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J Low Genit Tract Dis. 2008 Oct;12(4):300-6. doi: 10.1097/LGT.0b013e31817e308e.

Assessment of follow-up for low-grade cytological abnormalities in the National Breast and Cervical Cancer Early Detection Program, 2000-2005.

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  • 1Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA. vdb9@cdc.gov

Abstract

OBJECTIVE:

To assess the management of women in the National Breast and Cervical Cancer Early Detection Program with low-grade squamous intraepithelial lesions (LSIL) before and after the American Society for Colposcopy and Cervical Pathology (ASCCP) guidelines for management of abnormal cytology were published in 2002.

MATERIALS AND METHODS:

We examined the follow-up for 22,342 women with LSIL during 2 periods: 2000-2002 and 2003-2005.

RESULTS:

The percentage of providers who followed the recommended guidelines with colposcopy for an LSIL Pap test result increased by 9% from the pre-ASCCP to the post-ASCCP period. An increase was seen in every age and racial/ethnic group. Younger women (<30 years) and white women were more likely than comparison groups to be followed by colposcopy rather than a repeat Pap test.

CONCLUSIONS:

The increase in percentage of women having colposcopy in 2003, 1 year after the new guidelines were published, suggests a change in provider practices consistent with those guidelines.

PMID:
18820545
[PubMed - indexed for MEDLINE]
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