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Rosenblatt, Karin Maduram, David Thomas 2015-09-28T15:04:26Z 2015-09-28T15:04:26Z 10000-01-01 2007 2007 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. Made available in DSpace on 2015-09-28T15:04:26Z (GMT). No. of bitstreams: 2 license.txt: 4848 bytes, checksum: 96035ab3f5e1c23cc7138a224ce498bd (MD5) 3290308.pdf: 3543683 bytes, checksum: 8a731149cde3793c91615786ac1a88c2 (MD5) Previous issue date: 2007 Embargo set by: Seth Robbins for item 87672 Lift date: Forever Reason: Restricted to the U of I community idenfinitely during batch ingest of legacy ETDs Restricted to the U of I community idenfinitely during batch ingest of legacy ETDs U of I Only 118 p. Thesis (Ph.D.)--University of Illinois at Urbana-Champaign, 2007. http://hdl.handle.net/2142/86391 (MiAaPQ)AAI3290308 eng Gerontology An Analysis of the Efficacy of Cervical Cancer Screening in Elderly Women text Kinesiology and Community Health Kinesiology and Community Health University of Illinois at Urbana-Champaign Dissertation Ph.D.