{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T10:27:03Z","timestamp":1788776823877,"version":"build-2803163510"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,11,6]],"date-time":"2021-11-06T00:00:00Z","timestamp":1636156800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the frequency of cervical smear test results between women seen in private and public health services in a medium\u2010sized city in Brazil.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was an observational analytical study analyzing cervical cytologic results over 16\u00a0years. Public data were collected from the Brazilian National Health System, and private refers to those collected at private clinics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall frequency of unsatisfactory\/rejected results was higher in public service examinations (odds ratio [OR] 0.05; 95% confidence interval [CI] 0.04\u20130.06). The same occurred for atypical squamous cells of undetermined significance (ASC\u2010US) (OR 0.90; 95% CI 0.85\u20130.95) and atypical squamous cells cannot exclude high grade intraepithelial lesions (ASC\u2010H) (OR 0.55; 95% CI 0.47\u20130.64) categories. For low\u2010grade squamous intraepithelial lesions, the frequency was higher among women from private services (OR 1.39; 95% CI 1.24\u20131.55). Among women aged 25\u201364\u00a0years, the frequency of high\u2010grade squamous intraepithelial lesions was higher among women seen in the public service (OR 0.81; 95% CI 0.66\u20130.99).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Brazilian public services showed higher frequencies of unsatisfactory\/rejected results and higher rates of ASC\u2010US and ASC\u2010H. Focusing on pre\u2010analytical phases and establishing an internal quality control program can help improve these rates even though national protocols guide them.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13985","type":"journal-article","created":{"date-parts":[[2021,10,16]],"date-time":"2021-10-16T15:24:18Z","timestamp":1634397858000},"page":"289-294","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of cervical cancer screening results among public and private services in Brazil"],"prefix":"10.1002","volume":"158","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8401-6154","authenticated-orcid":false,"given":"Eliseu Henrique","family":"Bispo Pereira","sequence":"first","affiliation":[{"name":"School of Medicine Centro Universit\u00e1rio Cat\u00f3lico Unisalesiano Auxilium  Ara\u00e7atuba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deolino Jo\u00e3o","family":"Camilo\u2010J\u00fanior","sequence":"additional","affiliation":[{"name":"Pathology Institute of Ara\u00e7atuba  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solange Correa Garcia Pires","family":"D\u2019\u00e1villa","sequence":"additional","affiliation":[{"name":"School of Medicine Centro Universit\u00e1rio Cat\u00f3lico Unisalesiano Auxilium  Ara\u00e7atuba Brazil"},{"name":"S\u00e3o Jos\u00e9 do Rio Preto Medical School (FAMERP)  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neivio Jos\u00e9","family":"Mattar","sequence":"additional","affiliation":[{"name":"Pathology Institute of Ara\u00e7atuba  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0503-419X","authenticated-orcid":false,"given":"Jos\u00e9 C\u00e2ndido Caldeira","family":"Xavier\u2010J\u00fanior","sequence":"additional","affiliation":[{"name":"School of Medicine Centro Universit\u00e1rio Cat\u00f3lico Unisalesiano Auxilium  Ara\u00e7atuba Brazil"},{"name":"Pathology Institute of Ara\u00e7atuba  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,11,6]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_2_7_3_1","volume-title":"Brazilian Cervical Cancer Screening Guidelines","author":"Instituto Nacional de C\u00e2ncer Jos\u00e9 Alencar Gomes da Silva","year":"2016"},{"key":"e_1_2_7_4_1","volume-title":"Estimate\/2020\u2014Cancer Incidence in Brazil","author":"Instituto Nacional de C\u00e2ncer Jos\u00e9 Alencar Gomes da Silva","year":"2019"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1155\/2007\/914823"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-992"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0138945"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1590\/0102\u2010311x00001415"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60054-8"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2014.01.018"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-11074-5"},{"key":"e_1_2_7_12_1","volume-title":"Manual of Quality Management for Cytopathology Laboratories","author":"Instituto Nacional de C\u00e2ncer Jos\u00e9 Alencar Gomes da Silva","year":"2016"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-018-4047-9"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/jms.9.2.86"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2011.08.001"},{"key":"e_1_2_7_16_1","volume-title":"Comprehensive Cervical Cancer Control: A Guide to Essential Practice","author":"WHO","year":"2014"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.5858\/2004-128-1224-BIARRP"},{"issue":"6","key":"e_1_2_7_18_1","first-page":"341","article-title":"HPV: from the cervical smear to the research bench to the court room","volume":"17","author":"Atkins K","year":"2003","journal-title":"Clin Leadersh Manag Rev"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.5858\/134.3.331"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.29813"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdp471"},{"key":"e_1_2_7_22_1","volume-title":"WHO Guidelines for Screening and Treatment of Precancerous Lesions for Cervical Cancer Prevention","author":"WHO","year":"2013"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13985","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.13985","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13985","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T02:24:45Z","timestamp":1692757485000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.13985"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,6]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,8]]}},"alternative-id":["10.1002\/ijgo.13985"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.13985","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,6]]},"assertion":[{"value":"2021-08-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-10-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}