Cervical cancer screening in the urgent care setting
| Autor: | Philip S. Mehler, Terry S. Dunn, Stacy L. Biggerstaff, Holly Batal |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Cervical cancer
Gynecology medicine.medical_specialty Hysterectomy medicine.diagnostic_test business.industry Obstetrics medicine.medical_treatment Psychological intervention Original Articles medicine.disease law.invention Abnormal PAP Smear Randomized controlled trial law Internal Medicine medicine Vaginal bleeding Pap test medicine.symptom business Pelvic examination |
| Zdroj: | Journal of General Internal Medicine. 15:389-394 |
| ISSN: | 1525-1497 0884-8734 |
| Popis: | OBJECTIVE: To determine the feasibility of cervical cancer screening in an urgent care clinic. DESIGN: Prospective randomized trial. SETTING: Public teaching hospital. PATIENTS: Women presenting to the urgent care clinic whose evaluation necessitated a pelvic examination were eligible for participation. Women who had a hysterectomy, had a documented Pap test at our institution in the past year, did not speak English or Spanish, or had significant vaginal bleeding were excluded. Women presenting to the gynecology clinic for a scheduled Pap test were used as a comparison group for rates of follow-up, Pap smear adequacy, and Pap smear abnormalities. INTERVENTIONS: Women randomized to the intervention group had a Pap test performed as part of their pelvic examination, while women in the usual care group were encouraged to schedule an appointment in the gynecology clinic at a later date. The women in the two groups completed identical questionnaires regarding cervical cancer risk factors and demographic information. MEASUREMENTS AND MAIN RESULTS: Ninety-four (84.7%) of 111 women in the intervention group received a Pap test, as compared with 25 (29%) of 86 in the usual care group (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink