Clinical decision-making following abnormal Papanicolaou smear reports.

Daron Gale Ferris, M. D. Miller, P. Wagner, E. Walaitis, F. H. Lawler

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

OBJECTIVE: Interpretation of abnormal Papanicolaou smear reports and the subsequent management of the patient frequently present significant decision-making problems for clinicians. The purpose of this study was to evaluate family physician clinical decision-making strategies for abnormal cervical cytology reports using simulation techniques. METHODS: One hundred fifteen practicing family physicians evaluated two simulations of women with abnormal cervical cytology, the first with inflammatory cytology and the second with a high-grade squamous intraepithelial lesion. RESULTS: Most physicians (66%) selected an etiology evaluation and specific treatment approach to an inflammatory report, while 26% of respondents chose empiric treatment. For the high-grade squamous intraepithelial lesion simulation, 88% of physicians chose the appropriate management response of colposcopic evaluation. CONCLUSIONS: Practice experience, level of involvement, clinician gender, and type of cervical cytology classification influenced family physician clinical decision-making. The majority of responses to an inflammatory or high-grade squamous intraepithelial lesion report was appropriate based on current scientific data.

Original languageEnglish (US)
Pages (from-to)343-353
Number of pages11
JournalThe Family practice research journal
Volume13
Issue number4
StatePublished - Jan 1 1993

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Papanicolaou Test
Cell Biology
Family Physicians
Physicians
Decision Making
Clinical Decision-Making
Therapeutics
Squamous Intraepithelial Lesions of the Cervix

Cite this

Ferris, D. G., Miller, M. D., Wagner, P., Walaitis, E., & Lawler, F. H. (1993). Clinical decision-making following abnormal Papanicolaou smear reports. The Family practice research journal, 13(4), 343-353.

Clinical decision-making following abnormal Papanicolaou smear reports. / Ferris, Daron Gale; Miller, M. D.; Wagner, P.; Walaitis, E.; Lawler, F. H.

In: The Family practice research journal, Vol. 13, No. 4, 01.01.1993, p. 343-353.

Research output: Contribution to journalArticle

Ferris, DG, Miller, MD, Wagner, P, Walaitis, E & Lawler, FH 1993, 'Clinical decision-making following abnormal Papanicolaou smear reports.', The Family practice research journal, vol. 13, no. 4, pp. 343-353.
Ferris, Daron Gale ; Miller, M. D. ; Wagner, P. ; Walaitis, E. ; Lawler, F. H. / Clinical decision-making following abnormal Papanicolaou smear reports. In: The Family practice research journal. 1993 ; Vol. 13, No. 4. pp. 343-353.
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