PMID: 9540939Apr 16, 1998Paper

Cervical cancer screening among women with and without hysterectomies

Obstetrics and Gynecology
E D EakerP L Remington

Abstract

To compare the rate of Papanicolaou testing in a population-based sample of women with medical documentation of 1) total hysterectomy for benign conditions, 2) total hysterectomy for malignant conditions, and 3) hysterectomy with cervix intact to rates among women who had not had a hysterectomy. The Marshfield Epidemiologic Study Area was used to identify a retrospective cohort of women with hysterectomies age-matched to women without hysterectomies. This study compares the Papanicolaou test rate per year (outcome) by hysterectomy status (exposure) for women with total hysterectomy for benign reasons (n=197), total hysterectomy for malignancy (n=75), supracervical hysterectomy (n=43), and no hysterectomy (n=315). Compared with women who did not have a hysterectomy (nonexposed), women with a hysterectomy (exposed) for benign reasons had significantly fewer Papanicolaou tests; on average, one less test every 3 years (mean difference=-0.34 tests/year, P < .001). Contrary to this, women with a malignancy-related hysterectomy had significantly more tests than their nonexposed counterparts (mean difference=0.87 tests/year, P < .001); nearly one additional test per year. Finally, women with supracervical hysterectomies had the same ra...Continue Reading

References

Aug 1, 1995·American Journal of Obstetrics and Gynecology·J T PiscitelliD L Simel
Apr 1, 1994·Obstetrics and Gynecology·L S WilcoxH B Peterson

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Citations

Aug 17, 2001·Obstetrics and Gynecology·M SaraiyaM A McKenna
Apr 27, 2002·Journal of Women's Health & Gender-based Medicine·Mona SaraiyaMatthew T McKenna
Oct 20, 2006·Journal of Lower Genital Tract Disease·Michael D FettersSeema S Sonnad
Jun 3, 2005·Clinical Medicine & Research·Robert T Greenlee
Sep 27, 2005·Cytopathology : Official Journal of the British Society for Clinical Cytology·H Stokes-LampardS Kehoe
Jun 1, 2004·Expert Review of Pharmacoeconomics & Outcomes Research·James W Henderson
May 21, 2010·Cytopathology : Official Journal of the British Society for Clinical Cytology·H Stokes-LampardL Bentley
Jan 20, 2005·Gynäkologisch-geburtshilfliche Rundschau·UNKNOWN Arbeitsgruppe "Guideline Zervixabstrich"

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