An Analysis of the Efficacy of Cervical Cancer Screening in Elderly Women
Maduram, David Thomas
This item is only available for download by members of the University of Illinois community. Students, faculty, and staff at the U of I may log in with your NetID and password to view the item. If you are trying to access an Illinois-restricted dissertation or thesis, you can request a copy through your library's Inter-Library Loan office or purchase a copy directly from ProQuest.
Permalink
https://hdl.handle.net/2142/86391
Description
Title
An Analysis of the Efficacy of Cervical Cancer Screening in Elderly Women
Author(s)
Maduram, David Thomas
Issue Date
2007
Doctoral Committee Chair(s)
Rosenblatt, Karin
Department of Study
Kinesiology and Community Health
Discipline
Kinesiology and Community Health
Degree Granting Institution
University of Illinois at Urbana-Champaign
Degree Name
Ph.D.
Degree Level
Dissertation
Keyword(s)
Gerontology
Language
eng
Abstract
Recent studies have failed to reach a consensus on whether Papanicolaou (Pap) smear screening tests should be administered to women aged 65 years and older. Our case-control study utilized 2,778 incident cervical cancer cases from the Surveillance, Epidemiology and End Results (SEER) program registries that were diagnosed between 1991 and 1999. Population controls (N=10,137) were matched on age and geographical location to cases and were identified through a random 5% sample of Medicare beneficiaries living in regions of the United States covered by the SEER program registries. Pap smear screening history information for cases and controls was ascertained from Medicare billing records. Estimates of population hysterectomy prevalence from the National Health Interview Survey (NHIS) were used to obtain a hysterectomy-adjusted estimate of screening efficacy, controlled for race and education (OR = 0.39, CI = 0.33-0.44). Further analyses illustrated that cervical cancer screening had a negative association for women of all age groups, including women aged 65-75 (OR = 0.23, CI = 0.14-0.34), women aged 75-85 (OR = 0.48, CI = 0.38-0.61) and women aged 85 and above (OR = 0.45, CI = 0.29-0.70). In addition, analyses stratified on cancer stage showed that the Pap smear cervical cancer screening had a stronger negative association.
Use this login method if you
don't
have an
@illinois.edu
email address.
(Oops, I do have one)
IDEALS migrated to a new platform on June 23, 2022. If you created
your account prior to this date, you will have to reset your password
using the forgot-password link below.
