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Related Experiment Videos

The agreement between self-reported cervical smear abnormalities and screening programme records.

Karen Canfell1, Valerie Beral, Jane Green

  • 1Cancer Epidemiology Research Unit, Cancer Research and Registers Division, The Cancer Council NSW, Sydney, Australia. karenc@nswcc.org.au

Journal of Medical Screening
|June 24, 2006
PubMed
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Women accurately self-report abnormal cervical smears, with reporting rates increasing with lesion severity. Most women with normal results correctly report no abnormality.

Area of Science:

  • Public Health
  • Epidemiology
  • Gynecologic Oncology

Background:

  • Cervical screening programs aim to detect abnormalities early.
  • Accurate self-reporting of cervical smear results is crucial for patient follow-up and program evaluation.

Purpose of the Study:

  • To compare self-reported history of abnormal cervical smears with official screening records.
  • To assess the accuracy of self-reporting based on the severity of cervical abnormalities.

Main Methods:

  • A cohort study involving 1944 women aged 50-64 from the Million Women Study in Oxfordshire.
  • Comparison of self-reported abnormal cervical smears with National Health Service Cervical Screening Programme records over a six-year period.

Main Results:

Related Experiment Videos

  • 3.5% of women had a recorded abnormal smear, while 2.5% self-reported one.
  • Self-reporting accuracy increased with the severity of the recorded abnormality (P <0.001).
  • Proportions reporting abnormalities were 40% (borderline), 58% (mild), and 77% (moderate/severe/cancer); 0.6-0.7% for negative/inadequate smears.

Conclusions:

  • Self-reported cervical abnormalities correlate with recorded lesion severity.
  • Women with negative or inadequate smears generally report them accurately, indicating good understanding.