Letters Section Editor: Robert M. Golub,
MD, Senior Editor.
To the Editor: Self-reporting of Papanicolaou
(Pap) smears by patients, which was used in the study by Drs Sirovich and
Welch,1 may be subject to overreporting, as
patients tend to associate Pap smears with any speculum examination. A better
estimate may come from commercial laboratories that also tend to collect information
on patient characteristics such as hysterectomy status. Insinga et al2 reported lower Pap smear utilization using data from
the Kaiser Permanente Northwest Health Plan compared with national surveys
based on patient self report.
Dandolu V, Harmanli O. Cervical Cancer Screening Among Women Without a Cervix. JAMA. 2004;292(13):1550-1552. doi:10.1001/jama.292.13.1550-a