Predictors of Follow-Up in Women with Cervical Intraepithelial Neoplasia 2-3.

OBJECTIVE

To describe a cohort of women receiving care after abnormal Pap smears and to assess predictors of follow-up in a cohort of women with cervical intraepithelial neoplasia (CIN) 2-3.

METHODS

This was a retrospective cohort study of women attending a colposcopy clinic in 2011. Data was collected by chart review and a bivariate analysis was performed to identify predictors of follow-up.

RESULTS

In 2011, 21% (156/745) of women attending a colposcopy clinic at a tertiary medical center were diagnosed with CIN 2-3. Of those women 79% returned to the clinic for their recommended follow-up procedures within 8 months. Of the following factors-severity of diagnosis, age, race/ethnicity, health insurance status, language, distance to clinic, and tobacco/contraception! condom use-only young age (< 29 years) was associated with late or lack of follow-up in bivariate analysis (odds ratio 2.67, 95% confidence interval 1.10-6.83). When women under age 21 were excluded, this association was no longer observed (OR 2.31, 95% CI 0.92-6.06).

CONCLUSIONS

In this cohort of mostly uninsured women, overall follow-up for a CIN 2-3 diagnosis was high. No single factor predictive for follow-up was identified in appropriately screened women.