Small Study Finds Discrepancies Between Black Women's Recollection Of Receiving Some Health Screening Tests And Their Medical Records

Main Category: Women's Health / Gynecology
Also Included In: Colorectal Cancer;  Breast Cancer;  Cervical Cancer / HPV Vaccine
Article Date: 30 Apr 2008 - 6:00 PDT

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There are significant discrepancies in black women's recollection of having had health screenings -- including tests for breast, cervical and colon cancer -- and their medical records, according to a small study published in the journal Oncology Nursing Forum, Reuters Health reports. Blacks have higher death rates than whites from breast, cervical and colon cancer, and researchers attribute the disparity in part to lower screening rates, which reduces the chance of early detection, Reuters Health reports.

For the study, lead researcher Barbara Powe and colleagues interviewed 116 black women about their health screening history and compared their answers with their medical records. Researchers found discrepancies between the women's answers and their medical records in a majority of the cases. Based on comparisons of the women's answers and actual medical records, researchers found that:

• 86% of the women age 20 or older reported having a clinical breast exam at some point in their lives, and 67% reported having had one in the last 12 months, compared with 35% and 26%, respectively, based on medical records;
  
  
• 77% of women in their 40s reported having a mammogram at some point in their life, and 29% reported having had one in the last 12 months, compared with 40% and 9% indicated in medical records;
  
  
• 56% of women ages 50 or older reported undergoing a fecal occult blood test to detect colon cancer, while medical records indicated 11% had an FOBT; and
  
  
• Nearly all of the women interviewed reported having had a Pap test at some point in their lives, compared with 58% from medical records.
  
  

Researchers said it is possible that in some cases the screenings were not reported in medical records. Estimates of cancer screening rates primarily are based on self-reporting, according to Reuters Health. The study's findings suggest that current screening rates, particularly for black women, likely are lower than estimated. Powe said in a statement, "Self-reported screening rates are the foundation for many policy decisions that have a significant influence on the availability of resources for this population," adding that "over- or underestimation of screening can be even more significant for [blacks], who bear a disproportionate cancer burden." Researchers recommended that providers develop better "patient reminder systems" to help close the discrepancy gap (Reuters Health, 4/28).

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© 2008 Advisory Board Company and Kaiser Family Foundation. All rights reserved.

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