cal...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0574
更新日期:1999-12-01 00:00:00
abstract:This presentation describes the atherothrombotic processes leading to acute coronary syndromes based on the recent studies of vascular biology. It outlines the mechanism of action and the evolving impact of lipid-lowering therapy in stabilization and secondary prevention of such processes. The present understanding of ...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:
更新日期:1999-12-01 00:00:00
abstract:Cardiovascular disease (CVD) prevention can address the major risk factors-blood lipids, blood pressure, and smoking-and their determinants throughout the lifespan, with approaches varying according to age and risk. The Task Force on Research in Epidemiology and Prevention of Cardiovascular Diseases gave new impetus to...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1006/pmed.1999.0539
更新日期:1999-12-01 00:00:00
abstract:BACKGROUND:Recently concluded clinical trials in Thailand have demonstrated that a short course of zidovudine therapy administered to human immunodeficiency virus-infected women during late pregnancy and labor can substantially reduce the likelihood of perinatal transmission of HIV. This regimen is bot...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0601
更新日期:2000-01-01 00:00:00
abstract:BACKGROUND:This study aimed to investigate to what extent cholesterol levels change in individuals in different age groups over an 18-year period. Factors that contribute to the changes, with respect to prevention of cardiovascular disease, were taken into account.
METHODS:In 19...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0608
更新日期:2000-02-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to evaluate the association between receptivity to cigarette promotions and smoking uptake in a cohort of adolescents.
METHODS AND MEASURES:This was a prospective cohort study of 480 4th- to 11th-grade students conducted in three rural Ve...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0629
更新日期:2000-04-01 00:00:00
abstract:BACKGROUND:Eating breakfast is considered an important determinant of a healthy lifestyle. This study explores the different food patterns of breakfast for adults aged 18-65 in the United States.
METHODS:Data are from the 1994-1996 Continuing Survey of Food Intake by Individuals...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0651
更新日期:2000-05-01 00:00:00
abstract:BACKGROUND:Many studies on cessation interventions and self-quitting have been conducted, but few have focused on African Americans. The purpose of this review was to critically evaluate the available studies and make recommendations for future research.
METHODS:Articles publish...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1006/pmed.2000.0669
更新日期:2000-07-01 00:00:00
abstract:INTRODUCTION:This paper describes the experimental design and baseline characteristics of the Hutchinson Smoking Prevention Project (HSPP), a 15-year trial to determine to what extent a grade 3-12 school-based tobacco use prevention intervention can deter tobacco use throughout and beyond high school.<...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1006/pmed.2000.0664
更新日期:2000-06-01 00:00:00
abstract:BACKGROUND:Little is known about interpersonal and broader sociocultural factors related to protection from or use of tobacco and alcohol among immigrant adolescents. This study presents the baseline predictors of tobacco and alcohol use and susceptibility to tobacco and alcohol among Hispanic migrant ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0693
更新日期:2000-08-01 00:00:00
abstract:BACKGROUND:In an effort to learn more about the smoking behavior of hospital employees, a study was conducted at the University of Kansas Medical Center (KUMC) regarding tobacco usage and secondhand smoke exposure.
METHODS:An anonymous voluntary survey was distributed to 4177 fu...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0708
更新日期:2000-09-01 00:00:00
abstract:BACKGROUND:Smoking-related morbidity and mortality, and benefits associated with quitting, extend across the life span. Health care provider interventions enhance quitting. The present study examined perceived influence of physician advice to quit and characteristics of subjects receiving this advice.<...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1006/pmed.2000.0721
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND:Incidence and mortality from cancer of the colon and rectum have declined in recent years in the United States and California, but reasons for the decline are unknown.
METHODS:Age-adjusted site-specific and stage-specific incidence rates were calculated for approximat...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0730
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND:Although many primary care patients are inactive, being able to classify even small amounts and intensities of activity and factors associated with these activity levels could be helpful for physicians who are trying to motivate their patients to become more physically active. journal_title:Preventive medicine pub_type: 临床试验,杂志文章,多中心研究,随机对照试验 doi:10.1006/pmed.2000.0733 更新日期:2000-11-01 00:00:00
abstract:BACKGROUND:Addressing non-alcoholic, at-risk patterns of alcohol consumption that are associated with increased morbidity and mortality is an important health care priority.
OBJECTIVE:The objective was to describe the prevalence and characteristics of at-risk drinkers in a popul...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0754
更新日期:2000-11-01 00:00:00
abstract:OBJECTIVES:The objectives were to determine the rate of physician/patient discussions regarding diet, exercise, and smoking and to assess the effect of such discussions on behavior change.
METHODS:In a telephone survey of Connecticut adults, respondents who had a routine checkup...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0760
更新日期:2000-12-01 00:00:00