Nov/Dec 2003 Annals of Family Medicine...( The November/December 2003 issue of An...),Health

The November/December 2003 issue of Annals of Family Medicine focuses on cervical cancer screening, a preventive practice that has contributed to the significant decline in the number deaths from cervical cancer over the past several decades. According to the American Cancer Society, between 1955 and 1992, the number of cervical cancer deaths in the United States dropped by 74 percent, in large part due to the increased use of the screening test.

A cluster of articles on the topic attempt to answer new questions about the screening test, which is among the most common performed by family physicians. How could understanding women's experiences change the way clinicians communicate with patients whose Pap smear results are mildly abnormal? Are annual Pap smears so firmly entrenched that patients or clinicians might resist recommendations to reduce their frequency? Is it reasonable to screen for common cancers, like breast cancer and cervical cancer, among the elderly? Do most family physicians routinely use a chaperone when collecting a Pap smear? Is a speculum examination necessary for accurate collection of a sample to detect human papillomavirus, one of the strongest known precursors of cervical cancer?

The November/December issue also includes two additional articles on other important clinical topics. A study by Dickinson and colleagues questions whether a simple care recommendation letter could improve the functional status of patients with somatization disorder a condition in which frequent unexplained physical symptoms cause patient distress and frequent physician visits. In another article, Yawn and colleagues analyze exercise stress test results to determine whether heart rate recovery would be a useful addition to the diagnostic criteria for predicting cardiac and all-cause mortality.

In This Issue:

Women Reluctant to Consider Risk-Based Cervical Cancer Screening
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Contact: Angela Lower
alower@aafp.org
913-906-6253
American Academy of Family Physicians
25-Nov-2003

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