Cervical Screening
Receiving cervical screening test results
Cervical screening test results are normally sent to women in writing. However, methods of receiving results and timing vary in different parts of the country and depending on the type of result.
Many women who had received a normal screening test result were happy to be informed by letter. One woman received her screening test result by letter when she was living in one geographical area yet in a different area she was advised to assume her result was normal if she did not receive a letter. In some parts of the country, women were invited to telephone the surgery for their results within a set period of time after their screening test. Some women liked this way of receiving their results because it meant they didn’t have to wait for a letter to arrive and they received their results quite quickly.
The way women were told that they have had an abnormal test result seemed to affect how they reacted and coped with their feelings of anxiety and fear. Several received their results by letter or by telephone which some women said made them feel more anxious. Some said they would have preferred to receive their test results from their doctor in person so they could discuss their concerns immediately. Others said they believed they would have been more anxious if they were asked to make an appointment with their doctor.
Receiving an abnormal result by letter frightened her.
Receiving an abnormal result by letter frightened her.
Yeah, I spoke to the doctor and she, they did say it was just like borderline but it was just that initial, getting that letter, but they had tried, they said they had tried to phoneme but they couldn't get me so they sent me the letter, that's what frightened mebecause it's just a, a basic letter.
So how would you have liked to have been told?
I think I'd have rather been asked to come in and see the doctor rather than just get that letter. I don't think it's nice the way it's done, because it does frighten you.
And what did the letter say?
It just said that your smear test was, there were abnormalities found and that they, I was being referred to colposcopy and then they just put the leaflet in with like all the details and it just made it look like I'd got cancer. It frightened me.
Women who received a normal test result by letter said that it stated that their result was “normal” and an indication was given of when their next test was due.
Several women who received an inadequate test result mentioned that their results letter included an explanation that insufficient cells had been taken and they were asked to have a repeat test (see Normal and inadequate test results).
Information given to women at the time they received their abnormal test varied. Several received an information leaflet (‘What your abnormal result means’). Others only had a results letter stating that their result was 'abnormal' and they were told what further tests, if any, were needed. A few were given information the same time as their result over the telephone (see Abnormal test results).
Preferences for ways of communicating test results varied according to individual women. However, important to many women was a personal touch, recognition by doctors of the considerable worry many women feel when they receive an abnormal result and ways to make it easier for women to contact their doctor or a nurse to discuss their result.
It is important to be treated personally when receiving an abnormal test result for the first time.
It is important to be treated personally when receiving an abnormal test result for the first time.
Right from the Clinical Nurse Practitioner that did the first smear, that phoned me at home with the results that was absolutely fantastic and I don't, I can't think of many places that that would happen. I'd like to think it would happen to most women everywhere that I was treated very personally and not just one of a number, I think that's important that every woman is treated that, you know this is the first time it's happened to this woman you know let's tell her, let her down lightly, let's tell her gradually and not to worry. Not in a black and white written letter.
Copyright © 2024 University of Oxford. All rights reserved.