{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T16:38:15Z","timestamp":1773679095111,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2008,1,8]],"date-time":"2008-01-08T00:00:00Z","timestamp":1199750400000},"content-version":"vor","delay-in-days":1377,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2004,4]]},"abstract":"<jats:p> <jats:bold>Objectives:<\/jats:bold> Failure to obtain cervical cancer screening can be precipitated by limited knowledge. This study describes understanding of Papanicolaou (Pap) smear testing among women undergoing emergency department (ED) pelvic examination and tests the feasibility of educating patients in the ED. <jats:bold>Methods:<\/jats:bold> Patients undergoing pelvic examination in an urban, tertiary care ED were surveyed about Pap smear screening. Among the initial cohort, no education was provided prior to survey administration. Subsequently, a pilot study of scripted information provided by physicians alone or both physicians and counselors was conducted. <jats:bold>Results:<\/jats:bold> There were 81 patients in the non\u2010intervention cohort and 32 patients in the intervention cohort. Of the 32 intervention patients, 16 received physician\u2010administered intervention, and 16 received reinforced counseling (physician + counselor). Of 113 total patients, 90 (82%) were African American; mean age was 26 years (SD \u00b1 7.7 years). Of the 81 non\u2010intervention patients, six (7%; 95% CI = 3% to 15%) said they were told that a Pap test was not done, and 60 (74%; 95% CI = 64% to 82%) mistakenly believed they had a Pap test. Sixty\u2010six (81.5%; 95% CI = 72% to 88%) patients stated they knew the purpose of a Pap test; only 17 (26%; 95% CI = 17% to 37%) of these correctly identified the Pap test as a test for cervical cancer. All 32 intervention patients were surveyed after physician counseling. Compared with the non\u2010intervention group, fewer (56%; 95% CI = 39% to 72%) thought they had a Pap test, and more (31%; 95% CI = 18% to 49%) said they were told they did not receive a Pap test. All 16 reinforced intervention patients correctly denied receiving a Pap test after counselor education. <jats:bold>Conclusions:<\/jats:bold> Knowledge of Pap testing among women undergoing ED pelvic examination is poor; most mistakenly believe they receive a Pap test during ED evaluation. Educating patients may be feasible and effective in the ED setting.<\/jats:p>","DOI":"10.1197\/j.aem.2003.10.031","type":"journal-article","created":{"date-parts":[[2004,4,2]],"date-time":"2004-04-02T00:13:29Z","timestamp":1080864809000},"page":"405-408","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Emergency Department Pelvic Examination and Pap Testing: Addressing Patient Misperceptions"],"prefix":"10.1111","volume":"11","author":[{"given":"Michael S.","family":"Lyons","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher J.","family":"Lindsell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander T.","family":"Trott","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,1,8]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(96)70111-7"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/20.Supplement_1.S98"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.1997.0251"},{"issue":"4","key":"e_1_2_1_5_2","first-page":"242S","article-title":"Cervical cancer: disparities in screening, treatment, and survival","volume":"12","author":"Garner EI","year":"2003","journal-title":"Cancer Epidemiol Biomarkers Prev."},{"key":"e_1_2_1_6_2","first-page":"7","article-title":"Screening patterns for cervical cancer: how best to reach the unscreened population","volume":"21","author":"Brown CL","year":"1996","journal-title":"J Natl Cancer Inst Monogr."},{"key":"e_1_2_1_7_2","first-page":"342","article-title":"Attitude of women towards early cancer detection and estimation of the compliance to a screening program for cervix and breast cancer","volume":"20","author":"Bonelli L","year":"1996","journal-title":"Cancer Detect Prev."},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(05)82931-2"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(91)90078-N"},{"key":"e_1_2_1_10_2","first-page":"277","article-title":"Improving the coverage and quality of cervical screening: women's views","volume":"17","author":"Summers A","year":"1995","journal-title":"J Public Health Med."},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1067\/mem.2001.119457"}],"container-title":["Academic Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1197%2Fj.aem.2003.10.031","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1197\/j.aem.2003.10.031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T21:25:42Z","timestamp":1696713942000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1197\/j.aem.2003.10.031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,4]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2004,4]]}},"alternative-id":["10.1197\/j.aem.2003.10.031"],"URL":"https:\/\/doi.org\/10.1197\/j.aem.2003.10.031","archive":["Portico"],"relation":{},"ISSN":["1069-6563","1553-2712"],"issn-type":[{"value":"1069-6563","type":"print"},{"value":"1553-2712","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,4]]},"assertion":[{"value":"2008-01-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}