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October 6, 2004

Cervical Cancer Screening Among Women Without a Cervix

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2004;292(13):1550-1552. doi:10.1001/jama.292.13.1550-a

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.

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