[Evaluation of the follow-up of women aged 50-74 years after cervical cytological Ascus abnormalities in cancer screening: adherence to clinical practice guidelines in Isere, France; 1991-2000].
OBJECTIVE
The aim of this study is to compare to the guideline (1998 and 2001) the follow-up of Ascus cytological abnormalities among women aged 50-74 years who have participated at the combined breast, cervical and colorectal cancer screening programme from 1991 to 2000 in Isère, France.


METHODS
The follow-up of 1154 women with Ascus smear was analysed. A woman was defined according follow-up if she have made a colposcopy or biopsy less than four months after one positive smear or if she has repeated three smears: 3-7 months and 10-14 months after the positive smear and 1 year after the last negative smear.


RESULTS
The follow-up was according to guidelines for 28.4% of the 1154 women (150 women are unknowns), 58.6% had a follow-up with too long delay and 17.2% had an uncompleted follow-up. The follow-up did not differ before 1998. It did not differ from women age. Women who were treated by gynaecologist (548) had a better follow-up (according: 35.4%) than the women who were treated by a general practitioner (595).


CONCLUSIONS
The follow-up of Ascus cytological abnormalities is not according to guideline. The follow-up in the screening program will be intensified.
Service prospective et éducation pour la santé, conseil général de l'Isère, hôtel du département, 7, rue Fantin-Latour, BP 1096, 38022 Grenoble cedex 1, France. a.billettedevillemeur@cg38.fr
A
A
Billette-de-Villemeur
F
F
Poncet
A
A
Garnier
J
J
Marron
F
F
Le Marc'hadour
A
A
Morens
V
V
Rouault-Plantaz
M
M
Ney
C
C
Exbrayat
D000368:Aged; D002584:Cervix Uteri / Q000473:pathology*; D003266:Continuity of Patient Care / Q000592:standards*; D005260:Female; D005602:France; D019983:Guideline Adherence; D006801:Humans; D008403:Mass Screening; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000517:prevention & control*; D014626:Vaginal Smears