Evidence map›Paper›PMID 23159688›Full record

ArticleAmerican journal of obstetrics and gynecology2013

Routine bimanual pelvic examinations: practices and beliefs of US obstetrician-gynecologists.

Jillian T Henderson, Cynthia C Harper, Sarah Gutin, Mona Saraiya, Jocelyn Chapman, George F Sawaya

Open access · bronzeAbstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Where U.S. Women Receive Primary Care: A Cross-Sectional Analysis.Journal of general internal medicine · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Women's beliefs about the purpose and value of routine pelvic examinations.American journal of obstetrics and gynecology · 2017
    Article
  8. Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Jillian T HendersonDepartment of Obstetrics, Gynecology, and Reproductive Sciences, School of Medicine, University of California, San Francisco, San Francisco, CA 94118, USA.
Cynthia C Harper
Sarah Gutin
Mona Saraiya
Jocelyn Chapman
George F Sawaya
University of California, San Francisco · USCenters for Disease Control and Prevention · US

Funding

CTSA: K12 COMPONENTKL2RR024130 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$19.3M
Women's Reproductive Health Care in the Transition from Adolescence to AdulthoodK01HD054495 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HENDERSON, JILLIAN T · 2007 to 2011
$539k
NCRR NIH HHS KL2 RR024130NICHD NIH HHS K01 HD054495NICHD NIH HHS K01HD054495
6 · The paper itself

Abstract

objectiveLess-than-annual cervical cancer screening is now recommended for most US women, raising questions about the need for routine annual bimanual pelvic examinations. Little is known about clinicians' bimanual pelvic examination practices, their beliefs about its importance, or the reasoning underlying its performance in asymptomatic women. STUDY

designWe conducted a nationwide survey of US obstetrician-gynecologists. Respondents (n = 521) reported their examination practices and beliefs based on vignettes for asymptomatic women across the lifespan.

resultsNearly all obstetrician-gynecologists perform bimanual pelvic examinations in asymptomatic women across the lifespan, although it is viewed as less important for a newly sexually active 18-year-old. Reasons cited as very important included adherence to standard medical practices (45%), patient reassurance (49%), detection of ovarian cancer (47%), and identification of benign uterine (59%) and ovarian (54%) conditions.

conclusionObstetrician-gynecologists perform bimanual pelvic examinations in the vast majority of asymptomatic women, but the importance placed on the examinations and reasons for conducting them vary.

Indexed as

Health Knowledge, Attitudes, PracticeAdultFemaleGenital Diseases, FemaleGynecological ExaminationGynecologyHealth Care SurveysHumansMaleMiddle AgedObstetricsOvarian NeoplasmsPractice Patterns, Physicians'United States

Identifiers

PMID23159688
PMCPMC4350675
OpenAlexW2063645088

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.