title: [Changes in awareness of cervical cancer patients after medical treatments and the correlation of cervical screening situation and clinical stage at consultation].
abstract: OBJECTIVE
  To Investigate the cervical cancer patients' knowledge and situation concerning cervical cancer screening and explore the connection of cervical cancer screening status and clinical stage at diagnosis of cervical lesions.
  
  
  METHODS
  Questionnaires were done for the cervical cancer patients who went to Peking University People's Hospital from February 2010 to October 2011. The patient's age, first visit or not, cause for treatment, awareness of cervical cancer now as well as that before diagnosis of the disease, the last cervical cancer screening' time and the clinical stage were recorded. The results of questionnaires were analyzed with SPSS 16.0.
  
  
  RESULTS
  (1) One hundred and thirty-eight cases were collected and the average age was (48 ± 10) years old. Concerning the awareness level, the patients were divided into three groups of 10 points, 5 points and 0 point based on the score of the second parts of the questionnaires. The number of the patients of the above three groups were 114 (82.6%), 18 (13.0%) and 6 (4.3%) at present, while before the cancer diagnosis the number of the patients of the above three groups were 5 (3.6%), 13 (9.4%) and 120 (87.0%). Patient's awareness level was much higher now than that before the cancer diagnosis (P < 0.05). (2) Based on the last cervical cancer screening time, the patients were divided into four groups including within one year (group 1), a year ago but within three years (group 2), three years ago (group 3) and never done (group 4). There were 9 (6.5%) cases in group 1, 30 (21.7%) cases in group 2, 29 (21.0%) cases in group 3 and 70 (50.7%) cases in group 4. There were 5 (5/9) cases with stage Ia, 3 (3/9) cases with stage Ib and 1 (1/9) case with stage II or above in group 1; 11 (36.7%, 11/30) cases with stage Ia, 15 (50.0%, 15/30) cases with stage Ib and 4 (13.3%, 4/30) cases with stage II or above in group 2; 5 (17.2%, 5/29) cases with stage Ia, 14 (48.3%, 14/29) cases with stage Ib was and 10 (34.5%, 10/29) cases with stage II or above in group 3; 7 (10.0%, 7/70) cases stage with Ia, 35 (50.0%, 35/70) cases with stage Ib and 28 (40.0%, 28/70) cases with stage II or above in group 4. The results showed that there was an increasing trend of advanced cervical carcinoma at diagnosis for the patients with longer last cervical cancer screening time (P < 0.05).
  
  
  CONCLUSIONS
  People's awareness level is much higher after being educated in cervical cancer. Among the cervical cancer patients, the probability of diagnosed patients with advanced cervical cancer has an increasing trend when their screening situation is poor. To raise the screening attendance rate among appropriate women, we should spread knowledge of cervical cancer to the population.
authors.affiliation: Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing 100044, China.
authors.forename: Chun-fang
authors.initials: CF
authors.lastname: Wang
authors.forename: Li-hui
authors.initials: LH
authors.lastname: Wei
mesh_terms: D000328:Adult; D003071:Cognition; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008403:Mass Screening / Q000379:methods / Q000706:statistics & numerical data; D008875:Middle Aged; D009367:Neoplasm Staging; D010353:Patient Education as Topic / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000453:epidemiology / Q000473:pathology / Q000517:prevention & control*; D014626:Vaginal Smears