{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T00:12:30Z","timestamp":1733875950925,"version":"3.30.1"},"reference-count":17,"publisher":"CAIRN","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,10,22]]},"abstract":"<jats:p>Objectif\u00a0: En France, le d\u00e9pistage du cancer du col ut\u00e9rin (CCU) par frottis cervico-ut\u00e9rin (FCU) a permis d\u2019en r\u00e9duire la mortalit\u00e9, mais il pourrait \u00eatre optimis\u00e9 en am\u00e9liorant le suivi des l\u00e9sions pr\u00e9canc\u00e9reuses d\u00e9tect\u00e9es. L\u2019objectif \u00e9tait d\u2019\u00e9valuer le suivi des femmes ayant pr\u00e9sent\u00e9 un FCU de d\u00e9pistage pathologique prescrit par un professionnel de sant\u00e9 en ville en comparaison des recommandations de l\u2019ANAES de 2002. M\u00e9thode\u00a0: \u00c9tude quantitative monocentrique r\u00e9trospective du suivi de 120\u00a0femmes ayant pr\u00e9sent\u00e9 un FCU de d\u00e9pistage pathologique effectu\u00e9 dans le d\u00e9partement de la Loire avant le premier octobre 2014. R\u00e9sultats\u00a0: 114\u00a0suivis de FCU pathologiques de femmes \u00e2g\u00e9es de 18 \u00e0 75\u00a0ans ont \u00e9t\u00e9 analys\u00e9s dont 90\u00a0ASC-US (79\u00a0%), 16\u00a0LSIL (14\u00a0%), 6 HSIL (5,3\u00a0%) et 2 ASC-H (1,7\u00a0%). En comparaison aux recommandations de l\u2019ANAES\u00a02002, il a \u00e9t\u00e9 observ\u00e9 52\u00a0% de \u00ab\u00a0suivis incomplets\u00a0\u00bb, 24\u00a0% de \u00ab\u00a0suivis complets mais non conformes\u00a0\u00bb et 24\u00a0% de \u00ab\u00a0suivis conformes\u00a0\u00bb. Les femmes de moins de 29\u00a0ans \u00e9taient plus \u00e0 risque de suivi incomplet\u00a0: OR\u00a00,306 avec IC [0,116-0,805]. Conclusion\u00a0: Dans notre \u00e9chantillon, l\u2019analyse du suivi de femmes ayant pr\u00e9sent\u00e9 un FCU pathologique montre une part de\u00a0surd\u00e9pistage et une part de suivis incomplets pouvant conduire \u00e0 une perte de chance pour les femmes. La mise en place d\u2019un d\u00e9pistage organis\u00e9 du CCU devrait permettre d\u2019am\u00e9liorer la qualit\u00e9 du suivi.<\/jats:p>","DOI":"10.3917\/spub.185.0527","type":"journal-article","created":{"date-parts":[[2018,11,7]],"date-time":"2018-11-07T01:25:51Z","timestamp":1541553951000},"page":"527-532","source":"Crossref","is-referenced-by-count":0,"title":["\u00c9valuation du suivi de 114\u00a0femmes ayant pr\u00e9sent\u00e9 un frottis cervico-ut\u00e9rin pathologique en ambulatoire"],"prefix":"10.3917","volume":"Vol. 30","author":[{"given":"\u00c9milie","family":"Peccatte","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josette","family":"Vall\u00e9e","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e9atrice","family":"Trombert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ang\u00e9lique","family":"Savall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2273","reference":[{"key":"rb1","unstructured":"1Leone N, Voirin N, Roche L, Binder-Foucard F, Woronoff A-S, Delafosse\u00a0P, et al. 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G\u00e9n\u00e9ralisation du d\u00e9pistage organis\u00e9 du cancer du col de l\u2019ut\u00e9rus\u00a0: quel cadre \u00e9thique\u00a0? \u2013Pr\u00e9conisations du Groupe de r\u00e9flexion sur l\u2019\u00e9thique du d\u00e9pistage (GRED) \u2013 Collection appui \u00e0 la d\u00e9cision. 2017. 42\u00a0p."}],"container-title":["Sant\u00e9 Publique"],"original-title":[],"deposited":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T05:15:26Z","timestamp":1702012526000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cairn.info\/revue-sante-publique-2018-4-page-527.htm?ref=doi"}},"subtitle":[""],"short-title":[],"issued":{"date-parts":[[2018,10,22]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,10,22]]}},"URL":"https:\/\/doi.org\/10.3917\/spub.185.0527","relation":{},"ISSN":["0995-3914"],"issn-type":[{"type":"print","value":"0995-3914"}],"subject":[],"published":{"date-parts":[[2018,10,22]]}}}