Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Guideline Adherence in Cervical Cancer Screening

Obstet Gynecol; ePub 2017 Feb 6; Teoh, et al

More than one-third of Pap tests (35%) performed in women aged <21 years and >65 years and post-hysterectomy were non-adherent to 2012 cervical cancer screening guidelines, a recent study found. This cross-sectional study at a single health system included review of 3,920 Pap tests performed between September 9, 2012, and August 31, 2014. Researchers found:

  • 257 (51%) tests in the <21 years group, 536 (40%) in the >65 years group, and 605 (29%) in the posthysterectomy group were not indicated.
  • White race in the >65 years group was the only patient characteristic associated with receipt of a nonindicated Pap test.
  • There were no patient or healthcare provider characteristics associated with guideline nonadherent screening across all groups.


Teoh D, Isaksson VR, Hultman G, et al. Single health system adherence to 2012 cervical cancer screening guidelines at extremes of age and posthysterectomy. [Published online ahead of print February 6, 2017]. Obstet Gynecol. doi:10.1097/AOG.0000000000001895.