{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T02:34:58Z","timestamp":1781145298901,"version":"3.54.1"},"reference-count":16,"publisher":"S. Karger AG","issue":"5","license":[{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Cytologica"],"published-print":{"date-parts":[[2011]]},"abstract":"<i>Objective:<\/i> It was the aim of this study to determine the screening history of all invasive cervical carcinomas between 2004 and 2009 in one of the Federal States of Germany. <i>Study Design:<\/i> The pooled data sets of all in-state laboratories, corrected and supplemented by data of the State Cancer Registry, were used. The screening histories of all patients, their age and tumor types were collated and analyzed. <i>Results:<\/i> Of 617 patients with invasive carcinoma of the cervix, 373 (60%) had not had a cervical smear within the past 5 years. In 188 patients (31%), an incomplete screening history was found, whereas only 9% of women had participated regularly. In non-participants, late tumor stages (stage T1B and higher) were predominant and found in 86%. In contrast, in the group with regular screening histories more than half of all cases (54%) were microinvasive carcinomas (stage T1A) with excellent prognosis. Lack of follow-up or refusal of treatment by patients played a minor yet significant role. <i>Conclusions:<\/i> Non-participation is still by far the most common reason for persistent cases of cervical carcinoma in the German screening program.<\/jats:p>","DOI":"10.1159\/000331811","type":"journal-article","created":{"date-parts":[[2011,10,10]],"date-time":"2011-10-10T15:26:26Z","timestamp":1318260386000},"page":"433-437","source":"Crossref","is-referenced-by-count":37,"title":["Persistent Carcinoma in Cervical Cancer Screening: Non-Participation Is the Most Significant Cause"],"prefix":"10.1159","volume":"55","author":[{"given":"Katrin","family":"Marquardt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heinz H.","family":"B\u00fcttner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulf","family":"Broschewitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malte","family":"Barten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2011,10,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016%2FS1470-2045%2809%2970360-2"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1002%2Fijc.24774"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.ejca.2009.07.017"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.ejca.2009.07.020"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1093%2Fjnci%2Fdjn131"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1002%2F%28SICI%291097-0215%2819970410%2971%3A2%3C159%3A%3AAID-IJC6%3E3.0.CO%3B2-%23"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016%2FS0959-8049%2800%2900313-0"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007%2FBF01686460"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1093%2Feurpub%2Fcki163"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1093%2Fjnci%2Fdjn099"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1002%2F%28SICI%291097-0142%2820000515%2988%3A10%3C2283%3A%3AAID-CNCR12%3E3.0.CO%3B2-D"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1093%2Fjnci%2Fdji115"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1007%2Fs10552-008-9118-9"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.gyobfe.2007.07.019"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1002%2Fijc.22114"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1093%2Feurpub%2Fckm043"}],"container-title":["Acta Cytologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/331811","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/331811","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T18:43:51Z","timestamp":1745433831000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000331811"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011]]},"references-count":16,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2011,10,1]]},"published-print":{"date-parts":[[2011,10,17]]}},"URL":"https:\/\/doi.org\/10.1159\/000331811","archive":["Portico"],"relation":{},"ISSN":["0001-5547","1938-2650"],"issn-type":[{"value":"0001-5547","type":"print"},{"value":"1938-2650","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011]]}}}