{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:17:34Z","timestamp":1787023054392,"version":"build-2736575974"},"reference-count":28,"publisher":"FapUNIFESP (SciELO)","issue":"1","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Cervical cancer screening is a multistage process, therefore access to both the primary test and subsequent diagnostic procedures is essential. Considering women undergoing screening on the public health system in the State of S\u00e3o Paulo, Brazil, we aimed to estimate the proportion of women accessing colposcopy within six months of an abnormal smear result. We retrieved records from two administrative databases, the Information System on Uterine Cervical Cancer (SISCOLO) that contains smear results and the Outpatient Information System of the Brazilian Unified National Health System (SIA\/SUS) that records colposcopies. A reference cohort consisted of women, aged 25 years or older, with an abnormal smear result between May 1, 2014, and June 30, 2014. We excluded prevalent cases. We linked the reference cohort and records in the SIA\/SUS extending to December 31, 2014. After excluding prevalent cases, 1,761 women with abnormal cytology results were left. A total of 700 (39.8%) women were linked to a colposcopy record within the follow-up period; this dropped to 671 (38.1%) women when follow-up was censored at six months. We could notice a slightly higher attendance in women living in the metropolitan region of S\u00e3o Paulo compared with residents of the rest of the state. We found no association between colposcopy attendance and age or cytology class. These results emphasize that access to colposcopy in the public health system in S\u00e3o Paulo is limited. This compromises the quality of screening, and the issue needs to be prioritized in service planning.<\/jats:p>","DOI":"10.1590\/0102-311x00304820","type":"journal-article","created":{"date-parts":[[2022,1,12]],"date-time":"2022-01-12T07:04:45Z","timestamp":1641971085000},"source":"Crossref","is-referenced-by-count":6,"title":["Access to colposcopy in the State of S\u00e3o Paulo, Brazil: probabilistic linkage study of administrative data"],"prefix":"10.1590","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9009-9301","authenticated-orcid":false,"given":"Lewis Fletcher","family":"Buss","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7466-9773","authenticated-orcid":false,"given":"Lise","family":"Cury","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oncocentro de S\u00e3o Paulo,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2690-5791","authenticated-orcid":false,"given":"Caroline Madalena","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Instituto Nacional de C\u00e2ncer Jos\u00e9 Alencar Gomes da Silva,  Brazil; Universidade do Estado do Rio de Janeiro,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8734-2799","authenticated-orcid":false,"given":"Gulnar Azevedo e","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7504-2115","authenticated-orcid":false,"given":"Jos\u00e9","family":"Eluf Neto","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2022]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"394","DOI":"10.3322\/caac.21492","article-title":"Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.","volume":"68","author":"Bray F","year":"2018","journal-title":"CA Cancer J Clin"},{"key":"ref2","series-title":"Diretrizes brasileiras para o rastreamento do c\u00e2ncer do colo do \u00fatero","year":"2016"},{"key":"ref3","article-title":"Pap-test coverage in women aged 25 to 64 years old, according to the National Health Survey and the Surveillance System for Risk and Protective Factors for Chronic Diseases by Telephone Survey, 2013.","volume":"21","author":"Oliveira MM","year":"2018","journal-title":"Rev Bras Epidemiol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1055\/s-0037-1604481","article-title":"Regional and socioeconomic differences in the coverage of the Papanicolau test in Brazil data from the Brazilian Health Survey 2013","volume":"39","author":"Barbosa IR","year":"2017","journal-title":"Rev Bras Ginecol Obstet"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1186\/s12885-018-4047-9","article-title":"Trend analysis of the quality indicators for the Brazilian cervical cancer screening program by region and state from 2006 to 2013","volume":"18","author":"Costa RFA","year":"2018","journal-title":"BMC Cancer"},{"key":"ref6","series-title":"Estimativa 2018: incid\u00eancia de c\u00e2ncer no Brasil","year":"2017"},{"key":"ref7","doi-asserted-by":"crossref","DOI":"10.1590\/0102-311x00049718","article-title":"Sobrerrastreio mamogr\u00e1fico avalia\u00e7\u00e3o a partir de bases identificadas do Sistema de Informa\u00e7\u00e3o do C\u00e2ncer de Mama (SISMAMA)","volume":"35","author":"Rodrigues TB","year":"2019","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref8","doi-asserted-by":"crossref","DOI":"10.1590\/1980-549720180015","article-title":"Estrat\u00e9gias usadas no relacionamento entre sistemas de informa\u00e7\u00f5es em sa\u00fade para seguimento das mulheres com mamografias suspeitas no Sistema \u00danico de Sa\u00fade.","volume":"21","author":"Tomazelli JG","year":"2018","journal-title":"Rev Bras Epidemiol"},{"key":"ref9","doi-asserted-by":"crossref","DOI":"10.5123\/S1679-49742018000300005","article-title":"Mulheres rastreadas para c\u00e2ncer de mama: acompanhamento por meio dos sistemas de informa\u00e7\u00f5es em sa\u00fade, 2010-2012.","volume":"27","author":"Tomazelli JG","year":"2018","journal-title":"Epidemiol Serv Sa\u00fade"},{"key":"ref10","series-title":"Nota t\u00e9cnica 22\/2011. 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