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Original ArticleOpen Access
Loss to Follow-up of Patients with Abnormal Pap Smear Magnitude and Reasons
Thinkhamrop J 
,
Lumbiganon P
,
Lumbiganon P We studied the magnitude and reasons for loss to follow-up in cases of abnormal Pap
smears. We studied 162 women whose Pap smear results were abnormal. The lost follow-up rate
was 41.1 per cent (95% CI: 33.1 to 49.3). Reasons for not coming to receive treatment was
mostly related to communication such as not receiving informed letters from the hospital
(35.6%), not understanding the messages in the informed letters (10.2%), were informed from
the hospital's letters that their results were normal (5.1% ), and perceiving that the test result
was not serious (13.6%). One third of them had traveling-related reasons. There were 25.4 per
cent of patients who sought treatment at other hospitals and 8.5 per cent went to see a traditional
healer for treatment. The results provide information to prevent such unnecessary loss
after having a Pap smear screening test for cervical carcinoma.
smears. We studied 162 women whose Pap smear results were abnormal. The lost follow-up rate
was 41.1 per cent (95% CI: 33.1 to 49.3). Reasons for not coming to receive treatment was
mostly related to communication such as not receiving informed letters from the hospital
(35.6%), not understanding the messages in the informed letters (10.2%), were informed from
the hospital's letters that their results were normal (5.1% ), and perceiving that the test result
was not serious (13.6%). One third of them had traveling-related reasons. There were 25.4 per
cent of patients who sought treatment at other hospitals and 8.5 per cent went to see a traditional
healer for treatment. The results provide information to prevent such unnecessary loss
after having a Pap smear screening test for cervical carcinoma.
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