Page 164 - Screening for Cervical Cancer: Systematic Evidence Review
P. 164

Chapter I:  Introduction







                            Age to stop   screening   Age 70 with 2   normal Paps in   prior 5 years   Age 70









                               Interval for “High Risk”   Not mentioned   More frequent screening  is not recommended for  women possibly at higher  risk of cervical cancer as  there is no evidence that   such women have a   shorter duration of the   preinvasive stage.   Immunocompromised   women should be   screened annually.







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











                               Definition of High Risk   Not mentioned   Sexual behavior, smoking,  hormonal or contraceptive   use      Immunocompromised   women





















                            Screening   Interval   Every 2 years   Every 3 years,   except if > 5   years since last   or if first smear,   then repeat in 1   year’s time











                               Parameters  Women who have   ever been sexually   active beginning at   Women who have   ever had intercourse   beginning at age 20.    Women who have   hysterectomy for a   benign condition do   not require further







                               Test        age 18-20      had a total   screening
















                      Table 2:    Organization  Australian National   Cervical Screening   Program, 1998    New Zealand National   Cervical Screening   Programme







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