Skip to main content
British Medical Journal (Clinical Research Ed.) logoLink to British Medical Journal (Clinical Research Ed.)
. 1984 Oct 6;289(6449):891–894. doi: 10.1136/bmj.289.6449.891

Are patients with abnormal cervical smears adequately managed?

J M Elwood, R E Cotton, J Johnson, G M Jones, J Curnow, M W Beaver
PMCID: PMC1443396  PMID: 6434131

Abstract

The outcome was assessed for all 1062 women in Nottingham who had a first report of abnormal cervical cytology in 1981. Satisfactory follow up could be found for only 628 (59%) of them. For 275 (26%) one subsequent normal smear had been reported but no further follow up requested. For 43 (4%), no subsequent test, after the abnormal smear, had been requested by the patient's general practitioner. Thirty patients (3%), 22 of whom had been tested at a special clinic, had not responded to a request for follow up. Even after extensive efforts we could not find the outcome in the remaining 86 (8%) of the patients. Adequate follow up of patients with abnormal cervical cytology is not being achieved. Improvements in the records systems and some changes in procedure should be made to reduce this problem.

Full text

PDF
891

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Draper G. J. Screening for cervical cancer: revised policy. The recommendations of the DHSS Committee on Gynaecological Cytology. Health Trends. 1982 May;14(2):37–40. [PubMed] [Google Scholar]
  2. Kinlen L. J., Spriggs A. I. Women with positive cervical smears but without surgical intervention. A follow-up study. Lancet. 1978 Aug 26;2(8087):463–465. doi: 10.1016/s0140-6736(78)91457-5. [DOI] [PubMed] [Google Scholar]
  3. Nasiell K., Nasiell M., Vaćlavinková V. Behavior of moderate cervical dysplasia during long-term follow-up. Obstet Gynecol. 1983 May;61(5):609–614. [PubMed] [Google Scholar]
  4. Yule R. Mortality from carcinoma of the cervix. Lancet. 1978 May 13;1(8072):1031–1032. doi: 10.1016/s0140-6736(78)90751-1. [DOI] [PubMed] [Google Scholar]

Articles from British Medical Journal (Clinical research ed.) are provided here courtesy of BMJ Publishing Group

RESOURCES