Choosing Wisely: Cervical Screening Tests and Treatments to Avoid — Physician’s First Watch

Medical News |
February 17, 2017

Choosing Wisely: Cervical Screening Tests and Treatments to Avoid

By Kelly Young

Edited by André Sofair, MD, MPH, and William E. Chavey, MD, MS

The American Society for Colposcopy and Cervical Pathology has identified five scenarios in which cervical screening or treatment is unnecessary. The recommendations — part of the Choosing Wisely campaign — include the following:

  • Vaginal cytology and human papillomavirus (HPV) screening shouldn't be performed in women who've had a hysterectomy that included cervix removal, unless hysterectomy was for high-grade cervical dysplasia or cancer.

  • Pap tests or HPV screening shouldn't be conducted in immunocompetent patients aged 20 and under.

  • Screening tests shouldn't be ordered for low-risk HPV types.

  • Cervical intraepithelial neoplasia grade 1 should not be treated in women aged 21–24.

  • Pap tests or HPV screening shouldn't be performed annually in women who are immunocompetent and have previously had negative screening results. The group says a screening interval of 3 years may be more appropriate.

Reader Comments (1)

TREMARIAS,David Physician, Surgery, General, Valencia and Margarita Island Venezuela

Because in Venezuela , the incidence of VPH and cervical cancer are very different in relation with USA , I am not agree over choosing wisely health behavior

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