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Supravaginal hysterectomy in Curaçao prevalence and impact on screening for cervical cancer

In Curaçao, hysterectomies are frequently performed. A common reason for this procedure is the high incidence of leiomyomatosis. However in some cases the cervix is conserved. Following supravaginal hysterectomy most women discontinue cervical cancer screening because they think the cervix is not co...

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Autores principales: Hooi, Desiree J., Meijer, Chris J.L.M., Witte, Birgit I., Bravio, Igor Gomes, Pinedo, Herbert M., Kenter, Gemma G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5695536/
https://www.ncbi.nlm.nih.gov/pubmed/29181295
http://dx.doi.org/10.1016/j.pmedr.2017.11.005
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author Hooi, Desiree J.
Meijer, Chris J.L.M.
Witte, Birgit I.
Bravio, Igor Gomes
Pinedo, Herbert M.
Kenter, Gemma G.
author_facet Hooi, Desiree J.
Meijer, Chris J.L.M.
Witte, Birgit I.
Bravio, Igor Gomes
Pinedo, Herbert M.
Kenter, Gemma G.
author_sort Hooi, Desiree J.
collection PubMed
description In Curaçao, hysterectomies are frequently performed. A common reason for this procedure is the high incidence of leiomyomatosis. However in some cases the cervix is conserved. Following supravaginal hysterectomy most women discontinue cervical cancer screening because they think the cervix is not conserved. We aimed to get insight in the proportion of supravaginal hysterectomies and the level of awareness on the necessity to continue with cervical cancer screening in case of retained cervix. In 2014, data from all hysterectomies performed between 2003 and 2013 on Curaçao were collected. Information about: type of hysterectomy (supravaginal or not), age of the patient, reason for a hysterectomy and incidence of cervical cancer post-hysterectomy were obtained from the nationwide pathology database. In addition, 600 hysterectomised volunteers answered a questionnaire in which the awareness of their type of hysterectomy and continuation of screening for cervical cancer after surgery were investigated. In the at-risk population (≥ 15 years old), 6.0 per1000 women (95% CI 5.9–6.2) had a hysterectomy between 2003 and 2013 (n = 692,304). From the performed hysterectomies, 2.9% were supravaginal and no cases of cervical cancer post-hysterectomy were reported. The majority (55.3%) of women were unaware of their cervical status post-hysterectomy. About one-third (34.3%) of these women had their last Pap-smear pre-hysterectomy. Information campaigns are needed to raise awareness in women, to continue cervical-screening after supravaginal hysterectomy.
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spelling pubmed-56955362017-11-27 Supravaginal hysterectomy in Curaçao prevalence and impact on screening for cervical cancer Hooi, Desiree J. Meijer, Chris J.L.M. Witte, Birgit I. Bravio, Igor Gomes Pinedo, Herbert M. Kenter, Gemma G. Prev Med Rep Short Communication In Curaçao, hysterectomies are frequently performed. A common reason for this procedure is the high incidence of leiomyomatosis. However in some cases the cervix is conserved. Following supravaginal hysterectomy most women discontinue cervical cancer screening because they think the cervix is not conserved. We aimed to get insight in the proportion of supravaginal hysterectomies and the level of awareness on the necessity to continue with cervical cancer screening in case of retained cervix. In 2014, data from all hysterectomies performed between 2003 and 2013 on Curaçao were collected. Information about: type of hysterectomy (supravaginal or not), age of the patient, reason for a hysterectomy and incidence of cervical cancer post-hysterectomy were obtained from the nationwide pathology database. In addition, 600 hysterectomised volunteers answered a questionnaire in which the awareness of their type of hysterectomy and continuation of screening for cervical cancer after surgery were investigated. In the at-risk population (≥ 15 years old), 6.0 per1000 women (95% CI 5.9–6.2) had a hysterectomy between 2003 and 2013 (n = 692,304). From the performed hysterectomies, 2.9% were supravaginal and no cases of cervical cancer post-hysterectomy were reported. The majority (55.3%) of women were unaware of their cervical status post-hysterectomy. About one-third (34.3%) of these women had their last Pap-smear pre-hysterectomy. Information campaigns are needed to raise awareness in women, to continue cervical-screening after supravaginal hysterectomy. Elsevier 2017-11-08 /pmc/articles/PMC5695536/ /pubmed/29181295 http://dx.doi.org/10.1016/j.pmedr.2017.11.005 Text en © 2017 Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Short Communication
Hooi, Desiree J.
Meijer, Chris J.L.M.
Witte, Birgit I.
Bravio, Igor Gomes
Pinedo, Herbert M.
Kenter, Gemma G.
Supravaginal hysterectomy in Curaçao prevalence and impact on screening for cervical cancer
title Supravaginal hysterectomy in Curaçao prevalence and impact on screening for cervical cancer
title_full Supravaginal hysterectomy in Curaçao prevalence and impact on screening for cervical cancer
title_fullStr Supravaginal hysterectomy in Curaçao prevalence and impact on screening for cervical cancer
title_full_unstemmed Supravaginal hysterectomy in Curaçao prevalence and impact on screening for cervical cancer
title_short Supravaginal hysterectomy in Curaçao prevalence and impact on screening for cervical cancer
title_sort supravaginal hysterectomy in curaçao prevalence and impact on screening for cervical cancer
topic Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5695536/
https://www.ncbi.nlm.nih.gov/pubmed/29181295
http://dx.doi.org/10.1016/j.pmedr.2017.11.005
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