Relationship between Health Status and Use of Screening Mammography and Papanicolaou Smears among Women Older Than 70 Years of Age

  1. Louise C. Walter, MD;
  2. Karla Lindquist, MS; and
  3. Kenneth E. Covinsky, MD, MPH
  1. From San Francisco Veterans Affairs Medical Center and University of California, San Francisco, San Francisco, California.
    1. Figure 1. *Women with a history of breast cancer and those in whom mammography was most recently performed because of a specific breast problem or as follow-up for a previously identified breast problem or abnormal mammogram were excluded. †Women with a history of cervical cancer and those whose most recent Papanicolaou ( ) smear was performed for work-up of a specific medical problem or follow-up of a previous medical examination were excluded.
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      Figure 1. *Women with a history of breast cancer and those in whom mammography was most recently performed because of a specific breast problem or as follow-up for a previously identified breast problem or abnormal mammogram were excluded. †Women with a history of cervical cancer and those whose most recent Papanicolaou ( ) smear was performed for work-up of a specific medical problem or follow-up of a previous medical examination were excluded. Flow diagram of women included in analyses for each screening test.Pap
    2. Figure 2. Error bars represent 95% CIs. *Health status quartiles are defined by the Medical Outcomes Study 12-item Short Form Physical Summary Scale (PCS-12). Quartile 1 = PCS-12 score > 51.7; quartile 2 = PCS-12 score ≤ 51.7 but > 43.4; quartile 3 = PCS-12 score ≤ 43.4 but > 31.6; quartile 4 = PCS-12 score ≤ 31.6.
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      Figure 2. Error bars represent 95% CIs. *Health status quartiles are defined by the Medical Outcomes Study 12-item Short Form Physical Summary Scale (PCS-12). Quartile 1 = PCS-12 score > 51.7; quartile 2 = PCS-12 score ≤ 51.7 but > 43.4; quartile 3 = PCS-12 score ≤ 43.4 but > 31.6; quartile 4 = PCS-12 score ≤ 31.6. Women in California who reported receiving screening mammography within 2 years, according to health status and age (n= 3988).
    3. Figure 3. Error bars represent 95% CIs. *Health status quartiles are defined by the Medical Outcomes Study 12-item Short Form Physical Summary Scale (PCS-12). Quartile 1 = PCS-12 score > 51.7; quartile 2 = PCS-12 score ≤ 51.7 but > 43.4; quartile 3 = PCS-12 score ≤ 43.4 but > 31.6; quartile 4 = PCS-12 score ≤ 31.6.
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      Figure 3. Error bars represent 95% CIs. *Health status quartiles are defined by the Medical Outcomes Study 12-item Short Form Physical Summary Scale (PCS-12). Quartile 1 = PCS-12 score > 51.7; quartile 2 = PCS-12 score ≤ 51.7 but > 43.4; quartile 3 = PCS-12 score ≤ 43.4 but > 31.6; quartile 4 = PCS-12 score ≤ 31.6. Women in California who reported a screening Papanicolaou (Pap) smear within 3 years, according to health status and age (n= 2143).

    Summary for Patients

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