Page 161 - Screening for Cervical Cancer: Systematic Evidence Review

Chapter I: Introduction
Recommendations of Other Groups about Pap Smear for Cervical Cancer Screening (cont’d)

Screening Age to stop screening Interval for “High Risk” Definition of High Risk Interval Not mentioned Not mentioned Not mentioned At least every 3 years Until age 69 More frequently than 3 Early onset of sexual Two annual years intercourse; many sexual screens, then partners; sexual partner every 3 years with many sexual partners General cancer Not mentioned Not mentioned Annually until 3 check-up or more recommen- consecutive dations satisfactory suggest annual examinations, exam continue then at past physician menopause discretion Age 65

Parameters Women who have ever had sex and have a cervix Women > age 18 who have had sexual Sexually active or Age18 (as prior Sexually active women younger than age 18 and all women aged 18-64. Omit women who hysterectomy with no residual cervix Age 20. Omit women who have had a total hysterectomy for nonmalignant

Test intercourse entries) have had a reasons

Table 2: Organization American Academy of Family Physicians, 1996 Canadian Task Force on Preventive Health Care, 1992 American Cancer Society, 2000 Institute for Clinical Systems Improvement, 2000 UK National Health Service Cancer Screening Progammes, 1999

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