Evidence map›Paper›PMID 31841543›Full record

ArticlePloS one2019

When risk becomes illness: The personal and social consequences of cervical intraepithelial neoplasia medical surveillance.

Carla Freijomil-Vázquez, Denise Gastaldo, Carmen Coronado, María-Jesús Movilla-Fernández

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05249868 (Multicentre Study on the Impact of the SARS-CoV-2 Pandemic on the Health Status of People Aged 75 and Over and Their Caregivers), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 31% 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.

NCT05249868 completednot on this mapstarted 2022, after this paper: background citation

Multicentre Study on the Impact of the SARS-CoV-2 Pandemic on the Health Status of People Aged 75 and Over and Their Caregivers (CUIDAMOS+75 Project)

Typeobservational_patient_registrySponsorGerencia de Atención Primaria, MadridRan2022 to 2025Enrolled1,035ConditionsAging, SARS-CoV-2 Infection, Caregivers, FrailtyArmsExposure SARS-CoV-2 Infection
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Transgressive Acts: Michel Foucault's Lessons on Resistance for Nurses.Nursing philosophy : an international journal for healthcare professionals · 2025
    Article
  3. Article
  4. Dual Use of Public and Private Health Care Services in Brazil.International journal of environmental research and public health · 2022
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Carla Freijomil-VázquezFacultade de Enfermaría e Podoloxía, Universidade da Coruña, Ferrol, Spain.ORCID 0000-0003-3961-1899
Denise GastaldoBloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.
Carmen CoronadoFacultade de Enfermaría e Podoloxía, Universidade da Coruña, Ferrol, Spain.
María-Jesús Movilla-FernándezFacultade de Enfermaría e Podoloxía, Universidade da Coruña, Ferrol, Spain.
Universidade da Coruña · ESUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAfter the early detection of cervical intraepithelial neoplasia (CIN), medical surveillance of the precancerous lesions is carried out to control risk factors to avoid the development of cervical cancer.

objectiveTo explore the effects of medical surveillance on the personal and social lives of women undergoing CIN follow-up and treatment. METHODOLOGY: A generic qualitative study using a poststructuralist perspective of risk management was carried out in a gynecology clinic in a public hospital of the Galician Health Care System (Spain). Participants were selected through purposive sampling. The sample consisted of 21 women with a confirmed diagnosis of CIN. Semistructured interviews were recorded and transcribed, and a thematic analysis was carried out, including researcher triangulation to verify the results of the analysis.

findingsTwo main themes emerged from the participants' experiences: CIN medical surveillance encounters and risk management strategies are shaped by the biomedical discourse, and the effects of "risk treatment" for patients include (a) profound changes expected of patients, (b) increased patient risk management, and (c) resistance to risk management. While doctors' surveillance aimed to prevent the development of cervical cancer, women felt they were sick because they had to follow strict recommendations over an unspecified period of time and live with the possibility of a life-threatening disease. Clinical risk management resulted in the medicalization of women's personal and social lives and produced great uncertainty.

conclusionsThis study is the first to conceptualize CIN medical surveillance as an illness experience for patients. It also problematizes the effects of preventative practices in women's lives. Patients deal with great uncertainty, as CIN medical surveillance performed by gynecologists simultaneously trivializes the changes expected of patients and underestimates the effects of medical recommendations on patients' personal wellbeing and social relations.

Indexed as

MedicalizationPatient Acceptance of Health CarePerceptionPopulation SurveillanceUterine Cervical DysplasiaUterine Cervical NeoplasmsAdultAgedAttitude to HealthContinuity of Patient CareDisease ProgressionEarly Detection of CancerFemaleFollow-Up StudiesHumansMass Screening

Identifiers

PMID31841543
PMCPMC6913976
OpenAlexW2996118490

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.