Marlena Mattingly1, Rupal Juran2, Isaac Su3, Jessica Ebinger4, Joanne Daggy5, Brownsyne Tucker Edmonds6. 1. Indiana University School of Medicine, Department of Obstetrics and Gynecology, 550 North University Boulevard, Indianapolis, IN, 46202, USA. Electronic address: mnmsweetie85@hotmail.com. 2. Indiana University School of Medicine, Department of Obstetrics and Gynecology, 550 North University Boulevard, Indianapolis, IN, 46202, USA. Electronic address: Rshroff604@gmail.com. 3. Indiana University School of Medicine, Department of Obstetrics and Gynecology, 550 North University Boulevard, Indianapolis, IN, 46202, USA. Electronic address: Isacksu@gmail.com. 4. Indiana University School of Medicine, Department of Obstetrics and Gynecology, 550 North University Boulevard, Indianapolis, IN, 46202, USA. Electronic address: jessica.ebinger@palmettohealth.org. 5. Indiana University School of Medicine, Department of Obstetrics and Gynecology, 550 North University Boulevard, Indianapolis, IN, 46202, USA. Electronic address: jdaggy2@iu.edu. 6. Indiana University School of Medicine, Department of Obstetrics and Gynecology, 550 North University Boulevard, Indianapolis, IN, 46202, USA. Electronic address: btuckere@iupui.edu.
Abstract
OBJECTIVE: To determine whether women know their own cervical cancer screening recommendations after hysterectomy, and to evaluate patients' understanding of hysterectomy terminology and cervical cancer screening. METHODS: A 19-item questionnaire was developed and administered to 413 women who had undergone minimally invasive hysterectomy with benign pathology between January 2008 and January 2012. RESULTS: A total of 190 women (46%) participated in the survey. The majority of respondents were Caucasian (61%) and had a college education (66%). Fifty-nine percent of respondents knew that a Pap test screens for cervical cancer, and 40% knew that HPV is related to cervical cancer. Eight-four percent understood that Pap screening is recommended if a woman still has a cervix after hysterectomy. Only 67% correctly identified if their cervix had been removed during their own surgery and if they needed future cervical cancer screening per current guidelines. Caucasian race and higher income were significant predictors of hysterectomy and screening knowledge. CONCLUSION: Knowledge regarding Pap tests, HPV, and implications of a supracervical hysterectomy is lacking, even among a post-hysterectomy population. PRACTICAL IMPLICATIONS: Patient educational information is needed to improve perioperative counseling regarding the type of hysterectomy performed and indications for future cervical cancer screening.
OBJECTIVE: To determine whether women know their own cervical cancer screening recommendations after hysterectomy, and to evaluate patients' understanding of hysterectomy terminology and cervical cancer screening. METHODS: A 19-item questionnaire was developed and administered to 413 women who had undergone minimally invasive hysterectomy with benign pathology between January 2008 and January 2012. RESULTS: A total of 190 women (46%) participated in the survey. The majority of respondents were Caucasian (61%) and had a college education (66%). Fifty-nine percent of respondents knew that a Pap test screens for cervical cancer, and 40% knew that HPV is related to cervical cancer. Eight-four percent understood that Pap screening is recommended if a woman still has a cervix after hysterectomy. Only 67% correctly identified if their cervix had been removed during their own surgery and if they needed future cervical cancer screening per current guidelines. Caucasian race and higher income were significant predictors of hysterectomy and screening knowledge. CONCLUSION: Knowledge regarding Pap tests, HPV, and implications of a supracervical hysterectomy is lacking, even among a post-hysterectomy population. PRACTICAL IMPLICATIONS: Patient educational information is needed to improve perioperative counseling regarding the type of hysterectomy performed and indications for future cervical cancer screening.
Authors: Zeinab Kassem; Chad M Coleman; Andrew S Bossick; Wan-Ting Su; Roopina Sangha; Ganesa Wegienka Journal: J Patient Cent Res Rev Date: 2019-01-28
Authors: Anastasia Belilovets; Nithya Gopal; Erica Stockwell; Jasmine Pedroso; Joy Brotherton; K Warren Volker; David Howard Journal: Womens Health Rep (New Rochelle) Date: 2020-08-17