Is obesity a barrier to physician screening for cervical cancer?

Robert M. Lubitz, Debra Litzelman, Robert S. Dittos, William M. Tierney

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Objective: To determine if obese and morbidly obese women are as likely to receive Papanicolaou (Pap) smears as nonobese women. Patients and methods: A secondary analysis was conducted of data collected during a prospective, controlled trial of computer-generated reminders to improve preventive care. The site was a large, academic general medicine practice providing primary care to an urban population at a university-affiliated municipal teaching hospital. Data were analyzed from 15 faculty and 77 resident physicians who delivered care to 1,321 women who were eligible for Pap smears. Patient data were obtained from a computerized medical record system. Results: Outcomes were physician reports of Pap smear performance and reasons for nonperformance of Pap smears in eligible women. Pap smear performance was 21% for nonobese women, 20% for obese women, and 20% for morbidly obese women (P = NS). After adjusting for age and race, odds ratios for omission of Pap smear were 1.20 for both obese (95% confidence interval [CI]0.36 to 1.67; P = NS) and morbidly obese women (95% CI, 0.58 to 2.47; P = NS). A significant dose-response relationship was found between increasing patient weight and physician responses that the Pap smear was delayed due to patient's acute illness, vaginitis, or menstruation (odds ratios [OR]1.73 for obese, OR 4.59 for morbidly obese women; P <0.005). Conclusions: In our general medicine practice, obesity does not appear to be associated with less Pap smear performance. Physicians are more likely to report delaying obese patients' Pap smears due to acute illness, vaginitis, or menstruation.

Original languageEnglish
Pages (from-to)491-496
Number of pages6
JournalThe American Journal of Medicine
Volume98
Issue number5
DOIs
StatePublished - 1995

Fingerprint

Papanicolaou Test
Uterine Cervical Neoplasms
Obesity
Physicians
Vaginitis
Menstruation
Odds Ratio
General Practice
Computerized Medical Records Systems
Medicine
Confidence Intervals
Municipal Hospitals
Preventive Medicine
Urban Population
Teaching Hospitals
Primary Health Care
Weights and Measures

ASJC Scopus subject areas

  • Medicine(all)
  • Nursing(all)

Cite this

Is obesity a barrier to physician screening for cervical cancer? / Lubitz, Robert M.; Litzelman, Debra; Dittos, Robert S.; Tierney, William M.

In: The American Journal of Medicine, Vol. 98, No. 5, 1995, p. 491-496.

Research output: Contribution to journalArticle

Lubitz, Robert M. ; Litzelman, Debra ; Dittos, Robert S. ; Tierney, William M. / Is obesity a barrier to physician screening for cervical cancer?. In: The American Journal of Medicine. 1995 ; Vol. 98, No. 5. pp. 491-496.
@article{8e12e63e511a4fc6837abdc353a32bb6,
title = "Is obesity a barrier to physician screening for cervical cancer?",
abstract = "Objective: To determine if obese and morbidly obese women are as likely to receive Papanicolaou (Pap) smears as nonobese women. Patients and methods: A secondary analysis was conducted of data collected during a prospective, controlled trial of computer-generated reminders to improve preventive care. The site was a large, academic general medicine practice providing primary care to an urban population at a university-affiliated municipal teaching hospital. Data were analyzed from 15 faculty and 77 resident physicians who delivered care to 1,321 women who were eligible for Pap smears. Patient data were obtained from a computerized medical record system. Results: Outcomes were physician reports of Pap smear performance and reasons for nonperformance of Pap smears in eligible women. Pap smear performance was 21{\%} for nonobese women, 20{\%} for obese women, and 20{\%} for morbidly obese women (P = NS). After adjusting for age and race, odds ratios for omission of Pap smear were 1.20 for both obese (95{\%} confidence interval [CI]0.36 to 1.67; P = NS) and morbidly obese women (95{\%} CI, 0.58 to 2.47; P = NS). A significant dose-response relationship was found between increasing patient weight and physician responses that the Pap smear was delayed due to patient's acute illness, vaginitis, or menstruation (odds ratios [OR]1.73 for obese, OR 4.59 for morbidly obese women; P <0.005). Conclusions: In our general medicine practice, obesity does not appear to be associated with less Pap smear performance. Physicians are more likely to report delaying obese patients' Pap smears due to acute illness, vaginitis, or menstruation.",
author = "Lubitz, {Robert M.} and Debra Litzelman and Dittos, {Robert S.} and Tierney, {William M.}",
year = "1995",
doi = "10.1016/S0002-9343(99)80350-7",
language = "English",
volume = "98",
pages = "491--496",
journal = "American Journal of Medicine",
issn = "0002-9343",
publisher = "Elsevier Inc.",
number = "5",

}

TY - JOUR

T1 - Is obesity a barrier to physician screening for cervical cancer?

AU - Lubitz, Robert M.

AU - Litzelman, Debra

AU - Dittos, Robert S.

AU - Tierney, William M.

PY - 1995

Y1 - 1995

N2 - Objective: To determine if obese and morbidly obese women are as likely to receive Papanicolaou (Pap) smears as nonobese women. Patients and methods: A secondary analysis was conducted of data collected during a prospective, controlled trial of computer-generated reminders to improve preventive care. The site was a large, academic general medicine practice providing primary care to an urban population at a university-affiliated municipal teaching hospital. Data were analyzed from 15 faculty and 77 resident physicians who delivered care to 1,321 women who were eligible for Pap smears. Patient data were obtained from a computerized medical record system. Results: Outcomes were physician reports of Pap smear performance and reasons for nonperformance of Pap smears in eligible women. Pap smear performance was 21% for nonobese women, 20% for obese women, and 20% for morbidly obese women (P = NS). After adjusting for age and race, odds ratios for omission of Pap smear were 1.20 for both obese (95% confidence interval [CI]0.36 to 1.67; P = NS) and morbidly obese women (95% CI, 0.58 to 2.47; P = NS). A significant dose-response relationship was found between increasing patient weight and physician responses that the Pap smear was delayed due to patient's acute illness, vaginitis, or menstruation (odds ratios [OR]1.73 for obese, OR 4.59 for morbidly obese women; P <0.005). Conclusions: In our general medicine practice, obesity does not appear to be associated with less Pap smear performance. Physicians are more likely to report delaying obese patients' Pap smears due to acute illness, vaginitis, or menstruation.

AB - Objective: To determine if obese and morbidly obese women are as likely to receive Papanicolaou (Pap) smears as nonobese women. Patients and methods: A secondary analysis was conducted of data collected during a prospective, controlled trial of computer-generated reminders to improve preventive care. The site was a large, academic general medicine practice providing primary care to an urban population at a university-affiliated municipal teaching hospital. Data were analyzed from 15 faculty and 77 resident physicians who delivered care to 1,321 women who were eligible for Pap smears. Patient data were obtained from a computerized medical record system. Results: Outcomes were physician reports of Pap smear performance and reasons for nonperformance of Pap smears in eligible women. Pap smear performance was 21% for nonobese women, 20% for obese women, and 20% for morbidly obese women (P = NS). After adjusting for age and race, odds ratios for omission of Pap smear were 1.20 for both obese (95% confidence interval [CI]0.36 to 1.67; P = NS) and morbidly obese women (95% CI, 0.58 to 2.47; P = NS). A significant dose-response relationship was found between increasing patient weight and physician responses that the Pap smear was delayed due to patient's acute illness, vaginitis, or menstruation (odds ratios [OR]1.73 for obese, OR 4.59 for morbidly obese women; P <0.005). Conclusions: In our general medicine practice, obesity does not appear to be associated with less Pap smear performance. Physicians are more likely to report delaying obese patients' Pap smears due to acute illness, vaginitis, or menstruation.

UR - http://www.scopus.com/inward/record.url?scp=0029005666&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029005666&partnerID=8YFLogxK

U2 - 10.1016/S0002-9343(99)80350-7

DO - 10.1016/S0002-9343(99)80350-7

M3 - Article

C2 - 7733129

AN - SCOPUS:0029005666

VL - 98

SP - 491

EP - 496

JO - American Journal of Medicine

JF - American Journal of Medicine

SN - 0002-9343

IS - 5

ER -