Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/238346
Type: Artigo
Title: Frequência de células escamosas atípicas de significado indeterminado (ascus) em mulheres grávidas e não grávidas
Title Alternative: Frequency of atypical squamous cells of undetermined significance (ascus) for pregnant and non-pregnant women
Author: Dufloth, Rozany Mucha
Vieira, Luiz Fernando Fonseca
Xavier Júnior, José Candido Caldeira
Vale, Diama Bhadra
Zeferino, Luiz Carlos
Abstract: PURPOSE: To compare the frequency of an ASCUS Pap Smear result in pregnant and non-pregnant women, stratified by age group. METHODS: We analyzed the results of 1,336,180 cytopathologyc exams of Pap smears performed between 2000 and 2009 (ten years) with the purpose of screening for cervical carcinoma. Comparisons were made between pregnant and non-pregnant women, and the sample was stratified into three age groups (20–24, 25–29 and 30–34 years). The χ2 test was used and the magnitude of association was determined by the by Odds Ratio (OR) with the 95% confidence interval (95%CI). RESULTS: A Total of 447,489 samples were excluded on the basis of the criteria adopted, for a total final sample of 37,137 pregnant women and 851,554 non-pregnant women. An ASCUS result was detected in 1.2% of cases, with a significant difference between pregnant and non-pregnant women in the age groups of 20-24 years (OR=0.85; 95%CI 0.75–0.97) and 25-29 years (OR=0.78; 95%CI 0.63–0.96). There was no difference in the group between 30–34 years (OR=0.76; 95%CI 0.57–1.03). CONCLUSIONS: This study suggested that non-pregnant women have a higher frequency of ASCUS, most evident in the age group of 20 to 29 years. The collection of cervical cancer screening should not be a compulsory part of the prenatal routine. © 2015, Federacao Brasileira das Sociedades de Ginecologia e Obstetricia. All rights reserved.
Comparar a frequência do resultado citopatológico de ASCUS em mulheres gestantes e não gestantes, estratificadas em grupos etários. MÉTODOS: Foram analisados 1.336.180 resultados de exames citopatológicos realizados de forma oportunística, no período entre 2000 e 2009 (10 anos) com a finalidade de rastreamento do carcinoma do colo do útero. Foram feitas comparações entre gestantes e não gestantes, com estratificação das amostras em três grupos etários (20–24, 25–29 e 30–34 anos). Foi utilizado o teste do χ2 e a medida da magnitude da associação foi analisada por valores estimados de Odds Ratio (OR) com intervalo de confiança de 95% (IC95%). RESULTADOS: Ao total, 447.489 amostras foram excluídas com base nos critérios adotados, totalizando uma amostra final de 37.137 mulheres gestantes e 851.554 não gestantes. O resultado citopatológico de ASCUS foi detectado em 1,2% dos casos, havendo diferença significante entre gestantes e não gestantes nas faixas etárias entre 20–24 anos (OR=0,85; IC95% 0,75–0,97) e 25–29 anos (OR=0,78; IC95% 0,63–0,96). Não houve diferença no grupo entre 30–34 anos (OR=0,76; IC95% 0,57–1,03). CONCLUSÕES: Este estudo sugeriu que mulheres não gestantes apresentam maior prevalência de ASCUS, mais evidente no grupo etário de 20 a 29 anos. A coleta do exame citopatológico não deve ser um exame compulsório na rotina do pré-natal
metadata.dc.description.abstractalternative: To compare the frequency of an ASCUS Pap Smear result in pregnant and non-pregnant women, stratified by age group. METHODS: We analyzed the results of 1,336,180 cytopathologyc exams of Pap smears performed between 2000 and 2009 (ten years) with the purpose of screening for cervical carcinoma. Comparisons were made between pregnant and non-pregnant women, and the sample was stratified into three age groups (20–24, 25–29 and 30–34 years). The χ2 test was used and the magnitude of association was determined by the by Odds Ratio (OR) with the 95% confidence interval (95%CI). RESULTS: A Total of 447,489 samples were excluded on the basis of the criteria adopted, for a total final sample of 37,137 pregnant women and 851,554 non-pregnant women. An ASCUS result was detected in 1.2% of cases, with a significant difference between pregnant and non-pregnant women in the age groups of 20-24 years (OR=0.85; 95%CI 0.75–0.97) and 25-29 years (OR=0.78; 95%CI 0.63–0.96). There was no difference in the group between 30–34 years (OR=0.76; 95%CI 0.57–1.03). CONCLUSIONS: This study suggested that non-pregnant women have a higher frequency of ASCUS, most evident in the age group of 20 to 29 years. The collection of cervical cancer screening should not be a compulsory part of the prenatal routine
Subject: Gravidez
Inquéritos epidemiológicos
Neoplasia intraepitelial cervical
Country: Brasil
Editor: Thieme
Citation: Revista Brasileira De Ginecologia E Obstetricia. Federacao Brasileira Das Sociedades De Ginecologia E Obstetricia, v. 37, n. 5, p. 229 - 232, 2015.
Rights: aberto
Identifier DOI: 10.1590/SO100-720320150005295
Address: http://www.scielo.br/scielo.php?pid=S0100-72032015000500229&script=sci_abstract
Date Issue: 2015
Appears in Collections:FCM - Artigos e Outros Documentos

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