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Relationship between Pap smear performance and physician ordering a mammogram.

P J Murata¹, J E Li

¹Division of Family Medicine, School of Medicine, University of California, Los Angeles.

The Journal of Family Practice

|December 1, 1992

Summary

Women who received a Pap smear were significantly more likely to also have a screening mammogram. This suggests integrating cervical cancer screening can increase breast cancer screening rates.

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Area of Science:

Oncology
Preventive Medicine
Public Health

Background:

Cervical cancer screening (Pap smear) is widely implemented, but breast cancer screening (mammography) is underutilized.
Patients undergoing one screening test are more likely to undergo others.

Purpose of the Study:

To investigate if Pap smear visits prompt physicians to order screening mammograms.

Main Methods:

Retrospective matched case-control study.
Included women over 50 without breast cancer history visiting a family practice residency.
Matched cases (mammogram) with controls (no mammogram) by age and visit number.

Main Results:

Women who had a Pap smear had an adjusted odds ratio of 6.67 for completing a mammogram.

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This association remained significant after controlling for confounding factors.

Conclusions:

Pap smears appear to act as a catalyst for physicians to order mammograms.
Screening tests, like Pap smears and mammograms, may be perceived by physicians as a package of services.