Non-speculum sampling with a clinician boosts cervical screening uptake in older women

BJGP Interviews

04-01-2022 • 13 mins

In this episode we speak to Dr Anita Lim who is a Senior Research Fellow, School of Cancer and Pharmaceutical Sciences at King’s College London. Paper: Non-speculum sampling approaches for cervical screening in older women: randomised controlled trial https://doi.org/10.3399/BJGP.2021.0350 (https://doi.org/10.3399/BJGP.2021.0350) Inadequately screened women aged 50 and older are at a disproportionately higher risk of cervical cancer and dying from it. Speculum use is a major barrier to cervical screening and can become more uncomfortable with ageing and the menopause. Although self-sampling has been hailed as a game-changer for cervical screening, it does not appeal to all women. This study showed that offering a choice of non-speculum clinician sampling or self-sampling substantially increased cervical screening uptake in older lapsed attendees across all ethnicities, an approach which could be easily implemented into existing practice in primary care.