Long-term adherence to follow-up after treatment of cervical intraepithelial neoplasia: nationwide population-based study

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Long-term adherence to follow-up after treatment of cervical intraepithelial neoplasia : nationwide population-based study. / Barken, Sidsel S; Lynge, Elsebeth; Andersen, Erik S.; Rebolj, Matejka.

In: Acta Obstetricia et Gynecologica Scandinavica, Vol. 92, No. 7, 19.02.2013, p. 852–857.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Barken, SS, Lynge, E, Andersen, ES & Rebolj, M 2013, 'Long-term adherence to follow-up after treatment of cervical intraepithelial neoplasia: nationwide population-based study', Acta Obstetricia et Gynecologica Scandinavica, vol. 92, no. 7, pp. 852–857. https://doi.org/10.1111/aogs.12116

APA

Barken, S. S., Lynge, E., Andersen, E. S., & Rebolj, M. (2013). Long-term adherence to follow-up after treatment of cervical intraepithelial neoplasia: nationwide population-based study. Acta Obstetricia et Gynecologica Scandinavica, 92(7), 852–857. https://doi.org/10.1111/aogs.12116

Vancouver

Barken SS, Lynge E, Andersen ES, Rebolj M. Long-term adherence to follow-up after treatment of cervical intraepithelial neoplasia: nationwide population-based study. Acta Obstetricia et Gynecologica Scandinavica. 2013 Feb 19;92(7):852–857. https://doi.org/10.1111/aogs.12116

Author

Barken, Sidsel S ; Lynge, Elsebeth ; Andersen, Erik S. ; Rebolj, Matejka. / Long-term adherence to follow-up after treatment of cervical intraepithelial neoplasia : nationwide population-based study. In: Acta Obstetricia et Gynecologica Scandinavica. 2013 ; Vol. 92, No. 7. pp. 852–857.

Bibtex

@article{00882770c7c54cfb8f792357ca9c9505,
title = "Long-term adherence to follow-up after treatment of cervical intraepithelial neoplasia: nationwide population-based study",
abstract = "OBJECTIVE: To measure adherence to annual follow-up among women treated for cervical intraepithelial neoplasia. DESIGN: Prospective, population-based, register study. SETTING: Denmark, 1996-2007. POPULATION: All women treated for cervical intraepithelial neoplasia with conization. METHODS: Treated women were routinely recommended to have follow-up with annual smears for at least 5 years. MAIN OUTCOME MEASURES: Using individually linked nationwide register data on conizations and follow-up tests (smears and biopsies), we calculated the cumulative proportion of treated women undergoing the recommended follow-up. We measured this cumulative proportion conservatively in 15-month intervals for 5 years. RESULTS: Adherence to annual follow-up among 45 984 treated women decreased gradually. In total, 90{\%} of these women obtained at least one smear in the first post-treatment year, but only 40{\%} obtained the recommended tests for 5 years. Five-year adherence was substantially better outside the capital area, for example, the odds ratio for women from Jutland compared with women from the capital area was 1.70 (95{\%} confidence interval 1.60-1.82). CONCLUSIONS: Adherence to follow-up after conization was poor in Denmark. Our findings suggest that because of this poor adherence, recommendations for long-term annual follow-up after treatment of cervical intraepithelial neoplasia may not be highly effective. Shorter follow-up schedules using highly sensitive tests appear attractive.",
author = "Barken, {Sidsel S} and Elsebeth Lynge and Andersen, {Erik S.} and Matejka Rebolj",
note = "{\circledC} 2013 The Authors Acta Obstetricia et Gynecologica Scandinavica {\circledC} 2013 Nordic Federation of Societies of Obstetrics and Gynecology.",
year = "2013",
month = "2",
day = "19",
doi = "10.1111/aogs.12116",
language = "English",
volume = "92",
pages = "852–857",
journal = "Acta Obstetricia et Gynecologica Scandinavica",
issn = "0001-6349",
publisher = "JohnWiley & Sons Ltd",
number = "7",

}

RIS

TY - JOUR

T1 - Long-term adherence to follow-up after treatment of cervical intraepithelial neoplasia

T2 - nationwide population-based study

AU - Barken, Sidsel S

AU - Lynge, Elsebeth

AU - Andersen, Erik S.

AU - Rebolj, Matejka

N1 - © 2013 The Authors Acta Obstetricia et Gynecologica Scandinavica © 2013 Nordic Federation of Societies of Obstetrics and Gynecology.

PY - 2013/2/19

Y1 - 2013/2/19

N2 - OBJECTIVE: To measure adherence to annual follow-up among women treated for cervical intraepithelial neoplasia. DESIGN: Prospective, population-based, register study. SETTING: Denmark, 1996-2007. POPULATION: All women treated for cervical intraepithelial neoplasia with conization. METHODS: Treated women were routinely recommended to have follow-up with annual smears for at least 5 years. MAIN OUTCOME MEASURES: Using individually linked nationwide register data on conizations and follow-up tests (smears and biopsies), we calculated the cumulative proportion of treated women undergoing the recommended follow-up. We measured this cumulative proportion conservatively in 15-month intervals for 5 years. RESULTS: Adherence to annual follow-up among 45 984 treated women decreased gradually. In total, 90% of these women obtained at least one smear in the first post-treatment year, but only 40% obtained the recommended tests for 5 years. Five-year adherence was substantially better outside the capital area, for example, the odds ratio for women from Jutland compared with women from the capital area was 1.70 (95% confidence interval 1.60-1.82). CONCLUSIONS: Adherence to follow-up after conization was poor in Denmark. Our findings suggest that because of this poor adherence, recommendations for long-term annual follow-up after treatment of cervical intraepithelial neoplasia may not be highly effective. Shorter follow-up schedules using highly sensitive tests appear attractive.

AB - OBJECTIVE: To measure adherence to annual follow-up among women treated for cervical intraepithelial neoplasia. DESIGN: Prospective, population-based, register study. SETTING: Denmark, 1996-2007. POPULATION: All women treated for cervical intraepithelial neoplasia with conization. METHODS: Treated women were routinely recommended to have follow-up with annual smears for at least 5 years. MAIN OUTCOME MEASURES: Using individually linked nationwide register data on conizations and follow-up tests (smears and biopsies), we calculated the cumulative proportion of treated women undergoing the recommended follow-up. We measured this cumulative proportion conservatively in 15-month intervals for 5 years. RESULTS: Adherence to annual follow-up among 45 984 treated women decreased gradually. In total, 90% of these women obtained at least one smear in the first post-treatment year, but only 40% obtained the recommended tests for 5 years. Five-year adherence was substantially better outside the capital area, for example, the odds ratio for women from Jutland compared with women from the capital area was 1.70 (95% confidence interval 1.60-1.82). CONCLUSIONS: Adherence to follow-up after conization was poor in Denmark. Our findings suggest that because of this poor adherence, recommendations for long-term annual follow-up after treatment of cervical intraepithelial neoplasia may not be highly effective. Shorter follow-up schedules using highly sensitive tests appear attractive.

U2 - 10.1111/aogs.12116

DO - 10.1111/aogs.12116

M3 - Journal article

VL - 92

SP - 852

EP - 857

JO - Acta Obstetricia et Gynecologica Scandinavica

JF - Acta Obstetricia et Gynecologica Scandinavica

SN - 0001-6349

IS - 7

ER -

ID: 45878263