The ESP Coordinating Center (ESP CC) is responding to a request from the VHA Performance Workgroup for an evidence brief on the accuracy of patient self-report for cervical and breast cancer screening. Findings from this evidence brief will help the VHA Performance Workgroup decide whether to continue the current practice of accepting patient self-reported data on cervical and/or breast cancer screening or require medical record documentation of prior screening, which is currently the standard for colorectal cancer screening.
Key Question 1: What is the accuracy of self-reported measures of cervical and breast cancer screening compared to medical records?
Key Question 2: What are the potential adverse effects and unintended consequences of using or not using self-reported measures of cervical and breast cancer screening?
Key Question 3: Do the accuracy and/or adverse effects of using self-reported measures of cervical and breast cancer screening vary by patient or measure characteristics or setting?