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Participation rate in cervical cancer screening in general practice related to the proximity of gynecology care facilities: A 3 year follow-up cohort study

Cervical cancer screening (CCS) by Pap tests is mainly performed by gynecologists in France, but also by general practitioners (GPs) and midwives. The screening uptake is insufficient to reduce the incidence of cervical neoplasms. Our aim was to investigate the association between screening rates in...

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Autores principales: Quersin, François, Serman, Fanny, Favre, Jonathan, Rochoy, Michaël, Descamps, Axel, Gers, Elise, Duhamel, Alain, Collins, Claire, Deken-Delannoy, Valérie, Berkhout, Christophe, Raginel, Thibaut
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9618859/
https://www.ncbi.nlm.nih.gov/pubmed/36324473
http://dx.doi.org/10.3389/fpubh.2022.955559
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author Quersin, François
Serman, Fanny
Favre, Jonathan
Rochoy, Michaël
Descamps, Axel
Gers, Elise
Duhamel, Alain
Collins, Claire
Deken-Delannoy, Valérie
Berkhout, Christophe
Raginel, Thibaut
author_facet Quersin, François
Serman, Fanny
Favre, Jonathan
Rochoy, Michaël
Descamps, Axel
Gers, Elise
Duhamel, Alain
Collins, Claire
Deken-Delannoy, Valérie
Berkhout, Christophe
Raginel, Thibaut
author_sort Quersin, François
collection PubMed
description Cervical cancer screening (CCS) by Pap tests is mainly performed by gynecologists in France, but also by general practitioners (GPs) and midwives. The screening uptake is insufficient to reduce the incidence of cervical neoplasms. Our aim was to investigate the association between screening rates in patients listed with GPs and the distance between GPs' offices and gynecology facilities. The population of 345 GPs, and their 93,918 female patients eligible for screening over 3 years (2013–2015), were derived from the Health Insurance claim database. We estimated the socioeconomic level of the geographical area of GPs' offices using the European Deprivation Index (EDI). The proximity of gynecology facilities was calculated by computing their distance from GPs' offices (in order to adjust the proximity of gynecology facilities with EDI and performance of smears by the GP). The number of gynecologists within 5 km of a GP's office was associated with the CCS rate increasing by 0.31% for every unit increase in the density of gynecologists within 5 km (p < 0.0001). The close proximity of gynecology facilities was not significantly associated with screening uptake among female patients when the office of the GP where they were registered was settled in a deprived area.
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spelling pubmed-96188592022-11-01 Participation rate in cervical cancer screening in general practice related to the proximity of gynecology care facilities: A 3 year follow-up cohort study Quersin, François Serman, Fanny Favre, Jonathan Rochoy, Michaël Descamps, Axel Gers, Elise Duhamel, Alain Collins, Claire Deken-Delannoy, Valérie Berkhout, Christophe Raginel, Thibaut Front Public Health Public Health Cervical cancer screening (CCS) by Pap tests is mainly performed by gynecologists in France, but also by general practitioners (GPs) and midwives. The screening uptake is insufficient to reduce the incidence of cervical neoplasms. Our aim was to investigate the association between screening rates in patients listed with GPs and the distance between GPs' offices and gynecology facilities. The population of 345 GPs, and their 93,918 female patients eligible for screening over 3 years (2013–2015), were derived from the Health Insurance claim database. We estimated the socioeconomic level of the geographical area of GPs' offices using the European Deprivation Index (EDI). The proximity of gynecology facilities was calculated by computing their distance from GPs' offices (in order to adjust the proximity of gynecology facilities with EDI and performance of smears by the GP). The number of gynecologists within 5 km of a GP's office was associated with the CCS rate increasing by 0.31% for every unit increase in the density of gynecologists within 5 km (p < 0.0001). The close proximity of gynecology facilities was not significantly associated with screening uptake among female patients when the office of the GP where they were registered was settled in a deprived area. Frontiers Media S.A. 2022-10-17 /pmc/articles/PMC9618859/ /pubmed/36324473 http://dx.doi.org/10.3389/fpubh.2022.955559 Text en Copyright © 2022 Quersin, Serman, Favre, Rochoy, Descamps, Gers, Duhamel, Collins, Deken-Delannoy, Berkhout and Raginel. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Quersin, François
Serman, Fanny
Favre, Jonathan
Rochoy, Michaël
Descamps, Axel
Gers, Elise
Duhamel, Alain
Collins, Claire
Deken-Delannoy, Valérie
Berkhout, Christophe
Raginel, Thibaut
Participation rate in cervical cancer screening in general practice related to the proximity of gynecology care facilities: A 3 year follow-up cohort study
title Participation rate in cervical cancer screening in general practice related to the proximity of gynecology care facilities: A 3 year follow-up cohort study
title_full Participation rate in cervical cancer screening in general practice related to the proximity of gynecology care facilities: A 3 year follow-up cohort study
title_fullStr Participation rate in cervical cancer screening in general practice related to the proximity of gynecology care facilities: A 3 year follow-up cohort study
title_full_unstemmed Participation rate in cervical cancer screening in general practice related to the proximity of gynecology care facilities: A 3 year follow-up cohort study
title_short Participation rate in cervical cancer screening in general practice related to the proximity of gynecology care facilities: A 3 year follow-up cohort study
title_sort participation rate in cervical cancer screening in general practice related to the proximity of gynecology care facilities: a 3 year follow-up cohort study
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9618859/
https://www.ncbi.nlm.nih.gov/pubmed/36324473
http://dx.doi.org/10.3389/fpubh.2022.955559
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