title: Screening for cervical cancer in French Guiana: screening rates from 2006 to 2011.
abstract: In French Guiana, the age-standardized incidence rate of cervical cancer is four times higher than in France and the mortality rate 5.5 times higher. A survival study revealed that stage at diagnosis was the main factor influencing the prognosis, showing that early detection is crucial to increase cervical cancer survival. The present study aimed at evaluating the cervical cancer screening rate between 2006 and 2011 by age and for a 3-year period in French Guiana. All pap smears realised in French Guiana were analysed in two laboratories allowing exhaustive review of screening data. The screening rate was estimated at about 54% from 2006 to 2011, with a statistical difference between coastal and rural area (56.3% versus 18.7%). Although the methodological difference did not allow comparisons with metropolitan France, these results could be used to evaluate the impact of organised cervical cancer screening by the French Guiana Association for Organized Screening of Cancers which has been implemented in French Guiana since 2012.
authors.affiliation: Centre d'investigation clinique Antilles-Guyane (Inserm/DGOS CIE1424), Centre hospitalier Andrée Rosemon, 3, rue des Flamboyants, 97300, Cayenne, Guyana. maylis.douine@ch-cayenne.fr.
authors.forename: M
authors.initials: M
authors.lastname: Douine
authors.affiliation: Registre des cancers de Guyane, 47 av. Général de Gaulle, 97300, Cayenne, Guyana.
authors.forename: T
authors.initials: T
authors.lastname: Roué
authors.affiliation: Laboratoire d'anatomopathologie, 13, rue Sainte Catherine, 80100, Abbeville, France.
authors.forename: C
authors.initials: C
authors.lastname: Lelarge
authors.affiliation: Centre d'investigation clinique Antilles-Guyane (Inserm/DGOS CIE1424), Centre hospitalier Andrée Rosemon, 3, rue des Flamboyants, 97300, Cayenne, Guyana.
authors.forename: A
authors.initials: A
authors.lastname: Adenis
authors.affiliation: Association guyanaise de dépistage organisé des cancers, Résidence Candide - Avenue Voltaire, BP 1187, 97346, Cayenne, Guyana.
authors.forename: N
authors.initials: N
authors.lastname: Thomas
authors.affiliation: Centre d'investigation clinique Antilles-Guyane (Inserm/DGOS CIE1424), Centre hospitalier Andrée Rosemon, 3, rue des Flamboyants, 97300, Cayenne, Guyana.|Equipe d'accueil EPAT, Université Antilles Guyane, EA 3593, Saint-Claude, Guadeloupe, Guyana.
authors.forename: M
authors.initials: M
authors.lastname: Nacher
mesh_terms: D000328:Adult; D000367:Age Factors; D055088:Early Detection of Cancer / Q000706:statistics & numerical data; D005260:Female; D005616:French Guiana / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008403:Mass Screening / Q000458:organization & administration* / Q000706:statistics & numerical data; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D065006:Papanicolaou Test / Q000706:statistics & numerical data; D012189:Retrospective Studies; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000453:epidemiology* / Q000473:pathology / Q000517:prevention & control
keywords: Cervical cancer; French Guiana; Overseas department; Pap-smear; Screening