Table 2.
Programmatic Correlates of Cervical Cancer Diagnoses | All n=623 |
SCC n=351 |
ADC n=212 |
Other Cancers n=19 |
Unknown‡ n=41 |
p* | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
n | % col | % col′ | n | % col | % col′ | n | % col | % col′ | n | % col | % col′ | n | % col | % col′ | ||
Prevalent Cancers | 360 | 57.8% | --- | 227 | 64.7% | --- | 101 | 47.6% | --- | 6 | 31.6% | --- | 26 | 63.4% | --- | <0.001 |
| ||||||||||||||||
Non-Prevalent Cancers | 263 | 42.2% | 100% | 124 | 35.3% | 100% | 111 | 52.4% | 100% | 13 | 68.4% | 100% | 15 | 36.6% | 100% | <0.001 |
| ||||||||||||||||
False-Negative Cotest (Screen) | 70 | 11.2% | 26.6% | 36 | 10.3% | 29.0% | 25 | 11.8% | 22.5% | 7 | 36.8% | 53.8% | 2 | 4.9% | 13.3% | 0.07 |
Algorithm Delays | 48 | 7.7% | 18.3% | 15 | 4.3% | 12.1% | 29 | 13.7% | 26.1% | 2 | 10.5% | 15.4% | 2 | 4.9% | 13.3% | 0.04 |
False-Negative Diagnoses (Colposcopy and Biopsy) | 56 | 9.0% | 21.3% | 20 | 5.7% | 16.1% | 28 | 13.2% | 25.2% | 3 | 15.8% | 23.1% | 5 | 12.2% | 33.3% | 0.2 |
Treatment Failure | 27 | 4.3% | 10.3% | 23 | 6.6% | 18.5% | 3 | 1.4% | 2.7% | 0 | 0.0% | 0.0% | 1 | 2.4% | 6.7% | <0.001 |
Non-Compliance with Guidelines (All) | 56 | 9.0% | 21.3% | 29 | 8.3% | 23.4% | 21 | 9.9% | 18.9% | 1 | 5.3% | 7.7% | 5 | 12.2% | 33.3% | 0.9 |
Non-Complaince with Screening | 9 | 1.4% | 3.4% | 4 | 1.1% | 3.2% | 4 | 1.9% | 3.6% | 1 | 5.3% | 7.7% | 0 | 0.0% | 0.0% | 0.6 |
Non-Compliance with Follow-Up† | 45 | 7.2% | 17.1% | 23 | 6.6% | 18.5% | 17 | 8.0% | 15.3% | 0 | 0.0% | 0.0% | 5 | 12.2% | 33.3% | 0.1 |
Non-Compliance with Screening and Follow-Up | 2 | 0.3% | 0.8% | 2 | 0.6% | 1.6% | 0 | 0.0% | 0.0% | 0 | 0.0% | 0.0% | 0 | 0.0% | 0.0% | 0.6 |
Mixed** | 6 | 1.0% | 2.3% | 1 | 0.3% | 0.8% | 5 | 2.4% | 4.5% | 0 | 0.0% | 0.0% | 0 | 0.0% | 0.0% | 0.3 |
Several possible explanations
‘column percentage among non-prevalent cancers
Fisher’s exact test for differences for a correlate by histology category among non-prevalent cancers
The histology of microinvasive cancers was not available
Includes failure to come back for follow-up testing, colposcopy, treatment, or post-treatment surveillance according to recommendations