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Clinical audit of patients with cervical cancer in Slovenia--data analysis for the year 2003.

机译:斯洛文尼亚宫颈癌患者的临床审计-2003年的数据分析。

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PURPOSE OF INVESTIGATION: The data gathered in 2003 on the patients with cervical cancer who regularly attended their gynecologist were analyzed with the purpose of clinical audit. METHODS: The data on newly detected patients with cervical cancer in 2003 who regularly attended their gynecologist were gathered simultaneously at three Advisory Boards for Gynecology in Slovenia. RESULTS: Of 149 patients in whom, according to our data, invasive cervical cancer had been diagnosed, 92 (61.7%) patients were examined by a gynecologist in the previous five years. In the majority of these patients, cervical cancer was diagnosed in early, localized disease stage. In the periods of 13-24 and of seven to 12 months before the diagnosis of cervical cancer, almost half the patients had Pap II, and three to six months before diagnosis, 67.6% of patients had Pap II. CONCLUSION: These results encourage us to proceed with clinical audits to analyze individual cervical cancer cases, including another independent reevaluation of cervical smears in the five-year period before diagnosis. A suitable calendar of refresher training courses on colposcopy, which should be obligatory for all performing this examination method, also needs to be set up.
机译:调查目的:分析2003年收集的定期就诊于妇科医生的宫颈癌患者的数据,以进行临床审计。方法:在斯洛文尼亚的三个妇产科咨询委员会中同时收集了2003年定期新诊的宫颈癌患者的数据。结果:根据我们的数据,在149例被诊断为浸润性宫颈癌的患者中,在过去五年中,由妇科医生检查了92例(61.7%)患者。在大多数这些患者中,子宫颈癌被诊断为局部疾病的早期阶段。在子宫颈癌诊断之前的13至24个月以及7至12个月期间,几乎一半的患者患有Pap II,而在诊断之前的3至6个月,有67.6%的患者患有Pap II。结论:这些结果鼓励我们进行临床审计,以分析个别宫颈癌病例,包括在诊断前五年内对宫颈涂片进行另一次独立的重新评估。还需要建立适当的阴道镜进修培训课程表,对于所有执行此检查方法的人都必须这样做。

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