{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T16:46:07Z","timestamp":1793292367146,"version":"4.5.0"},"reference-count":19,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"01","license":[{"start":{"date-parts":[[2022,1,29]],"date-time":"2022-01-29T00:00:00Z","timestamp":1643414400000},"content-version":"vor","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003To analyze the quantity of cervical smears, also designated Papanicolaou tests, between 2006 and 2015 in all the Federal units of Brazil, as well as to verify the quantity of exams collected outside the recommended age range and the economic impact of such excess.<\/jats:p><jats:p>\n          Methods\u2003The data was collected from the Ministry of Health's database called Sistema de Informa\u00e7\u00e3o do C\u00e2ncer do Colo de \u00datero (SISCOLO), which contains all the test results collected nationwide by the Unified Health System (SUS, in the Portuguese acronym). From that, the number of exams and the age range of the women who underwent them were analyzed; besides, these numbers were stratified according to the state of where the exam was performed. The quantity of exams collected outside the recommended age range was verified, and, so, the economic impact generated was noted.<\/jats:p><jats:p>\n          Results\u2003Between 2006 and 2015, 87,425,549 Papanicolaou tests were collected in Brazil. Of these, 20,215,052 tests were collected outside the age range recommended by the Brazilian Ministry of Health; this number corresponded to 23.12% of all exams. From such data, considering that each Pap smear collected by SUS generates a cost of BRL 7.30 to the government, according to the information in the Tabela SUS dated September 2018, there was a total charge of BRL 147,569,880 for tests collected outside the protocol.<\/jats:p><jats:p>\n          Conclusion\u2003In Brazil, according to the Ministry of Health's protocol about the recommended practices on collecting Pap smears, whose newest edition dates of 2016, it is recommended that Pap smears are collected in women from a specific age range, in whom the potential diagnosing advantages overcome the onus of overdiagnosis or of a lesion with great regression potential. However, such protocols have not been correctly followed, promoting more than 20 million tests in excess, and an exorbitant cost for the Brazilian public health system. It is relevant to take measures to correctly use the official protocol, reducing the patients risks, as well as the economic impact for SUS.<\/jats:p>","DOI":"10.1055\/s-0041-1741407","type":"journal-article","created":{"date-parts":[[2022,1,29]],"date-time":"2022-01-29T23:30:32Z","timestamp":1643499032000},"page":"040-046","source":"Crossref","is-referenced-by-count":4,"title":["Analysis of the Excess of Papanicolaou Tests in Brazil from 2006 to 2015"],"prefix":"10.61622","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3640-3701","authenticated-orcid":false,"given":"Ana Carolina Pereira","family":"Fischer","sequence":"additional","affiliation":[{"name":"Department of Medicine, Universidade Regional de Blumenau, Blumenau, SC, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2702-1410","authenticated-orcid":false,"given":"Eduardo Augusto Pereira","family":"Fischer","sequence":"additional","affiliation":[{"name":"Department of Medicine, Universidade Federal do Paran\u00e1, Curitiba, PR, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3584-6271","authenticated-orcid":false,"given":"Fernanda Bri\u00e3o","family":"Vaz","sequence":"additional","affiliation":[{"name":"Department of Medicine, Universidade Regional de Blumenau, Blumenau, SC, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5057-7682","authenticated-orcid":false,"given":"J\u00falia","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Department of Medicine, Universidade Regional de Blumenau, Blumenau, SC, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2022,1,29]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1590\/S1415-790X2006000300007","article-title":"Cobertura e fatores associados \u00e0 n\u00e3o realiza\u00e7\u00e3o do exame preventivo de Papanicolaou em S\u00e3o Lu\u00eds, Maranh\u00e3o","volume":"9","author":"M M Oliveira","year":"2006","journal-title":"Rev Bras Epidemiol"},{"issue":"09","key":"ref2","doi-asserted-by":"publisher","first-page":"1763","DOI":"10.1590\/0102-311X00146512","article-title":"\u201cTem mulher, tem preventivo\u201d: sentidos das pr\u00e1ticas preventivas do c\u00e2ncer do colo do \u00fatero entre mulheres de Salvador, Bahia, Brasil","volume":"29","author":"A M Rico","year":"2013","journal-title":"Cad Saude Publica"},{"key":"ref3","volume-title":"International Agency for Research on Cancer","author":"World Health Organization","year":"2008"},{"key":"ref4","volume-title":"Secretaria de Aten\u00e7\u00e3o \u00e0 Sa\u00fade. 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