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Can the New Cervical Cancer Screening and Management Guidelines Be Simplified?

Can the New Cervical Cancer Screening and Management Guidelines Be Simplified? 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Can the New Cervical Cancer Screening and Management Guidelines Be Simplified?

JAMA Internal Medicine , Volume 174 (7) – Jul 1, 2014

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Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2014.576
pmid
24796728
Publisher site
See Article on Publisher Site

Abstract

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

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Jul 1, 2014

References