Self-reported Papanicolaou smears and hysterectomies among women in the United States.

摘要: Abstract OBJECTIVE: To evaluate the potential overuse of Papanicolaou smears among women who have had a hysterectomy. METHODS: We analyzed two surveys US aged 18 years or older, Behavioral Risk Factor Surveillance System (1992–1997) and National Health Interview Survey (1993–1994), one survey hospitals (National Hospital Discharge Survey, 1980–1997). examined number hysterectomy recent (within 3 years) smear. also trends in proportions rates hysterectomies by diagnoses type procedure that potentially could require RESULTS: From System, an estimated 21.2% Among hysterectomy, 78.3% those reporting no 82.1% Estimates from were similar. 6.7% to 15.4% with history would subsequent smear because they diagnosis related cervical neoplasia undergone supracervical For 10.6–11.6 million 12.5 smear, test be considered unnecessary. CONCLUSION: Continued screening without intact uteri may result excessive use resources time money minimal impact on decreasing cancer.