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首页> 美国卫生研究院文献>Morbidity and Mortality Weekly Report >Impact of COVID-19 on Cervical Cancer Screening Rates Among Women Aged 21–65 Years in a Large Integrated Health Care System — Southern California January 1–September 30 2019 and January 1–September 30 2020
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Impact of COVID-19 on Cervical Cancer Screening Rates Among Women Aged 21–65 Years in a Large Integrated Health Care System — Southern California January 1–September 30 2019 and January 1–September 30 2020

机译：Covid-19对大型综合医疗系统中21-65岁女性宫颈癌筛查率的影响 - 2019年1月30日和1月30日2019年1月30日2019年1月30日2020年1月30日

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On March 19, 2020, the governor of California issued a statewide stay-at-home order to contain the spread of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19).* The order reduced accessibility to and patient attendance at outpatient medical visits,† including preventive services such as cervical cancer screening. In-person clinic visits increased when California reopened essential businesses on June 12, 2020.§ Electronic medical records of approximately 1.5 million women served by Kaiser Permanente Southern California (KPSC), a large integrated health care system, were examined to assess cervical cancer screening rates before, during, and after the stay-at-home order. KPSC policy is to screen women aged 21–29 years every 3 years with cervical cytology alone (Papanicolaou [Pap] test); those aged 30–65 years were screened every 5 years with human papillomavirus (HPV) testing and cytology (cotesting) through July 15, 2020, and after July 15, 2020, with HPV testing alone, consistent with the latest recommendations from U.S. Preventive Services Task Force.¶ Compared with the 2019 baseline, cervical cancer screening rates decreased substantially during the stay-at-home order. Among women aged 21–29 years, cervical cytology screening rates per 100 person-months declined 78%. Among women aged 30–65 years, HPV test screening rates per 100 person-months decreased 82%. After the stay-at-home order was lifted, screening rates returned to near baseline, which might have been aided by aspects of KPSC’s integrated, organized screening program (e.g., reminder systems and tracking persons lost to follow-up). As the pandemic continues, groups at higher risk for developing cervical cancers and precancers should be evaluated first. Ensuring that women receive preventive services, including cancer screening and appropriate follow-up in a safe and timely manner, remains important.
机译：2020年3月19日，加利福尼亚州州长在全州留下的宿舍才能遏制SARS-COV-2的蔓延，导致冠状病毒疾病2019（Covid-19）的病毒。*订单可降低到达和患者出席门诊医疗访问，包括宫颈癌筛查等预防性服务。当加利福尼亚州于6月12日重新开放的企业重新开放了2020年期间，临床访问增加了。§加州南加州南部加州南部加州大约150万妇女的电子医疗记录，是一家大型综合医疗保健系统，以评估宫颈癌筛查在留在托管阶段之前，期间和之后的费率。 KPSC政策是筛选21-29岁的女性每3年，单独使用宫颈细胞学（Papanicolaou [PAP]测试）;每5年筛选30-65岁，每5年筛选人乳头瘤病毒（HPV）检测和细胞学（COTESTING）于2020年7月15日，并于2020年7月15日，单独进行HPV测试，与美国预防服务的最新建议一致工作队伍与2019年基线相比，宫颈癌筛查率在留在账号期间大幅下降。 21-29岁的女性中，每100人宫颈细胞学筛查率下降了78％。 30-65岁的女性中，每100人的HPV测试筛查率下降82％。留在逗留逗留订单后，返回到附近基线的筛选率可能是KPSC集成，有组织的筛选计划的各个方面（例如，提醒系统和跟踪到后续行动的人）。随着大流行的持续，应首先评估宫颈癌和脊髓癌患者的较高风险的群体。确保妇女获得预防性服务，包括癌症筛查和适当的后续行动，仍然很重要。

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