title: [Waiting time for the first colposcopic examination in women with abnormal Papanicolaou test].
abstract: OBJECTIVE
  To evaluate the waiting times before obtaining the first colposcopic examination for women with abnormal Papanicolaou smears.
  
  
  METHODS
  Retrospective cohort study conducted on patients who required a colposcopic examination to clarify an abnormal pap test, between 2002 January and 2008 August, in a metropolitan region of Brazil. The waiting times were defined as: Total Waiting Time (interval between the date of the pap test result and the date of the first colposcopic examination); Partial A Waiting Time (interval between the date of the pap test result and the date of referral); Partial B Waiting Time (interval between the date of referral and the date of the first colposcopic examination). Means, medians, relative and absolute frequencies were calculated. The Kruskal-Wallis test and Pearson's chi-square test were used to determine statistical significance.
  
  
  RESULTS
  A total of 1,544 women with mean of age of 34 years (SD=12.6 years) were analyzed. Most of them had access to colposcopic examination within 30 days (65.8%) or 60 days (92.8%) from referral. Mean Total Waiting Time, Partial A Waiting Time, and Partial B Waiting Time were 94.5 days (SD=96.8 days), 67.8 days (SD=95.3 days) and 29.2 days (SD=35.1 days), respectively.
  
  
  CONCLUSIONS
  A large part of the women studied had access to colposcopic examination within 60 days after referral, but Total waiting time was long. Measures to reduce the waiting time for obtaining the first colposcopic examination can help to improve the quality of care in the context of cervical cancer control in the region, and ought to be addressed at the phase between the date of the pap test results and the date of referral to the teaching hospital.
authors: Departamento de Epidemiologia e Bioestatística, Instituto de Saúde Coletiva, Universidade Federal Fluminense, Niterói, RJ, BR.
authors: Maria Isabel do
authors: MI
authors: Nascimento
authors: Universidade Federal Fluminense, Niterói, RJ, BR.
authors: Irene Machado Moraes Alvarenga
authors: IM
authors: Rabelo
authors: Universidade Federal Fluminense, Niterói, RJ, BR.
authors: Fabrício Seabra Polidoro
authors: FS
authors: Cardoso
authors: Universidade Federal Fluminense, Niterói, RJ, BR.
authors: Ricardo Neif Vieira
authors: RN
authors: Musse
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil; D015331:Cohort Studies; D003127:Colposcopy; D005260:Female; D006801:Humans; D008875:Middle Aged; D065006:Papanicolaou Test; D012017:Referral and Consultation; D012189:Retrospective Studies; D061665:Time-to-Treatment; D014850:Waiting Lists; D055815:Young Adult