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Home > An audit of the cervical screening programme in the National Drug Treatment Centre (NDTC).

Haran, Maeve and Kelly, John R and Kennedy, Liam and Hennigan, Kieran and Farid, Huma and Herteu, Cristina and Kreisel, Anna and Salehin, Shamus and O' Sullivan, Marie and Keating, Shay and Ivers, Jo-Hanna and Scully, Mike (2021) An audit of the cervical screening programme in the National Drug Treatment Centre (NDTC). Irish Journal of Medical Science , Early online . https://doi.org/10.1007/s11845-020-02459-1.

URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC78092...

BACKGROUND
Women diagnosed with substance use disorders (SUDs) have higher rates of major medical conditions compared to women without SUDs. Cervical cancer is the second leading cause of cancer death in women aged 20-39 years worldwide and women with SUDs have an increased risk of cervical cancer compared to women without SUD. The National Drug Treatment Centre (NDTC) cervical screening programme, derived from the national CervicalCheck programme, offers free cervical screening to patients attending for treatment of SUDs.

AIMS
This study aimed to audit adherence to the NDTC Cervical Screening guidelines before and after the implementation of an awareness-raising educational intervention.

METHODS
The electronic clinical records of women aged between 25 and 60 years attending the lead consultant's (M.S.) outpatient clinic were reviewed for documentary evidence indicating that information about the cervical screening programme had been discussed. This was completed before and one month after the implementation of an awareness-raising educational intervention.

RESULTS
All women (n = 46, mean age 36.3 (SD = 6.5) years) had an opioid use disorder; 85% had a benzodiazepine use disorder, and 24% had an alcohol use disorder. Of these, 80% had at least one chronic medical condition, 76% had a psychiatric disorder, and 59% were homeless. Adherence to the NDTC cervical screening guideline, as indicated by documentary evidence in clinical records, was 33% (14/43) at baseline, and rose to 88% (36/41) (p < 0.0001) one month after the intervention.

CONCLUSIONS
This completed audit cycle shows that an awareness-raising educational intervention can significantly improve adherence to a cervical screening programme in women with SUDs.


Item Type
Article
Publication Type
Irish-related, Open Access, Article
Drug Type
Alcohol, All substances, CNS depressants / Sedatives, Opioid
Intervention Type
Education and training
Date
15 January 2021
Identification #
https://doi.org/10.1007/s11845-020-02459-1
Publisher
Springer
Volume
Early online
EndNote
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