Patient knowledge of hysterectomy and pap screening after minimally invasive hysterectomy.

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.

journal_name

Patient Educ Couns

authors

Mattingly M,Juran R,Su I,Ebinger J,Daggy J,Tucker Edmonds B

doi

10.1016/j.pec.2016.08.017

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

121-125

issue

1

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(16)30358-5

journal_volume

100

pub_type

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