Women with learning disabilities and access to cervical screening: retrospective cohort study using case control methods
2008

Women with Learning Disabilities and Read Coding

Sample size: 267 publication Evidence: moderate

Author Information

Author(s): Fiona Reynolds, Debbi L Stanistreet

Primary Institution: University of Manchester

Hypothesis

The study aims to examine differences in the application of Read codes for female patients with learning disabilities across three PCT areas.

Conclusion

Read codes application varies between GP surgeries depending on PCT policy and the surgery's approach.

Supporting Evidence

  • The most commonly used Read codes were E3 (Mental Retardation) – 27%, PJ0 (Down's Syndrome) – 14%, and Eu81z (Learning Disabilities) – 8%.
  • In 24% of the records, a Read Code had not been documented.
  • Cervical screening uptake rates are much lower in women with learning disabilities, estimated at 13% to 47%.

Takeaway

This study looked at how doctors record information about women with learning disabilities, and found that different areas use different codes, which can make it hard to track their health.

Methodology

A retrospective cohort study using case control methods was conducted to compare cervical screening uptake between women with and without learning disabilities.

Potential Biases

The selection of Read codes may have distorted findings and not all relevant codes were included.

Limitations

The study focused only on women, which may not represent the overall population of individuals with learning disabilities.

Participant Demographics

Women aged 25–64 with learning disabilities in Bury, Heywood-and-Middleton, and Rochdale PCTs.

Statistical Information

P-Value

0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2458-8-252

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