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This short bulletin provides basic monitoring statistics
of interest to people working in the National Cervical Screening Program
in Victoria. The data is presented early to maximise its usefulness; late
registrations and further cleaning of the data may result in some
changes to the numbers.
The Annual Statistical Report for 2009 is also
available at
http://www.vccr.org/stats.html
1. Average Number of Pap Tests per Working Day
The average number of Pap tests registered per working day by age
group was as follows:
|

|

|
Total
|
Age Group (yrs)
|
|

|
 |

|
<20
|
20-29
|
30-39
|
40-49
|
50-59
|
60-69
|
70+
|
|
2006 |
1st qtr |
2331 |
59 |
481 |
596 |
534 |
410 |
217 |
34 |
|
|
2nd qtr |
2316 |
54 |
455 |
589 |
544 |
410 |
229 |
35 |
|
|
3rd qtr |
2246 |
51 |
446 |
579 |
537 |
394 |
208 |
31 |
|
|
4th qtr |
2309 |
49 |
451 |
591 |
540 |
404 |
235 |
39 |
|
2007 |
1st qtr |
2370 |
58 |
489 |
608 |
553 |
405 |
223 |
34 |
|
|
2nd qtr |
2367 |
54 |
469 |
596 |
559 |
416 |
237 |
36 |
|
|
3rd qtr |
2251 |
55 |
473 |
560 |
525 |
391 |
215 |
32 |
|
|
4th qtr* |
2371 |
51 |
468 |
597 |
550 |
416 |
251 |
38 |
|
2008 |
1st qtr |
2375 |
56 |
499 |
604 |
535 |
411 |
237 |
33 |
|
|
2nd qtr |
2339 |
49 |
453 |
587 |
551 |
414 |
250 |
35 |
|
|
3rd qtr |
2148 |
44 |
418 |
535 |
504 |
389 |
226 |
32 |
|
|
4th qtr |
2038 |
41 |
396 |
504 |
471 |
364 |
230 |
32 |
|
2009 |
1st qtr |
2374 |
49 |
482 |
602 |
549 |
411 |
248 |
33 |
|
|
2nd qtr< |
2482 |
51 |
504 |
629 |
568 |
430 |
264 |
36 |
|
|
3rd qtr< |
2299 |
46 |
444 |
572 |
542 |
418 |
245 |
32 |
|
|
4th qtr |
2159 |
39 |
418 |
523 |
503 |
394 |
249 |
33 |
|
2010 |
1st qtr |
2328 |
47 |
475 |
566 |
532 |
421 |
254 |
33 |
|
|
2nd qtr |
2299 |
43 |
449 |
547 |
535 |
422 |
268 |
35 |
|
|
3rd qtr≠ |
2235 |
42 |
438 |
539 |
524 |
411 |
250 |
31 |
|
|
4th qtr |
2304 |
41 |
444 |
554 |
540 |
417 |
272 |
36 |
|
2011 |
1st qtr |
2299 |
46 |
465 |
553 |
529 |
410 |
262 |
34 |
|
|
2nd qtr |
2347 |
45 |
463 |
562 |
538 |
427 |
276 |
36 |
|
|
3rd qtr |
2229 |
42 |
436 |
529 |
520 |
413 |
258 |
31 |
* In October of 2007 PapScreen Victoria ran a media
campaign encouraging women to have regular Pap tests.
< In the second and third quarters of 2009 PapScreen
Victoria ran a staggered media campaign.
≠
In August-October 2010 PapScreen Victoria launched a new media
campaign called “Peace of mind”.
2. Percentage of Pap Tests Reported as Unsatisfactory
The percentage of Pap tests reported as technically unsatisfactory was
as follows:
|
Year
|
Quarter
|
% Unsatisfactory
|
|
2006 |
1st qtr |
1.9% |
|
|
2nd qtr |
2.0% |
|
|
3rd qtr |
2.3% |
|
|
4th qtr |
2.0% |
|
2007 |
1st qtr |
2.0% |
|
|
2nd qtr |
2.0% |
|
|
3rd qtr |
2.1% |
|
|
4th qtr |
2.0% |
|
2008 |
1st qtr |
2.1% |
|
|
2nd qtr |
1.9% |
|
|
3rd qtr |
1.8% |
|
|
4th qtr |
1.8% |
|
2009 |
1st qtr |
1.9% |
|
|
2nd qtr |
2.1% |
|
|
3rd qtr |
2.4% |
|
|
4th qtr |
2.6% |
|
2010 |
1st qtr |
2.3% |
|
|
2nd qtr |
2.2% |
|
|
3rd qtr |
2.3% |
|
|
4th qtr |
2.1% |
|
2011 |
1st qtr |
2.0% |
|
|
2nd qtr |
2.3% |
|
|
3rd qtr |
2.3% |
The Commonwealth Performance Standards require
laboratories to report between 0.5% and 5% of Pap tests as technically unsatisfactory. The
table above shows that the proportion of unsatisfactory
Pap tests
has slightly increased over the last three to four years.
3. Percentage of Pap Tests with an Endocervical
Component
The percentage of technically satisfactory Pap tests, from women with a cervix, reported as including
an endocervical component was as follows:
|
Year
|
Quarter
|
% with an Endocervical
Component
|
|
2006 |
1st qtr |
76.9% |
|
|
2nd qtr |
76.8% |
|
|
3rd qtr |
77.5% |
|
|
4th qtr |
77.5% |
|
2007 |
1st qtr |
76.7% |
|
|
2nd qtr |
76.9% |
|
|
3rd qtr |
76.7% |
|
|
4th qtr |
76.1% |
|
2008 |
1st qtr |
75.8% |
|
|
2nd qtr |
76.0% |
|
|
3rd qtr |
76.2% |
|
|
4th qtr |
75.8% |
|
2009 |
1st qtr |
75.6% |
|
|
2nd qtr |
75.8% |
|
|
3rd qtr |
76.2% |
|
|
4th qtr |
75.8% |
|
2010 |
1st qtr |
75.1% |
|
|
2nd qtr |
75.3% |
|
|
3rd qtr |
75.2% |
|
|
4th qtr |
74.3% |
|
2011 |
1st qtr |
74.4% |
|
|
2nd qtr |
74.9% |
|
|
3rd qtr |
74.5% |
The decline in the proportion of Pap tests with
an endocervical component over time is statistically significant when
comparing data for the calendar years of 2005 and 2010. Over this five
year period the proportion of Pap tests with an endocervical component
declined in
2005 from 78.2%
(95%CI
78.1%-78.3%)
to
75% (95%CI 74.9%-75.1%) in 2010
(p<0.05).
No national standards have been set in relation to
the proportion of Pap tests that should include an endocervical component.
4. Time Since Last Pap Test
For Pap tests registered in each quarter, the time since any previous
Pap test was as follows:
|

|

|
Time Interval Since Previous
Testing
|
|

|

|
< 12 mths
|
12-<18 mths
|
18-<24 mths
|
24-<30 mths
|
30-<36 mths
|
36-<48 mths
|
>48 mths
|
No prev. test
|
|
2006 |
1st qtr |
14.4% |
12.3% |
12.9% |
29.9% |
7.6% |
5.3% |
7.1% |
10.5% |
|
|
2nd qtr |
13.8% |
12.5% |
12.5% |
31.8% |
7.4% |
5.1% |
6.8% |
10.2% |
|
|
3rd qtr |
12.5% |
13.0% |
11.2% |
33.8% |
7.1% |
5.2% |
7.1% |
10.2% |
|
|
4th qtr |
12.6% |
12.9% |
10.4% |
34.0% |
7.6% |
5.2% |
7.0% |
10.3% |
|
2007 |
1st qtr |
12.2% |
12.1% |
12.9% |
30.4% |
8.6% |
5.4% |
7.2% |
11.2% |
|
|
2nd qtr |
11.6% |
11.9% |
13.0% |
32.0% |
8.3% |
5.3% |
7.1% |
10.8% |
|
|
3rd qtr |
11.2% |
11.9% |
10.6% |
34.8% |
7.3% |
5.5% |
7.3% |
11.4% |
|
|
4th qtr |
10.9% |
12.0% |
10.4% |
34.3% |
7.6% |
6.1% |
7.5% |
11.2% |
|
2008 |
1st qtr |
11.4% |
11.8% |
12.3% |
30.9% |
8.9% |
5.7% |
7.4% |
11.6% |
|
|
2nd qtr |
11.2% |
11.8% |
12.4% |
32.6% |
8.3% |
5.7% |
7.3% |
10.7% |
|
|
3rd qtr |
11.0% |
11.8% |
11.5% |
34.6% |
7.2% |
5.7% |
7.3% |
10.9% |
|
|
4th qtr |
11.1% |
12.3% |
10.8% |
35.4% |
7.4% |
5.5% |
7.0% |
10.5% |
|
2009 |
1st qtr |
10.5% |
11.5% |
11.8% |
34.2% |
8.2% |
5.5% |
7.2% |
11.2% |
|
|
2nd qtr |
10.3% |
10.9% |
12.3% |
33.3% |
8.4% |
5.8% |
7.3% |
11.7% |
|
|
3rd qtr |
10.2% |
10.6% |
11.7% |
35.1% |
7.8% |
5.7% |
7.8% |
11.1% |
|
|
4th qtr |
11.0% |
10.7% |
10.5% |
37.0% |
7.8% |
5.4% |
7.2% |
10.4% |
|
2010 |
1st qtr |
10.9% |
10.4% |
11.8% |
35.1% |
8.2% |
5.5% |
7.1% |
11.0% |
|
|
2nd qtr |
10.7% |
10.8% |
11.5% |
35.1% |
8.7% |
5.5% |
7.0% |
10.7% |
|
|
3rd qtr |
9.8% |
10.9% |
10.6% |
35.7% |
8.5% |
5.8% |
7.7% |
11.0% |
|
|
4th qtr |
9.8% |
10.4% |
10.4% |
35.6% |
8.6% |
6.3% |
8.0% |
10.8% |
|
2011 |
1st qtr |
10% |
9.9% |
12.4% |
33.5% |
8.7% |
6.2% |
7.9% |
11.3% |
|
|
2nd qtr |
10.1% |
9.8% |
11.8% |
35.5% |
7.9% |
6.2% |
7.7% |
11.0% |
|
|
3rd qtr |
9.6% |
9.5% |
10.1% |
37.7% |
7.5% |
6.9% |
7.7% |
11.0% |
From 1 November 2001, increased remuneration has been
available under the Cervical Practice Incentive Program to general
practitioners who collect Pap tests from women who are four or more years
since their previous test.
New NHMRC Guidelines for the Management of asymptomatic women with
screen detected abnormalities were introduced in July 2006.
The above table shows that the gradual decline in
the number of women with early rescreening continues, while the number of
women who rescreen 24-30 months since their last Pap test continues to
remain steady.
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