Prioritizing cervical cancer screening services during the COVID-19 pandemic: Response of an academic medical center and a public safety net hospital in California.

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 Med

journal_title

Preventive medicine

authors

Sawaya GF,Holt HK,Lamar R,Perron-Burdick M,Smith-McCune K

doi

10.1016/j.ypmed.2021.106569

keywords:

["COVID-19","Cervical cancer screening","Consensus guidelines"]

subject

Has Abstract

pub_date

2021-10-01 00:00:00

pages

106569

eissn

0091-7435

issn

1096-0260

pii

S0091-7435(21)00153-5

journal_volume

151

pub_type

杂志文章
  • Home-based leg strengthening for older adults initiated through private practice.

    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

    authors: McCool JF,Schneider JK

    更新日期:1999-02-01 00:00:00

  • Preventive health care among rural American Indians in New Mexico.

    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.

    METHODS

    journal_title:Preventive medicine

    pub_type: 杂志文章

    doi:10.1006/pmed.1998.0401

    authors: Gilliland FD,Mahler R,Hunt WC,Davis SM

    更新日期:1999-02-01 00:00:00

  • Effects of sales promotion on smoking among U.S. ninth graders.

    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

    authors: Redmond WH

    更新日期:1999-03-01 00:00:00

  • Physical activity patterns in a diverse population of women.

    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

    authors: Sternfeld B,Ainsworth BE,Quesenberry CP

    更新日期:1999-03-01 00:00:00

  • Blood cholesterol and walnut consumption: a cross-sectional survey in France.

    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

    authors: Lavedrine F,Zmirou D,Ravel A,Balducci F,Alary J

    更新日期:1999-04-01 00:00:00

  • Breast and cervix cancer screening among multiethnic women: role of age, health, and source of care.

    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

    authors: Mandelblatt JS,Gold K,O'Malley AS,Taylor K,Cagney K,Hopkins JS,Kerner J

    更新日期:1999-04-01 00:00:00

  • Effectiveness of brief interventions to reduce alcohol intake in primary health care populations: a meta-analysis.

    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

    authors: Poikolainen K

    更新日期:1999-05-01 00:00:00

  • Gender and determinants of smoking cessation: a longitudinal study.

    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

    authors: Osler M,Prescott E,Godtfredsen N,Hein HO,Schnohr P

    更新日期:1999-07-01 00:00:00

  • Posttraumatic stress and change in lifestyle among the Hanshin-Awaji earthquake victims.

    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

    authors: Fukuda S,Morimoto K,Mure K,Maruyama S

    更新日期:1999-09-01 00:00:00

  • Radon-smoking synergy: A population-based behavioral risk reduction approach.

    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

    authors: Lee ME,Lichtenstein E,Andrews JA,Glasgow RE,Hampson SE

    更新日期:1999-09-01 00:00:00

  • Do primiparas aged 40 years or older carry an increased obstetric risk?

    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

    authors: Scholz HS,Haas J,Petru E

    更新日期:1999-10-01 00:00:00

  • Exposure to brand-specific cigarette advertising in magazines and its impact on youth smoking.

    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

    authors: Pucci LG,Siegel M

    更新日期:1999-11-01 00:00:00

  • Screening mammography referral rates for women ages 50 to 69 years by recently-licensed family physicians: physician and practice environment correlates.

    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

    authors: Haggerty J,Tamblyn R,Abrahamowicz M,Beaulieu MD,Kishchuk N

    更新日期:1999-11-01 00:00:00

  • Influence of health care, cost, and culture on breast cancer screening: issues facing urban American Indian women.

    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

    authors: Risendal B,Roe D,DeZapien J,Papenfuss M,Giuliano A

    更新日期:1999-12-01 00:00:00

  • Smoking bans in the home and car: Do those who really need them have them?

    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

    authors: Norman GJ,Ribisl KM,Howard-Pitney B,Howard KA

    更新日期:1999-12-01 00:00:00

  • Understanding the coronary disease process and the potential for prevention: a summary.

    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:

    authors: Fuster V

    更新日期:1999-12-01 00:00:00

  • Prevention of cardiovascular risk factors in the first place.

    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

    authors: Labarthe DR

    更新日期:1999-12-01 00:00:00

  • Incremental cost-effectiveness of two zidovudine regimens to prevent perinatal HIV transmission in the United States.

    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

    authors: Pinkerton SD,Holtgrave DR,Layde PM

    更新日期:2000-01-01 00:00:00

  • Changes in serum total cholesterol levels over 18 years in a cohort of men and women: The Nijmegen Cohort Study.

    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

    authors: Bakx JC,van den Hoogen HJ,Deurenberg P,van Doremalen J,van den Bosch WJ

    更新日期:2000-02-01 00:00:00

  • Effect of cigarette promotions on smoking uptake among adolescents.

    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

    authors: Sargent JD,Dalton M,Beach M,Bernhardt A,Heatherton T,Stevens M

    更新日期:2000-04-01 00:00:00

  • Differences in food patterns at breakfast by sociodemographic characteristics among a nationally representative sample of adults in the United States.

    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

    authors: Siega-Riz AM,Popkin BM,Carson T

    更新日期:2000-05-01 00:00:00

  • Smoking cessation among African Americans: what we know and do not know about interventions and self-quitting.

    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

    authors: Pederson LL,Ahluwalia JS,Harris KJ,McGrady GA

    更新日期:2000-07-01 00:00:00

  • The Hutchinson Smoking Prevention Project trial: design and baseline characteristics.

    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

    authors: Mann SL,Peterson AV Jr,Marek PM,Kealey KA

    更新日期:2000-06-01 00:00:00

  • Predictors of cigarette and alcohol susceptibility and use among Hispanic migrant adolescents.

    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

    authors: Elder JP,Campbell NR,Litrownik AJ,Ayala GX,Slymen DJ,Parra-Medina D,Lovato CY

    更新日期:2000-08-01 00:00:00

  • Smoking survey at a midwestern U.S. medical center.

    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

    authors: Landeck BF 2nd,Wallace DD,Neuberger JS

    更新日期:2000-09-01 00:00:00

  • Smokers ages 50+: who gets physician advice to quit?

    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

    authors: Ossip-Klein DJ,McIntosh S,Utman C,Burton K,Spada J,Guido J

    更新日期:2000-10-01 00:00:00

  • Cancer of the colon and rectum in California: trends in incidence by race/ethnicity, stage, and subsite.

    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

    authors: Cress RD,Morris CR,Wolfe BM

    更新日期:2000-10-01 00:00:00

  • Characteristics of inactive primary care patients: baseline data from the activity counseling trial. For the Activity Counseling Trial Research Group.

    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

    authors: Simons-Morton DG,Hogan P,Dunn AL,Pruitt L,King AC,Levine BD,Miller ST

    更新日期:2000-11-01 00:00:00

  • At-risk drinking among patients making routine primary care visits.

    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

    authors: Curry SJ,Ludman E,Grothaus L,Donovan D,Kim E,Fishman P

    更新日期:2000-11-01 00:00:00

  • Physician-patient interactions regarding diet, exercise, and smoking.

    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

    authors: Nawaz H,Adams ML,Katz DL

    更新日期:2000-12-01 00:00:00