for the ASCCP Consensus Guidelines Conference. From Washington Ó , American Society for Colposcopy and Cervical Pathology. Journal of. ASCCP Guidelines for Managing Abnormal Cervical Cancer Screening Tests Barbara S. Apgar, MD, MS Professor of Family Medicine University of. testing. • Spring – ACS, ASCCP, ASCP recommend co-testing for screening women age • March – Management guidelines.

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The number of colposcopies for high-grade lesions that a trainee needs to perform to be adequately trained has not been defined by national organizations.

When cytologic abnormalities are identified by the screening pap smear, a colposcopy procedure serves to further investigate and diagnose any abnormalities.

The second part compared the actual number of colposcopies during the one-year time period before and after the guidelines. In many instances, this leads to visually directed biopsies of the cervix. Seven residents rotate through the colposcopy clinic per year, therefore the number of colposcopies per resident would have decreased from You decide to do cotesting because she is sexually active.

ASCCP 2013 Guidelines for Managing Abnormal Cervical Cancer

Lancet Oncol ; Brotzman G, Apgar B. Management of Abnormal Pap Smears.

Co-testing should NOT be performed for women under age Pap in 3 years. These results were then compared to the actual number of colposcopies performed between April 1, and March 31, as well as the actual number of colposcopies performed between April 1, and March 31,the one-year time frame after the release of the guidelines.


The primary objective was to determine the theoretical number of colposcopies at a resident clinic if the American Society for Colposcopy and Cervical Pathology ASCCP guidelines were applied. Inthe cervical cancer incidence in the United States was 7.


From a training standpoint, as indications for colposcopy decrease, fewer training opportunities are available for residents. A study from a Family Medicine program found an actual These tools have effectively been used in other programs. Cotesting in 3 years. Patients 24 years and younger 3.

Total number of colposcopies performed in a resident clinic by 201 and age before and after the ASCCP Guidelines. National, regional, state, and selected aasccp area vaccination coverage among adolescents aged 13—17 year — United States, Where data were available, guidelines prescribed similar management for women with similar risks for CIN 3, AIS, and cancer. While there was a decrease in the number of colposcopies performed post-guidelines, the decrease was not as dramatic as expected.

ASCCP Guidelines for Managing Abnormal Cervical Cancer

A total azccp 58 indicated colposcopies were performed in the one-year time period, April 1, to March 31,following the release of the ASCCP guidelines [ Table 20133 ]. American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology screening guidelines for the prevention and early detection of cervical cancer. Both the predicted and actual colposcopy numbers demonstrated that the decrease in procedures was more evident in patients with low-grade cytologic abnormalities than high-grade abnormalities.


Moyer VA, et al. Risk of persistent oncogenic HPV. Colposcopy and cytology at 6 and 12 months.

Colposcopies per Resident based on average of 7 residents per year. HSIL persists for 12 months.

Thus, under the new guidelines, the number of patients who would have been indicated for a colposcopy increased from 35 to 58, or by Testing with cytology alone every 3 years or co-testing with cytology and testing for high-risk HPV types every 5 years.

Support Center Support Center. Screening Frequency Age In addition to clinical exposure, a standardized curriculum including a multi-angle approach to teaching that incorporates readings, case conferences, image review, and simulation may also be necessary to provide comprehensive training. Cotesting in 1 year. Chi-Square tests and Fisher’s Exact tests were used to examine the association of categorical variables.

Pap only in 3 years. Risk of progression is real but usually takes significant time. Colposcopic Image Library on CD. Likelihood of future pregnancy is high. We did not note an 2103 shift in the demographics of the population receiving general obstetrics and gynecologic care at this site. Pap in one year.

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