Saturday 19 December 2009

Screening Programme Criteria

Wilson & Jugner Screening Programme Criteria (criteria all screening programmes should meet to provide maximum benefits to minimum cost*)
http://www.gp-training.net/training/tutorials/management/audit/screen.htm

*cost as in medical/social, as opposed to simply monetary cost

Making sense of screening - science leaflet
http://www.senseaboutscience.org.uk/PDF/MSOScreening.pdf

Added 21 Dec 09 - False/negative results in screening programmes and impacts (analysis)http://www.hta.ac.uk/fullmono/mon405.pdf

Added 1 Jan 2010 - The psychiatric effects of mass screening http://linkinghub.elsevier.com/retrieve/pii/S0033350672800234

Rates of cancer, cervical cancer and other serious illnesses

Causes of death, male and female, UK 2010
http://www.ons.gov.uk/ons/publications/re-reference-tables.html?edition=tcm%3A77-230730


World Health Organisation - causes of death in women worldwide
http://www.who.int/mediacentre/factsheets/fs334/en/index.html

Added 20 Dec 09
Cervical cancer incidences by age etc in the UK
http://info.cancerresearchuk.org/cancerstats/types/cervix/incidence/

Added 21 Dec 09
Cervical cancer link to early sex
http://news.bbc.co.uk/1/hi/health/8420690.stm

Cancer in Australia, an overview, 2006
http://www.aihw.gov.au/publications/can/ca06/ca06.pdf

Types of cancer and information (US)
http://www.cancer.gov/cancertopics/

United States Cancer Statistics
http://apps.nccd.cdc.gov/uscs/

Estimated new cancer cases and deaths by sex, US, 2005-2011, including splits by ethnicity
http://www.cancer.org/Research/CancerFactsFigures/index


Re-evaluating the risk of breast cancer - article on the distraction of cancer from other major health risks
http://www.ifeminists.com/introduction/editorials/2002/1029c.html

Added 27th Dec 09 - pages 849 and 850 most relevant
"The risk of death by age, sex and smoking status in the US - putting risks in context"
http://www.vaoutcomes.org/papers/JNCI_2008.pdf

Added 1 Jan 2010
Incidences of cervical cancer
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B8MMW-4W1VWDB-1K&_user=10&_origUdi=B6WGD-4CXKYF6-2D&_fmt=high&_coverDate=04%2F10%2F2009&_rdoc=1&_orig=article&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=98b94d20491f0220425a95f8a327cd24

Added 1 Jan 2010
The social and demographic characteristics of women dying from cervical cancer in Nottingham (UK)
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B73H6-4GTWCJ9-8&_user=10&_origUdi=B6VBF-3VV412M-1T&_fmt=high&_coverDate=11%2F30%2F1990&_rdoc=1&_orig=article&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=76b7973744fef5daaa9a1a7d27095c3d

Added 8 Jan 2010
Social/demographic/medical 'stuff' per State (USA)
http://www.statehealthfacts.org/

Added 9 Jan 2010
Way of calculating what you might die of (for when you don't want to sleep at night....)
http://www.deathriskrankings.com/Default.aspx?AspxAutoDetectCookieSupport=1

Added April 2010
Sexual practices and menstruation - risks for cervical cancer (South Africa)
http://www.thefreelibrary.com/Sexual+and+menstrual+practices:+risks+for+cervix+cancer.-a0170582037

Added July 2010 - women living with incurable STDs
http://books.google.co.uk/books?id=oqICrB6M6AIC&pg=PA50&lpg=PA50&dq=damaged+by+gynaecological+exam&source=bl&ots=bLWqsjPYkm&sig=UAy5wG6aHj31Nwp1MMVlFoipZ0M&hl=en&ei=-8gzTKL-H42M0gS1yvmXAw&sa=X&oi=book_result&ct=result&resnum=5&ved=0CCoQ6AEwBDgK#v=onepage&q&f=false

"Added Decenber 2011 - (there's no internet link and I cannot upload a copy due to copyright, however this should be available in most medical libraries).
Journal of American College of Cardiology, Vol. 58, No. 19, 2011 "a report of significant association between being HPV positive and the presence of atherosclerotic heart disease."

Informed Consent and Ethics

Feminist perspectives on health care law
http://books.google.com/books?id=_CQqJn26Se4C&pg=PT92&lpg=PT92&dq=smear+test%2Bconsent&source=bl&ots=4GEaJ9aUv1&sig=ubONFUCKOgmnuOsvoxsAb1Z4pqo&hl=en&ei=nSUlS9yeLNKy4Qbf2Jj6CQ&sa=X&oi=book_result&ct=result&resnum=1&ved=0CA8Q6AEwADg8#v=onepage&q=smear%20test%2Bconsent&f=false

Reaching targets in the national screening programme - are current practices unethical?
http://jme.bmj.com/content/24/3/151.full.pdf

Informed consent is missing from cervical screening
http://www.kevinmd.com/blog/2009/11/informed-consent-missing-pap-smears-cervical-cancer-screening.html

The ethics of information: absolute risk reduction and patient understanding of screening
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2517883/

Randomised controlled trial of the effect of evidence based information on women's willingness to participate in cervical cancer screening
www.ncbi.nlm.nih.gov/pubmed/12883063

Patients & Informed consent
http://www2.sunysuffolk.edu/pecorip/SCCCWEB/ETEXTS/MEDICAL_ETHICS_TEXT/Chapter_6_Patient_Rights/Readings_Origins_of_Informed_Consent.htm

Are women sufficiently well informed to provide valid consent for the cervical smear test?
http://www3.interscience.wiley.com/journal/119188012/abstract

Women must be given fuly informed information about cervical screening - BMJ article
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1115917/

General practitioner's perception of risk factors for cervical cancer development: consequences for patient education
http://www.ncbi.nlm.nih.gov/pubmed/16533588?ordinalpos=1&itool=PPMCLayout.PPMCAppController.PPMCArticlePage.PPMCPubmedRA&linkpos=3

Informed consent? How do primary care professionals prepare women for cervical screening: a qualitative study
http://www.ncbi.nlm.nih.gov/pubmed/15964735?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_SingleItemSupl.Pubmed_Discovery_RA&linkpos=3&log$=relatedarticles&logdbfrom=pubmed

Added 21st Dec 09
US paper - the Competent Patient's Right to refuse treatment
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1335174/

Added 21st Dec 09
Interventions targeted at women to increase uptake of cervical smears
http://apps.who.int/rhl/reviews/langs/CD002834ru.pdf

Added 21st Dec 09
Interesting post on the manufacture of consent

http://www.npr.org/templates/story/story.php?storyId=121609815

Added 6 Jan 2010
Rethinking informed consent - the case for shared medical decision making
http://www.informedmedicaldecisions.org/pdfs/shared_med_decisions.pdf

Added 6 Jan 2010
New Zealand Article on consent to screening
http://www.womens-health.org.nz/index.php?page=informed-consent-2

Added 15th Jan 2010
Little vignette on the subject of consent, by a GP blogger
http://afortunateman.blogspot.com/2007/10/up-nose.html

Added 13 Feb 2010
Pap smear brochures, misogyny and language - a discourse analysis and feminist critique

http://www.ncbi.nlm.nih.gov/pubmed/9437963

Added 13 Feb 2010
Consent to screening (NZ)
http://www.nzma.org.nz/journal/120-1266/2840/

Added 15 Feb 2010
A Scottish GP's opinion...
http://blogs.ft.com/healthblog/2010/01/11/suffragettes-and-screening/#comments

Added 25 Feb 2010
Gender and trust in medicine: consent, abuses and remedies
http://muse.jhu.edu/journals/international_journal_of_feminist_approaches_to_bioethics/v001/1.1.rogers.html

Added 25 Feb 2010
Cervical screening - compliance and moral obligation
http://www3.interscience.wiley.com/journal/119070429/abstract?CRETRY=1&SRETRY=0

Added 19 Mar 2010 -bridging the knowledge gap and communicating uncertainties for informed consent in cervical cytology; we need unbiased information and a culture change
http://www3.interscience.wiley.com/journal/119083731/abstract?CRETRY=1&SRETRY=0

Added 15 Jan 2010 Complex paper about attempts to persuade women into breast and cervical screening
http://www.gmpublichealthpracticeunit.nhs.uk/wp-content/uploads/2009/12/Screening-Final-Version-January-20102.pdf

Added 28th June 2011 - Blog post about plans for compulsory cervical exams in Polandhttp://myownwife.wordpress.com/2011/06/02/is-poland-planning-a-smear-campaign-against-women/#comment-65

Smear testing - pros, cons and effectiveness


Who should get a pap smear?

http://blogs.wsj.com/health/2009/11/03/who-should-get-a-pap-smear/

Dr Angela Raffle - letter to British Medical Journal

http://www.bmj.com/cgi/content/full/315/7113/953

More than you need to know? These days, we are screened for a whole raft of diseases. But just how effective are they?http://www.guardian.co.uk/society/2003/nov/15/medicineandhealth.publichealth

Trade-offs in cervical cancer prevention, balancing benefits and risks

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2746633/

Does cancer screening save lives?

http://wellness.blogs.time.com/2009/08/11/does-cancer-screening-save-lives-not-nearly-as-many-as-you-might-guess/#ixzz0X6GL4QQQ

Are mammograms and PSA tests overrated?

http://blogs.wsj.com/health/2009/10/21/are-mammograms-and-psa-tests-overrated/tab/comments/#comment-629355

Should we abandon pap testing?
http://ajcp.ascpjournals.org/content/supplements/114/Suppl_1/S48.full.pdf+html?sid=fb361d0c-ca1e-432b-a6dc-2c23cc95e16d

Outcomes of screening to prevent cancer: analysis of cumulative incidence of cervical
abnormality and modelling of cases and deaths prevented

http://www.bmj.com/cgi/content/full/326/7395/901?ijkey=kndK1dePPBERM

Jade and the dangers of smear testing

http://www.spiked-online.com/index.php?/site/article/6384/

Low-risk women should not be over-screened for cervical cancer

http://www.thefreelibrary.com/Low-risk+women+should+not+be+overscreened+for+cervical+cancer.-a0156361252

Low risk of cervical cancer during a long period after negative screening in the Netherlands
http://www.nature.com/bjc/journal/v88/n7/abs/6600843a.html

At what age do cancer tests offer more risks than benefits?

http://www.ama-assn.org/amednews/2009/11/23/prca1123.htm

Screening for older citizens

http://www.chicagotribune.com/health/preventivemedicine/chi-healthy-seniors-26-oct26,0,7041458.story

Colposcopy rates and results
http://www.vccr.org/stats_reports/2007/histology_07.html

Dr Angela Raffles book on screening practice
http://www.amazon.co.uk/Screening-Evidence-practice-Angela-Raffle/dp/0199214492

Added 21 Dec 09
UK cervical cancer screening programme and statistics - 2010-11
http://www.cancerscreening.nhs.uk/cervical/statistics.html

Added 21 Dec 09 Finnish Screening evaluation study
http://www.biomedcentral.com/1471-2458/6/252

Added 21 Dec 09
Explanation of CIN1, CIN2 etc
http://www.patient.co.uk/doctor/Cervical-Screening-(Cervical-Smear-Test).htm

Added 21 Dec 09
Effect of screening on incidence of and mortality from cancer of cervix in England: evaluation based on routinely collected statistics

http://www.cervicalcheck.ie/_fileupload/Downloads/Quinn_Effect%20of%20screening%20on%20incidence.pdf

Added 21 Dec 09
Cervical cancer - a guide for nurses

http://books.google.com/books?id=xX6ueqslld4C&pg=PT172&lpg=PT172&dq=cervical+screening%2Bfinancial+incentives&source=bl&ots=BwdlW_sQ7A&sig=PCTdP7Cl4R0V5EOLnSCHrCm0h30&hl=en&ei=N_IvS56ZH8jajQe38fHRAg&sa=X&oi=book_result&ct=result&resnum=10&ved=0CEIQ6AEwCThG#v=onepage&q=cervical%20screening%2Bfinancial%20incentives&f=false

Added 1 Jan 2010 - Debates about cervical screening - a historical overview http://jech.bmj.com/content/62/4/284.extract

Added 1 Jan 2010 - Is cervical screening working - a cytopathologists view from the United Kingdom
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WGD-4CXKYF6-2D&_user=10&_origUdi=B6VBF-3VV412M-1T&_fmt=high&_coverDate=02%2F28%2F1997&_rdoc=1&_orig=article&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=d82ce859482264c74734179bea61fa3c

Added 6 Jan 2010 - Cancer screening - what could hurt?
http://www.latimes.com/news/science/la-sci-screenings21-2009nov21%2C0%2C6713570.story?page=2

Added 16 Jan 2010 - Detection rates for abnormal cervical smears - what are we screening for?http://www.ncbi.nlm.nih.gov/pubmed/7769901?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DiscoveryPanel.Pubmed_RVAbstractPlus

Added 22 Jan 2010- Trade offs in cervical cancer prevention http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2746633/

Added 13 Feb 2010 Debates about cervical screening - an historical overview http://jech.bmj.com/content/62/4/284.extract

Added 25 Feb 2010 - Making the pap smear into the right tool - cervical cancer in the USA circa 1940 - 1995
http://www.jstor.org/pss/285603

Added 25 Feb 2010 - Cervical screening in lesbian and bisexual women http://www.cancerscreening.nhs.uk/cervical/publications/screening-lesbians-bisexual-women.pdf

Added 25 Feb 2010 - collection of articles on colposcopy
http://lib.bioinfo.pl/meid:230157

Added 28 April 2010 Risks to pregnancies post-cervical screening and treatment http://women.webmd.com/news/20040504/cervix-treatment-may-endanger-pregnancy-later
http://jama.ama-assn.org/cgi/content/full/291/17/2100

Added May 01 2010 - cervical screening transexuals (MtF/FtM) http://www.nhs.uk/chq/Pages/964.aspx?CategoryID=118&SubCategoryID=121

http://www.transfaithonline.org/intersections/cancer/cervical/

Added April 2011 - comprehensive report on the set up and management of the Welsh cervical screening programme
http://www.screeningservices.org.uk/csw/prof/docs/nsf.pdf

Added April 2011 - report on screening in Peru
http://her.oxfordjournals.org/content/23/1/10.full.pdf

Added November 2011 - indepth study on lesbian, gay and bisexual women and cervical screening, in the northwest of the UK (Salford)
http://usir.salford.ac.uk/16596/

Women's Perceptions & Experiences of Screening

Women's experiences at cervical screening
http://www.ncbi.nlm.nih.gov/pubmed/7569870

Factors affecting attendance for a cervical smear test: a prospective study
http://www.cervicalcheck.ie/_fileupload/Publications/Factors%20affecting%20attendance%20at%20smear%20tests%20Sept%2003.pdf

Personal influencing factors associated with pap smear testing and cervical cancer

http://www.ncbi.nlm.nih.gov/pubmed/18492942?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_SingleItemSupl.Pubmed_Discovery_RA&linkpos=1&log$=relatedarticles&logdbfrom=pubmed

Risk factors for cervical cancer development: what do women think?
http://www.ncbi.nlm.nih.gov/pubmed/16335302?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_SingleItemSupl.Pubmed_Discovery_RA&linkpos=1&log$=relatedarticles&logdbfrom=pubmed

Women's knowledge and experience of cervical screening: a failure of health education and medical organisation

http://jpubhealth.oxfordjournals.org/cgi/content/abstract/11/4/279

Screening for cervical cancer: a review of women's attitudes, knowledge and behaviour
http://www.ncbi.nlm.nih.gov/pubmed/10024713?ordinalpos=1&itool=PPMCLayout.PPMCAppController.PPMCArticlePage.PPMCPubmedRA&linkpos=4

Uptake of cervical cancer screening in the Netherlands is mainly influenced by women's beliefs about the screening and by the inviting organisation

http://eurpub.oxfordjournals.org/cgi/content/full/17/2/178

Individualing a general medical discourse: women making sense of cervical cancer screening in the UK

http://www.allacademic.com/meta/p_mla_apa_research_citation/1/0/9/0/2/p109024_index.html

The impact of knowledge, perceived barriers and perceptions of risk on attendance for a routinue cervical smear

http://informahealthcare.com/doi/abs/10.1080/13625180600841827

Frequency of after-effects reported by women following a cervical smear test

http://www.ingentaconnect.com/content/bpl/cyt/2006/00000017/A00101s1/art00052?crawler=true

A survey of female nursing students' knowledge, health beliefs, perception of risk and risk behaviours regarding HPV and cervical cancer

http://www.ncbi.nlm.nih.gov/pubmed/16460412?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_SingleItemSupl.Pubmed_Discovery_RA&linkpos=3&log$=relatedarticles&logdbfrom=pubmed

Factors influencing cancer screening practices of underserved women

http://www.ncbi.nlm.nih.gov/pubmed/17970859?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_SingleItemSupl.Pubmed_Discovery_RA&linkpos=5&log$=relatedreviews&logdbfrom=pubmed

Perceived cervical cancer risk among women undergoing colposcopy

http://louisville.edu/medschool/behavioraloncology/presentations/perceived-cervical-cancer-risk-among-women-undergoing-colposcopy.html

Psychological effects of a low-grade abnormal cervical smear test result: anxiety and associated factors

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2361408/

Women's understanding of abnormal cervical smear results: a qualitative interview study

http://www.jstor.org/pss/25174529

What do women think about abnormal smear test results? A qualitative interview study
http://informahealthcare.com/doi/abs/10.1080/01443610400023155

Added 21 Dec 09
Women's experiences of cervical screening
http://www.healthtalkonline.org/cancer/cervical_screening/Topic/1161/

Added 21 Dec 09
Women's understanding of a "normal" smear test result - experimental questionnaire based study

http://www.jstor.org/pss/25466335

Added 21 Dec 09
Improving the quality and coverage of cervical screening - women's views

http://jpubhealth.oxfordjournals.org/cgi/content/abstract/17/3/277

Added 1 Jan 2010
Australian Women's needs and preferences for information about HPV in cervical screening
http://jms.rsmjournals.com/cgi/reprint/12/3/134.pdf

Added 1 Jan 2010
Women's experiences of gynaecological care
http://books.google.com/books?id=DcdwhbGfMsIC&pg=PA23&lpg=PA23&dq=cervical+screening%2Bdistressed&source=bl&ots=LYBbvYEoRW&sig=iWwmZgzeukj8R_XKV6fWFbAvZQ8&hl=en&ei=HDE-S9DVB4L40wTC-qmSBQ&sa=X&oi=book_result&ct=result&resnum=5&ved=0CBgQ6AEwBDge#v=onepage&q=cervical%20screening%2Bdistressed&f=false

Added 1 Jan 2010
Article re: sexual abuse victims refusing smear tests (Australia)
http://www.smh.com.au/articles/2003/11/15/1068674436780.html?from=storyrhs

Added 1 Jan 2010
Irish screening authority report on cervical screening and improving uptake
http://www.cervicalcheck.ie/_fileupload/File/Guide%20for%20Smeartakers_Jan_09/Chapter%206%20Womens%20Participation.pdf

Added 1 Jan 2010
Cognition and affect after cervical screening - the role of previous test outcomes and personal obligation in future uptake expectations

http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6VBF-3VV412M-1T&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_searchStrId=1151385872&_rerunOrigin=google&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=a575cf9be845f8439f66624a99083257

Added 6 Jan 2010 Article on attempts to make positive smear results less worrying for women http://www.independent.co.uk/life-style/health-and-families/health-news/cervical-screening-part-2-abnormal-smears-not-surprisingly-set-the-alarm-bells-ringing-about-cancer-but-screening-itself-is-to-blame-for-spreading-fear-1274918.html

Added Jan 16 2010 Women's experiences of abnormal cervical cytology - illness representations, care processes and outcomes
 http://www.annfammed.org/cgi/reprint/1/4/196.pdf

Added 13 Feb 2010 - The potential for feminist political practice to empower the underrepresented consumer: the case of cervical cancer screening services
http://www.springerlink.com/content/k024014063r24475/

Added 25 Feb 2010 - Feminist healthcare with out of the mainstream adolescent females http://informahealthcare.com/doi/abs/10.1080/01460860119440

Added 25 Feb 2010 - During cervical screening, women desired good communication and sensitivity from their doctor
http://ebn.bmj.com/content/2/3/92.extract

Added 25 Feb 2010 - women with learning disabilities and access to cervical screening - retrospective cohort study using case control methods
 http://www.biomedcentral.com/1471-2458/8/30/

Added 25 Feb 2010 - breast and cervical screening for women with mental illness: patient and provider perspectives
http://www.springerlink.com/content/v8523361n8p44116/

Added 25 Feb 2010 - cervical screening: the knowledge and opinions of black and minority ethnic women and of health advocates in East London
http://hej.sagepub.com/cgi/content/abstract/57/1/3

Added 25 Feb 2010 - Correlates of cervical cancer screening between underserved african american and hispanic women
http://www.ncbi.nlm.nih.gov/pubmed/15313085

Added 25 Feb 2010 - breast and cervical cancer in indigenous women - barriers to early detection
http://www.ncbi.nlm.nih.gov/pubmed/18345371?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_SingleItemSupl.Pubmed_Discovery_RA&linkpos=4&log$=relatedarticles&logdbfrom=pubmed

Added 25 Feb 2010 - marrying research, clinical practice and cervical screening in Australian aboriginal women
http://www.ncbi.nlm.nih.gov/pubmed/19459723

Added 26 Feb 2010 - Influences on the uptake of reproductive health services in Uganda and implications for breast and cervical screening
http://www.reproductive-health-journal.com/content/4/1/4


Added 12 Mar 2010 - Women with learning disabilities and cervical screeninghttp://www.ncbi.nlm.nih.gov/pubmed/11095229

Mar 2010 - Cervical cancer/Brazilian women in the Favelas
http://books.google.co.uk/books?id=rm3eQN-9yiQC&pg=PA92&lpg=PA92&dq=pap+smear+forced&source=bl&ots=PXHfF3wgky&sig=qQwrdKQBevVUY8hpueoj7whOngo&hl=en&ei=uMGzS6SfJYKq4QaBs_iaAg&sa=X&oi=book_result&ct=result&resnum=8&ved=0CCIQ6AEwBzhG#v=onepage&q=pap%20smear%20forced&f=false

Feb 2011 - Issues with New Zealand screening programme (study done without the participants' consent)
http://www.inter-disciplinary.net/ptb/mso/hid/hid2/mcdonald%20paper.pdf

December 2011 - The role of primary care professionals in women’s experiences of cervical cancer screening: a qualitative study
http://fampra.oxfordjournals.org/content/early/2011/11/15/fampra.cmr105.full.pdf

and as the above link is only accessible to subscribers, a short BBC report on it:

http://www.bbc.co.uk/news/health-15780784

Incentives for health professionals to promote screening

UK Parliament discussion on GP renumeration and effects on patient consent
http://www.parliament.the-stationery-office.co.uk/pa/cm198990/cmhansrd/1990-03-29/Debate-15.html

Health: GPs 'bully women into smears for cash' (UK)
http://news.bbc.co.uk/1/hi/health/114086.stm

Decisions about Pap tests - what influences women and providers? (Australia)
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6VBF-4VYKJRG-2&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_searchStrId=1143400536&_rerunOrigin=google&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=00a7db8b9d698ee2694ed208f097805e

Added 21 Dec 09
Can financial incentive affect GP practice?
http://www.who.int/hrh/en/HRDJ_3_2_05.pdf

Added 21 dec 09
The appropriate use of financial incentives to encourage preventative care in general practice
http://www.buseco.monash.edu.au/centres/che/pubs/rr18.pdf

Added 21 Dec 09
Promoting screening for cervical cancer: realising the potential for recruitment for general practitioners
http://heapro.oxfordjournals.org/cgi/reprint/11/4/299.pdf

Frequency and Age of screening - pros and cons

Rates of cervical cancer screening in the US
http://www.springerlink.com/content/rw33577571673852/

New cervical cancer guidelines (end of yearly testing)
http://abcnews.go.com/GMA/HealthyLiving/guidelines-ditch-annual-pap-smears/story?id=9131632

Added 21 Dec 09
Quinquennial (5-yearly) smears - every woman's right and every general practitioners responsibility (paper dated 1984) UK

http://www.jstor.org/pss/29516758

Added 21 Dec 09
Article on the decision not to screen at age 20 in the UK
http://news.bbc.co.uk/1/hi/health/8116962.stm

Added 23 Dec 09
Article discussing changing first age of screening from 20 to 25 (Australia)
http://au.news.yahoo.com/thewest/a/-/national/6503507/start-pap-tests-later-in-life-say-australian-doctors/

Added 1 Jan 2010
Hansard - UK Parliament discussion on possibly changing the smear test age from 25 to 20
http://www.parliament.the-stationery-office.co.uk/pa/cm200809/cmhansrd/cm091014/debtext/91014-0008.htm

Added 23 Jan 2010
Decision not to reduce the age of screening in the UK from 25 to 20
http://www.bmj.com/cgi/content/extract/338/jun26_1/b2583

Added 29 Jan 2010
Findings and outcomes of teenage women referred for colposcopy in Christchurch (New Zealand)
http://www.nzma.org.nz/journal/118-1211/1350/

Added 14 Feb 2010
Emotion vs evidence re: dropping screening age
http://blogs.ft.com/healthblog/2009/07/29/health-and-cervical-screening-emotion-vs-evidence/#comments

Added 25 Feb 2010
Should we discontinue pap smear testing in women >65 years of age?
http://www.jfponline.com/Pages.asp?AID=1678&issue=April_2004&UID=

Added 12 Mar 2010 -Cervical screening - when to start? (New Zealand)
http://www.nsu.govt.nz/News/2177.aspx

Added Mar 2010
Smear tests in virgins
http://www.carepages.com/cancer/cervical-cancer-and-virginity.html

Added Apr 2010
Study providing scientific background to UK screening being moved to over-25s
http://www.nursingtimes.net/whats-new-in-nursing/behind-the-headlines-archive/smear-test-no-benefit-in-early-20s/5004667.article

Added April 13 2010 - Article on efficiency of varied frequency and age of screening (UK)
http://www.nature.com/bjc/journal/v89/n1/full/6600974a.html

Added April 18 2010 - article on decision to keep screening age at 25 (UK)
http://www.cancerscreening.nhs.uk/cervical/publications/nhscsp31.pdf

Added June 2010
UK research paper on effectiveness in screening the under-25s
http://www.bmj.com/cgi/content/full/339/jul28_2/b2968?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=1&author1=Sasieni&andorexacttitle=and&titleabstract=cervical&andorexacttitleabs=and&andorexactfulltext=and&searchid=1&FIRSTINDEX=0&sortspec=date&fdate=7/1/2009&tdate=9/30/2009&resourcetype=HWCIT

Added Jan 2011 - Risk of cervical abnormality in women over 50 with previous negative history
http://publications.icr.ac.uk/8176/1/8176PV.pdf

Official Recommendations and Information Leaflets

NHS Evidence - screening leaflet
http://www.patient.co.uk/pdf/pilsL27.pdf

Added 21 Dec 09
Cervical Screening - The Facts (screening leaflet, UK)
http://www.cancerscreening.nhs.uk/cervical/publications/in-04.html

Guidelines push back age for cervical cancer test
http://www.nytimes.com/2009/11/20/health/20pap.html?_r=1&partner=rss&emc=rss

Australian cancer screening recommendations

http://www.health.gov.au/internet/screening/publishing.nsf/Content/home

Cervical Screening Information

http://www.patient.co.uk/health/Cervical-Screening-Test.htm

Added 21 Dec 09
Inviting women for screening - what messages do leaflets convey?http://hej.sagepub.com/cgi/content/abstract/49/3/123

Added 6 Jan 2010 - BUPA (UK private healthcare provider) information leaflet http://hcd2.bupa.co.uk/fact_sheets/html/cervical_screening.html#2

Added 25 Feb 2010 - smear test leaflet - LGBT UK http://lgbthealth.org.uk/sites/default/files/smear_leaflet.pdf

Added 25 Feb 2010 - What's pants but could save your life? Increasing cervical cancer utilisation in the UK http://www.gwumc.edu/sphhs/departments/pch/phcm/casesjournal/volume3/showcase/cases_3_11.pdf

Added 12 Mar 2010 - Cervical Cancer Charity (UK)
http://www.jotrust.co.uk/

Added 17 Mar 2010 - screening and pregnancy (UK)
http://www.cancerhelp.org.uk/type/cervical-cancer/smears/pregnancy-and-abnormal-cervical-cells

Added 17 mar 2010 screening and pregnancy (UK)
http://www.nhs.uk/chq/Pages/1646.aspx?CategoryID=54&SubCategoryID=130

Added 17 mar 2010 screening and pregnancy (New Zealand)
http://www.nsu.govt.nz/Current-NSU-Programmes/1155.aspx

Added 17 mar 2010 screening and pregnancy (USA) http://www.americanpregnancy.org/womenshealth/papsmear.html

Added 17 mar 2010 screening and pregnancy (USA)
 http://www.gynob.com/diseases.htm

Sept 2010 Australian cervical screening website
http://www.papscreen.org.au/

Oct 2010 - Clinical guidance (UK) on when to cease recalling women for smears.
http://www.cancerscreening.nhs.uk/cervical/publications/nhscsp-gpg1.pdf

Feb2011 Official information on how screening guidelines are decided (UK)
http://www.cancerscreening.nhs.uk/cervical/research.html

Discussion Forums and Personal Anecdotes

....from the horse's mouth, as it were...most women's websites will have a thread going on screening and personal experiences, these are just a small sample.

Very good forum discussing patient privacy and consent. Many of the articles posted on this site originally were posted on that forum by the members (many thanks, ladies and gentleman!)
http://patientprivacy.blogspot.com/2009/05/womens-privacy-modesty-concerns.html

General discussion, smear tests and contraceptive use
http://std.about.com/u/ua/stdsinthemedia/papocpua.htm

A great grandmother of a discussion - been going since 2005!  Still going strong and some of the regulars seem to be organising a separate website on female gynaecology which may be of interest.  Thankfully they seem to have shaken off the infestation of male trolls with a gynaecology fetish.....
http://blogcritics.org/culture/article/unnecessary-pap-smears/

UK cervical screening discussion board
http://experience.patient.co.uk/discussion_list.php?d=213

Blog giving a summary of some of most commonly quoted links and articles on this subject 
http://againstallevidence.wordpress.com/2010/12/30/cervical-screening-lies-part-1/

Newspaper Articles

Article by UK woman who decided to cease having smears based on informed risk/benefit analysis.
http://www.guardian.co.uk/society/2003/may/22/genderissues.publichealth

Article by UK women urging young women to have smears.
http://www.guardian.co.uk/commentisfree/2009/mar/22/jade-health-and-wellbeing

Article by UK mental health patient who decided to cease having smears based on bad experiences with testing
http://www.guardian.co.uk/society/joepublic/2009/apr/17/smear-tests-mental-health

Cancer screening smackdown continues - pap smears and colonoscopies take a hit
http://wellness.blogs.time.com/2009/11/06/cancer-screening-smackdown-continues-pap-smears-and-colonoscopies-take-a-hit/?xid=rss-topstories

Added 21 Jan 2010
Article on fallout from breast cancer screening false positives
http://www.guardian.co.uk/commentisfree/2010/jan/20/emotions-tumours-breast-cancer-screening

6 June 2011
Balanced pros and cons article on screening by age
http://www.guardian.co.uk/science/2011/jun/06/cervical-cancer-screening-age

9 June 2011
Set of articles around cervical cancer, vaccination etc by Debora Miranda
http://www.guardian.co.uk/science/series/cervical-cancer-screening

and Debora's related website, on the subject of her journalism MA
http://cancer-screening.net/

Screening as pre-requisite for the Pill

Apparently the USA generally ties prescribing of the contraceptive pill to smear tests (i.e. no pap smear, no pill). I'm glad I live in the UK....

General overview of hormonal contraception
http://en.wikipedia.org/wiki/Hormonal_contraception

Why do I need a pap smear to get birth control?
http://std.about.com/od/prevention/f/papocp.htm

Added 21 Dec 09
Readers' responses to the above article "Why do i need a pap smear to get birth control?"
http://std.about.com/u/ua/stdsinthemedia/papocpua.htm

Article on the need for annual gynaecological exams for contraceptive pills - no weblink
Clinical Breast and pelvic examination requirements for hormonal contraception: current practice vs evidence
Felicia H. Stewart, Cynthia C. Harper, Charlotte E. Ellertson, David A. Grimes, George F. Sawaya, James Trussell, JAMA. 2001;285:2232-2239


Should the pill be available without prescription? Yes.
http://www.bmj.com/cgi/content/full/337/dec23_2/a3044

Are breast/pelvic exams necessary for women starting oral contraception
http://humupd.oxfordjournals.org/cgi/content/full/10/5/449

Possible role of the Pill in increased cervical cancer, and rates of risk
http://www.cancerscreening.nhs.uk/cervical/drug-safety-update-april-2008.pdf

Added 1 Feb 2010
'Should oral contraceptives be available without prescription' by James Trussell, Felicia Stewart, Malcolm Potts, Felicia Guest and Charlotte Ellerton, American Journal of Public Health, August 1993, Vol 83, No 8, pages 1095 - 1099.

Added 17 mar 2010 pill without smears (some of the cited links in this article are broken)
http://www.wellsphere.com/relationships-sex-article/on-paps-and-pelvics/26796?query=Pelvic+Exam

Added 17 mar 2010 - provision of contraceptives without a mandatory pelvic examination - the First Stop Demonstration Project
http://www.guttmacher.org/pubs/journals/3301301.html

April 2010
Blog essay on cervical screening vs pill prescription
http://dontsweat.blogspot.com/2008/07/womans-right-to-choose-beyond-abortion.html

Feb 2011
Some articles on screening v the Pill
http://www.managingcontraception.com/newsevents/dr-bob/pelvic-exam-necessary-for-contraception-rx/

http://online.wsj.com/article/SB10001424052748703584804576144161119909004.html

Screening After Hysterectomy

NHS screening information including post-hysterectomy information
http://www.cks.nhs.uk/cervical_screening/management/scenario_when_to_offer_cervical_screening/post_hysterectomy

Too many needless pap smears?
http://articles.latimes.com/2001/jul/30/health/he-28161

Pelvic Examinations in Asymptomatic Women

.....i.e opportunistic pelvic examinations in women with no symptoms of gynaecological issues, rather than smear tests.

Pelvic examination of asymptomatic women - attitudes and clinical practice
http://www.racgp.org.au/afp/200806/200806stewart.pdf

Breast examination and pelvic examination of asymptomatic women: evidence and clinical practice
http://www.phcris.org.au/elib/lib/elib/viewabstract.php?elibid=3576

April 2010
Article on annual physicals
http://www.nytimes.com/2003/08/12/health/12PHYS.html?pagewanted=1

January 2011 - Improving routine gynaecological examinations in women - stirrups versus no stirrups
http://www.bmj.com/content/333/7560/171.full

Amendments to Screening Practices & Policies

Cervical screening - time to change the policy
http://www.mja.com.au/public/issues/176_11_030602/dic10690_fm.html

Where recent changes to screening guidelines go wrong
http://www.dailyfinance.com/2009/12/01/the-doctor-is-in-do-screening-guidelines-mean-womens-health-ca/

Added 21 Dec 09
Cervical cytology screening and government policy (UK)
http://www.jstor.org/pss/29704626

Added 4 Jan 10
Politics and amendments to cancer screening
http://www.kevinmd.com/blog/2010/01/politics-cancer-screening-entrenched-beliefs-hard-change.html

Added 13 Feb 2010
Discussion on changes to mammogram and cervical cancer screening (US)
http://letters.mobile.salon.com/mwt/broadsheet/feature/2009/11/20/cervical_cancer/view/index.html

Added 25 Feb 2010
Possible changes to smear test screening in the USA
http://www.theage.com.au/lifestyle/wellbeing/new-research-may-change-pap-smear-practices-20100119-mj3s.html

Added 12 Mar 2010 - How can the uptake of cervical screening be improved?
http://www.ncbi.nlm.nih.gov/pubmed/11974848?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_SingleItemSupl.Pubmed_Discovery_RA&linkpos=1&log$=relatedreviews&logdbfrom=pubmed

Added 7 May 2010
http://www.news-medical.net/news/20100216/Prestigious-journal-suppressing-dissenting-evidence-favoring-unnecessary-cervical-biopsy-industry-complains-HiFi-DNA-Tech-president.aspx?page=2

and

http://hifidna.com/News%20&%20Events%20files/NEJM%20Dr%20Malina%20%282%29.pdf

Developments in Screening Techniques


Added Dec 21 09
The legacy of the Pap smear, and what came next
http://apps.pathology.jhu.edu/blogs/pathology/?p=342

Added 13 Jan 2010
On the use of biomarkers
http://www.medpagetoday.com/HematologyOncology/OtherCancers/17746

Added 12 Mar 2010
Possible home testing kit
http://news.bbc.co.uk/1/hi/health/8562727.stm

Added 15 Mar 2010 - Home testing kits
http://www.independent.co.uk/life-style/health-and-families/health-news/cancer-experts-warn-against-diy-smear-tests-1921616.html

HPV/HPV Vaccine

Risks and benefits of HPV vaccination
http://jama.ama-assn.org/cgi/content/full/302/7/795?home

Cervical cancer and HPV
http://www.nypcancerprevention.com/issue/4/pro/pro_spot/cer_can.shtml

The epidemiology of human papillomavirus infection and cervical cancer
http://www.ncbi.nlm.nih.gov/pubmed/17627057?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_SingleItemSupl.Pubmed_Discovery_RA&linkpos=5&log$=relatedreviews&logdbfrom=pubmed

Condoms help protect against cervical cancer
http://www.msnbc.msn.com/id/13461194

Genital HPV - CDC sheet
http://www.cdc.gov/STD/HPV/STDFact-HPV.htm

Cervical cancer prevention: the saga goes on, but so much has changed!
http://www.mja.com.au/public/issues/185_09_061106/wai10809_fm.html#0_CHDDDDGD

HPV test
http://www.webmd.com/sexual-conditions/hpv-genital-warts/human-papillomavirus-hpv-test

FDA panel backs giving HPV vaccine Gardasil to young males
http://abcnews.go.com/Health/Healthday/fda-panel-backs-giving-hpv-vaccine-gardasil-boys/story?id=8531585

FAQS for Men
http://www.thehpvtest.com/About-HPV/FAQs-for-Men.html

Added 10 Mar 2010 Trade offs in cervical cancer prevention
http://archinte.ama-assn.org/cgi/content/full/168/17/1881

Added 29 November 2011 - Interesting Graphic regarding safety of HPV vaccine
http://www.informationisbeautiful.net/2011/is-the-hpv-vaccine-safe-v-2-0/

"Added November 22 2011 - (there's no internet link and I cannot upload a copy due to copyright, however this should be available in most medical libraries).
Journal of American College of Cardiology, Vol. 58, No. 19, 2011 "a report of significant association between being HPV positive and the presence of atherosclerotic heart disease."

Mammogram Screening

UK Breast Cancer Screening Leaflet
http://www.cancerscreening.nhs.uk/breastscreen/publications/ia-02.html

Weighing the benefits of a mammogram
http://www.latimes.com/news/opinion/commentary/la-oe-love23-2009nov23,0,1732820.story

Why I am a screening sceptic - Dr Michael Baum
http://www.spiked-online.com/index.php/site/article/6563/

Breast screening: the facts - or maybe not
http://www.bmj.com/cgi/content/full/338/jan27_2/b86?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=%22Mammograms%22&searchid=1&FIRSTINDEX=0&sortspec=date&resourcetype=HWCIT

Danish screening information leaflet
http://www.screening.dk/folder_uk.pdf

The effectiveness of breast exams
http://www.independent.co.uk/arts-entertainment/health-hands-off-my-chest-doctor-1177987.html

New mammograms guidelines raise questions
http://www.msnbc.msn.com/id/33973665/ns/health-womens_health/?GT1=43001

Women decline free mammograms for cancer
http://www.theaustralian.news.com.au/story/0,25197,26047148-2702,00.html

Making personal decisions about X-ray screening tests
http://www.ratical.org/radiation/CNR/XHP/MPDaXrayST.html#Part1

Can radiology dodge the blowback in breast cancer screening?
http://www.diagnosticimaging.com/display/article/113619/1482389?CID=rss&verify=0

Added 3 Jan 2010
Blog article on changes to screening practices
http://ehrenreich.blogs.com/barbaras_blog/2009/12/not-so-pretty-in-pink.html

Article on informed consent - Hazel Thornton
http://www.nytimes.com/2009/03/31/health/31mamm.html?_r=1

Added 6 Mar 2010
Article on amendment to screening
http://www.usatoday.com/news/health/2009-11-29-screening30_ST_N.htm

Added Mar 2010
Study vindicates breast cancer screening
http://www.independent.co.uk/life-style/health-and-families/health-news/study-vindicates-breast-cancer-screening-1931930.html

Added May 21 2010
http://www.bmj.com/cgi/content/full/340/mar23_1/c1241