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To conduct a systematic review and meta-analysis of the accuracy of self-reported Pap smear and mammography screening compared to medical record.

About 37 articles were reviewed and accuracy indices of self-report were calculated. Meta-analysis with random effects was used. Study heterogeneity was investigated and meta-regressions were done including in the models those factors that were hypothesized, a priori, to potentially explain heterogeneity.

Pooled sensitivity and specificity for Pap recall were 94.7% (95% confidence interval [CI]; 93.0%–96.4%) and 47.4% (95% CI; 39.0%–55.7%), and for mammography were 94.9% (95% CI; 93.4%–96.4%) and 61.8% (95% CI; 54.1%–69.5%), respectively. There was significant heterogeneity for all indices. Stratifying by the study …