{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T00:32:56Z","timestamp":1700613176069},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2008,11,19]],"date-time":"2008-11-19T00:00:00Z","timestamp":1227052800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostic Cytopathology"],"published-print":{"date-parts":[[2009,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In this study we evaluated <jats:italic>CDP: EWC<\/jats:italic>, a large public health screening program for low\u2010income women to determine whether the ASC\u2010H term, introduced in the 2001 revision to the Bethesda System, has facilitated the detection of the most serious precancerous cervical lesions such as CIN\u2010II\u2013III\/CIS, including accuracy of detection and minimizing diagnostic delays. Pap test and biopsy data from the period 2003\u20132006 were compared with those from 1995\u20131999, and included analysis of a subset of rarely and never\u2010screened for each study period. More ASC\u2010H Pap tests were followed by CIN\u2010II+ biopsies (20%) than ASCUS Pap tests (5%). Thirteen percent of ASC\u2010H showed CIN\u2010III\/CIS on follow\u2010up biopsy. Following the introduction of ASC\u2010H, negative and LSIL Pap tests followed by CIN\u2010III\/CIS biopsies decreased from 5.6% to 0.37% and 9.2% to 4.4%, respectively. Fewer CIN\u2010III\/CIS cases were preceded by Pap tests with negative and ASCUS results in 2003\u20132005 as compared with 1995\u20131999. The number of days from screening to diagnosis for women aged 25\u201339 years with ASC\u2010H Pap test results (58 days) was less than for ASCUS results (78 days) for the current study period. In this high\u2010risk multi\u2010ethnic population, ASC\u2010H more effectively communicates equivocal findings likely to represent HSIL leading to more rapid follow\u2010up. The incidence of CIN\u2010II or CIN\u2010III\/CIS following ASC\u2010H Pap tests is lower than generally appreciated for this population, including for rarely or never\u2010screened high\u2010risk women. Fewer CIN\u2010III\/CIS lesions were detected following negative and ASCUS Pap results. Compliance with follow\u2010up is less than ideal for this population. Diagn. Cytopathol. 2009. \u00a9 2008 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/dc.20965","type":"journal-article","created":{"date-parts":[[2008,11,19]],"date-time":"2008-11-19T15:59:55Z","timestamp":1227110395000},"page":"103-110","source":"Crossref","is-referenced-by-count":5,"title":["Impact of ASC\u2010H terminology on the detection of HSILs in medically underserved California women"],"prefix":"10.1002","volume":"37","author":[{"given":"Lydia Pleotis","family":"Howell","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunitha","family":"Gurusinghe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farzaneh","family":"Tabnak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,11,19]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1989.03430070079034"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.16.2114"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199802123380703"},{"key":"e_1_2_1_5_2","first-page":"335","article-title":"\u201cASCUS rule out HSIL\u201d: Cytologic features, histologic correlates, and human papillomavirus detection","volume":"12","author":"Sherman ME","year":"1999","journal-title":"Mod Pathol"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1309\/JM3V-U4HP-W8HJ-68XV"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/dc.10286"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1309\/NPU3WRQCTAB81XLW"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/dc.10303"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/dc.20227"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)32330-1"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/1742-6413-3-14"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1438.2006.00403.x"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.21388"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/dc.20334"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.21844"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/dc.20719"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.23121"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1309\/21U34K8YW053F21E"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.lgt.0000245039.45094.9a"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1159\/000325475"},{"key":"e_1_2_1_22_2","doi-asserted-by":"publisher","DOI":"10.1002\/dc.10306"},{"key":"e_1_2_1_23_2","unstructured":"http:\/\/dhs.ca.gov\/cancerdetection\/breastcancer\/breastcancer.htm. 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