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.
This Week's Must Reads
Must Reads in Clinical Guidelines
ACOG: Chronic Hypertension in Pregnancy, Obstet Gynecol; ePub 2019 Jan; Vidaeff, et al
ACOG Guidelines: Pregestational Diabetes Mellitus, Obstet Gynecol; ePub 2018 Dec; ACOG, et al
Management of Early Pregnancy Loss, Obstet Gynecol; ePub 2018 Nov; ACOG
Prophylactic Antibiotic Use in Labor & Delivery, Obstet Gynecol; 2018 Sep; Coleman, et al
USPSTF on Screening for Cervical Cancer, JAMA; 2018 Aug 21; US Preventive Services Task Force