Clinical Edge

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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.

Citation:

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.