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H. Katki, J. Gage, M. Schiffman, P. Castle, B. Fetterman, N. Poitras, T. Lorey, L. Cheung, Tina Raine-Bennett, W. Kinney (2013)
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S. Feldman (2011)
Making sense of the new cervical-cancer screening guidelines.The New England journal of medicine, 365 23
K. Smith-McCune (2014)
Choosing a screening method for cervical cancer: Papanicolaou testing alone or with human papillomavirus testing.JAMA internal medicine, 174 7
K Smith-McCune
Choosing a screening method for cervical cancer: Papanicolaou testing alone or with human papillomavirus testing [published online May 5, 2014].
VA Moyer (2012)
Screening for cervical cancer: U.S. Preventive Services Task Force recommendation statement [published correction appears in Ann Intern Med. 2013;158(11):852]., 156
Opinion Can the New Cervical Cancer Screening and VIEWPOINT Management Guidelines Be Simplified? Effective cervical cancer prevention relies on fre- ommendations about what clinicians should do. Al- Sarah Feldman, MD, MPH quent screening and appropriate management of ab- though the more complicated aspects of screening and Division of Gynecologic normal test results to prevent cells with precancerous management are very important, the data to guide de- Oncology, Department changes from progressing to cancer. Historically, guide- cisions are less clear. Thus, in 2013, the ASCCP issued an of Obstetrics and lines were simple and clear: screen annually with Pa- updated set of “management guidelines” for women Gynecology, Brigham and Women’s Hospital, panicolaou (Pap) tests, evaluate abnormal results with with abnormal cervical cancer screening test results and Harvard Medical 4 colposcopy and diagnostic biopsy, treat most abnor- cancer precursors. These guidelines take into account School, Boston, mal results by means of either excision (loop excision) a variety of factors, such as a woman's age and her prior Massachusetts. or ablation (cryosurgery), and then resume annual Pap screening and management history, but they are diffi- testing. This approach was simple and easy to imple- cult to follow and unclear with respect to
JAMA Internal Medicine – American Medical Association
Published: Jul 1, 2014
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