{"id":1438,"date":"2015-05-04T12:01:31","date_gmt":"2015-05-04T19:01:31","guid":{"rendered":"https:\/\/phcprimarycare.org\/?p=1438"},"modified":"2015-05-04T12:01:31","modified_gmt":"2015-05-04T19:01:31","slug":"somewhat-new-best-practices-in-cervical-cancer-screening","status":"publish","type":"post","link":"https:\/\/phcprimarycare.org\/?p=1438","title":{"rendered":"Somewhat new best practices in cervical cancer screening"},"content":{"rendered":"

Last week, the American College of Physicians released new practice guidelines<\/a> for cervical cancer screening, which vary slightly from prior recommendations. The new guidelines are supported by the American College of Obstetrics and Gynecology and American Society of Clinical Pathologists.<\/p>\n

The main points in the new guidelines are as follows:<\/p>\n

    \n
  1. Women under age 21 do not need cervical cancer screening.<\/li>\n
  2. Between ages 21 and 30, only cytologic screening is needed. No HPV testing is needed.<\/li>\n
  3. The appropriate interval for cytologic screening for average-risk women is every 3 years.<\/li>\n
  4. For women ages 30-65, cytologic screening plus HPV testing should be performed every 3-5 years.<\/li>\n
  5. No HPV tests on average-risk women under age 30.<\/li>\n
  6. After age 65, no screening is needed as long as the woman has had 3 negative cytology plus HPV screenings within the past 10 years, with at least one performed within 5 years.<\/li>\n
  7. No screening is needed for average-risk women without a cervix.<\/li>\n<\/ol>\n

    These recommendations do not apply<\/em> to women who have had a precancerous lesion, cervical cancer, are immunocompromised (e.g. HIV), and those with in-utero exposure to DES. They do not guide management of abnormal cytology or HPV results.<\/p>\n

    These guidelines are very similar to those released in 2012 by the USPSTF and ACS, though the new guidelines give HPV screening more support. The 2012 guidelines gave HPV testing a \u201cweak\u201d recommendation.<\/p>\n

    In contrast to many other guidelines, when it comes to cervical cancer, it appears too many patients are being screened unnecessarily. 60% of women under age 21 report having been screening for cervical cancer, as have 53% of women aged 75 to 79 years of age.<\/p>\n

    Most women will welcome the new guidelines. For those anxious about not being screened often enough, they can be reassured that the new guidelines are safe and supported by evidence.<\/p>\n

    Richard Fleming, MD<\/p>\n","protected":false},"excerpt":{"rendered":"

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The new guidelines are supported by the American College of Obstetrics and Gynecology and<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[15,13],"tags":[],"class_list":["post-1438","post","type-post","status-publish","format-standard","hentry","category-medical-practice","category-prevention"],"yoast_head":"\nSomewhat new best practices in cervical cancer screening - PHC Primary Care Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/phcprimarycare.org\/?p=1438\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Somewhat new best practices in cervical cancer screening - PHC Primary Care Blog\" \/>\n<meta property=\"og:description\" content=\"Last week, the American College of Physicians released new practice guidelines for cervical cancer screening, which vary slightly from prior recommendations. 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