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Am J Public Health. 2016 Nov;106(11):2005-2011. Epub 2016 Sep 15.

Roles of Health Care Providers and Patients in Initiation of Unnecessary Papanicolaou Testing After Total Hysterectomy.

Author information

1
Fangjian Guo is with the Department of Obstetrics & Gynecology and the Center for Interdisciplinary Research in Women's Health, University of Texas Medical Branch, Galveston. Yong-Fang Kuo is with the Office of Biostatistics, Department of Preventive Medicine and Community Health, University of Texas Medical Branch.

Abstract

OBJECTIVES:

To assess Papanicolaou (Pap) testing use among US adult women with a history of a total hysterectomy for a benign condition and the roles of health care providers and patients in the initiation of screening Pap tests.

METHODS:

We used 2000 to 2013 data from the National Health Interview Survey on women aged 20 years or older who had undergone a hysterectomy (n = 11 616) to estimate unnecessary Pap test use.

RESULTS:

The percentage of self-reported Pap testing in the preceding 3 years among women who had undergone a hysterectomy decreased from 72.2% in 2000 to 53.3% in 2013. In 2013, 42.4% of women who had undergone a hysterectomy reported receiving recommendations for screening from a health care provider in the past year (32% of which were unnecessary), and 32.1% reported undergoing Pap tests in the preceding year (22.1% of which were unnecessary). Although the majority of Pap tests were performed at a clinician's recommendation, approximately one fourth were initiated by patients without clinician recommendations.

CONCLUSIONS:

Health care providers should advise women who have had a total hysterectomy for a benign condition on appropriate use of screening services.

PMID:
27631753
PMCID:
PMC5055766
DOI:
10.2105/AJPH.2016.303360
[Indexed for MEDLINE]
Free PMC Article

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