Jennifer Tirrell Martin, APN, MSN, is in clinical practice as a women's health nurse practitioner at Christiana Care Health System in Newark, Delaware.
Do Women Comply with Recommendations for Papanicolaou Smears Following Colposcopy? A Retrospective Study
Article first published online: 24 DEC 2010
2008 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 53, Issue 2, pages 138–142, March-April 2008
How to Cite
Martin, J. T. (2008), Do Women Comply with Recommendations for Papanicolaou Smears Following Colposcopy? A Retrospective Study. Journal of Midwifery & Womens Health, 53: 138–142. doi: 10.1016/j.jmwh.2007.09.007
- Issue published online: 24 DEC 2010
- Article first published online: 24 DEC 2010
- female genital diseases;
- Papanicolaou smear;
- patient compliance;
- uterine cervical diseases;
- uterine cervical dysplasia
The objective of this study was to determine compliance with follow-up serial Papanicolaou smears after the completion of colposcopic examination and treatment as required in women with abnormal Papanicolaou smears. Following a retrospective chart review, data were selected from 103 charts of women who had undergone colposcopy. Patient compliance with the treatment plan was tracked for 18 months. Compliance was defined as having at least two cervical cancer screenings performed in the year and a half following colposcopy. Thirty-two percent of the study population complied with the plan of care. Eighty-six percent of those patients who had at least one Papanicolaou smear in the 18 months following colposcopy had no progression of dysplasia. Less than one-third of the patients in this study population followed the recommendations given to them after their colposcopic examination and treatment. Health care providers will be aware of the low percentage of patient follow-up as well as the importance of educating patients about prevention of cervical cancer and reducing risk of cervical dysplasia.