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Patient Educ Couns. 2021 Dec;104(12):3097-3099. doi: 10.1016/j.pec.2021.03.037. Epub 2021 Apr 01.

National institutions should improve the information made available to patients about cervical smears.

Patient education and counseling

Benoit V Tudrej, Marion Dernoncourt, Michaela B Rehman, Stéphanie Mignot, Rémy Boussageon

Affiliations

  1. Department of General Practice, University of Poitiers, Poitiers, France; University College of General Medicine, Claude Bernard University Lyon 1, Lyon, France. Electronic address: [email protected].
  2. Department of General Practice, University of Poitiers, Poitiers, France.
  3. Cardiopole Med Lyon Villeurbanne, Villeurbanne, France.
  4. University College of General Medicine, Claude Bernard University Lyon 1, Lyon, France; UMR 5558, CNRS, The Biometry and Evolutionary Biology Laboratory (LBBE), Claude Bernard University Lyon 1, Lyon, France.

PMID: 33838941 DOI: 10.1016/j.pec.2021.03.037

Abstract

OBJECTIVE: To assess the quality of the content of leaflets tools and websites of national institutions in United Kingdom and France informing patients about cervical smears.

METHODS: We collected and analyzed the data and information on these two websites and leaflets made for patients. We screened those tools with the UP TO DATE SCIENTIFIC EVIDENCE IPDAS grid.

RESULTS: None of the tools specify the level of evidence of the studies on which cervix cancer screening is based. The risk of complication due to cancer is poor. The effectiveness of screening in absolute value is not available. The risks and side-effects due to cervical smears are specified without the frequency.

CONCLUSION: Information is truncated and pushes readers towards taking part in screening. This is not in accordance with the quality criteria of shared decision making.

PRACTICE IMPLICATIONS: Patients should take part in the creation of decision making tools, so that the information is the most suited to their representations and understanding. This is why the documents made available by institutions should be based on recognized scientific sources. Responsible of health programs should be independent and separated from those responsible of information tool creation.

Copyright © 2021. Published by Elsevier B.V.

Keywords: Evidence-based medicine; Mass screening; Uterine cervical neoplasms; Vaginal smears

Conflict of interest statement

Conflict of interest The authors have nothing to disclose.

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