January 10, 2019, Medscape 

When it comes to tracking cervical cancer screening rates, studies have shown that patient self-reporting can often paint an overly optimistic picture of compliance. However, a review of medical records in a cohort of 47,000 women in the Rochester Epidemiology Project (REP) database (women residing in Olmsted County, Minnesota) indicates that Pap test screening rates could be even worse than previously thought and are "unacceptably low," particularly in the youngest women. 

Read more at Medscape.