Moyer VAScreening for Cervical Cancer: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med 156(12): 880-891

U.S. Preventive Services Task Force, Rockville, Maryland, USA.
Annals of internal medicine (Impact Factor: 17.81). 06/2012; 156(12):880-91, W312. DOI: 10.7326/0003-4819-156-12-201206190-00424
Source: PubMed


Update of the 2004 U.S. Preventive Services Task Force (USPSTF) recommendation on screening for oral cancer.

The USPSTF reviewed the evidence on whether screening for oral cancer reduces morbidity or mortality and on the accuracy of the oral screening examination for identifying oral cancer or potentially malignant disorders that have a high likelihood of progression to oral cancer.

This recommendation applies to asymptomatic adults aged 18 years or older who are seen by primary care providers. This recommendation focuses on screening of the oral cavity performed by primary care providers and not dental providers or otolaryngologists.

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for oral cancer in asymptomatic adults.

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    • "e ndings of this project demonstrate that there is much work to be done to optimize access to contraception for adolescents . Achieving compliance with current Pap screening guidelines is an important step in making contraception more Discussion ere is widespread agreement by multiple health organiza tions about when Pap screening should be initiated (ACOG, 2012; Moyer, 2012; Smith et al., 2013). e recommended age for initiation of Pap screening has been 21 years since 2009 when ACOG changed its recommendation to age 21 regardless of onset of sexual activity or contraceptive use (ACOG, 2012). "
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    ABSTRACT: Adolescents often avoid seeing a health care provider to obtain contraception because they do not want to undergo a pelvic exam and Pap screening for fear of stress, pain or embarrassment. The purpose of this quality improvement project was to study health care workers, attitudes and beliefs about Pap screening and to educate them on the latest evidence-based guidelines, with the hope of ultimately decreasing unnecessary screening. Results showed a modest reduction in the frequency of Pap screening; however, many adolescents continued to undergo unnecessary Pap screening. The reluctance of health care workers to change their practice demonstrates the need for better methods of translating evidence-based guidelines into practice. © 2015 AWHONN.
    Nursing for Women s Health 06/2015; 19(3). DOI:10.1111/1751-486X.12203
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    • "This problem has reached such proportions to induce the major American medical associations to state precise and shared guidelines regarding cervical cancer screening [5] [6], to address appropriate use of HPV testing. On the opposite side, the Japanese [7] and Canadian [8] guidelines do not recommend screening through testing for HPV. "

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    • "However, till date, the ability of screening to decrease overall mortality from ovarian cancer in populations at risk is not yet established [1] [2]. The United States Preventive Services Task Force (USPSTF) " recommends against screening for ovarian cancer in asymptomatic women, except those with known genetic mutations that increase their risk for ovarian cancer (for example, BRCA mutations) " [5]. "
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    ABSTRACT: Context: Although there have been reports of increasing incidence of ovarian cancer in developing countries, no developing country has been involved in current trials of ovarian cancer screening. Aim: To review the evolution of the role and drawbacks of ultrasonography in ovarian cancer screening and the feasibility of implementing current potential screening strategies inlow resource settings. Methods: An electronic literature search for all articles written in English language on ovarian cancer screening from 1960-2013. Information from appropriate articles were collated and analysed for content. Results: Ultrasound was used as the first-line or secondline test in the most popular multicentre multimodal trials of ovarian cancer screening. It has a high sensitivity but a low specificity. The low specificity of ultrasound screening necessitates the use of further measures to aid the triaging of ultrasound positive cases, which add to the overall cost of screening. There is yet scant evidence of the cost effectiveness of multimodal screening for ovarian cancer. Current potential strategies for ultrasound-based screening for ovarian cancer demand the training and employment of large numbers of highly skilled personnel as well as the acquisition of high resolution scanners and technology for biochemical assay of tumour markers. Conclusion: Transvaginal ultrasonographyhas evolved into a potentialtool for ovarian cancer screening and ovarian cancer screening strategies based on CA125 assays and ultrasonography would demand substantial resources. If and when reduction in mortality and cost-effectiveness of this approach to screening are proven, itmay not be feasible in developing countries
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