Apr;17(5 Suppl 1):S1-S doi: /LGT.0bed Wentzensen N, Lawson HW; ASCCP Consensus Guidelines Conference. Cases from April 1, to March 31, were evaluated using the ASCCP guidelines to determine whether colposcopy would still be indicated. ASCCP Updated Consensus Guidelines FAQs. American Society for Colposcopy and Cervical Pathology. Disclosures. April 16, In This Article. Why new.

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This one-year time frame correlates to the one-year period prior to the release of the ASCCP guidelines.

As previously reported in the literature, there seemed to be a delay in the adoption 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.

Screening by HPV testing alone is not recommended. When cytologic abnormalities are identified by the screening pap smear, a colposcopy procedure serves to further investigate and diagnose any abnormalities. Please review our privacy policy. Chi-Square tests and Fisher’s Exact tests were used to examine the association of categorical variables. Women 21 to 29 years of age. There is a high prevalence of high-risk HPV infections and a low incidence of cervical cancer in sexually active women younger than 30 years.

Another limitation to this study was the use of CPT codes to identify our subjects. Discussion The new guidelines resulted in a decrease in the number of indications for colposcopy. The American Society for Colposcopy and Cervical Pathology guideline should be followed for all other scenarios.

As predicted with the new guidelines, fewer women between the asccpp of 21 and 24 had a colposcopy.

See My Options close Already a member or subscriber? The largest reductions would have occurred in patients with low grade cytologic abnormalities. Both the increased cervical cancer screening interval and increased administration of the HPV vaccination are likely to reduce the number of abnormal cervical cytology results further.


Cytology alone acceptable every three years. Use of both cytology and HPV testing every five years is preferred for healthy women 30 to 65 years of age, although cytology alone every three years is acceptable. ascccp

ASCCP Guidelines

Not reported Published source: Read the full article. Data regarding patient age, indication for colposcopy including cytology result, and colposcopy result were extracted. Human papillomavirus-negative atypical squamous cells of undetermined significance results are followed with co-testing at 3 years before return to routine screening and are not sufficient for exiting women from screening at age 65 years; women aged years need less invasive management, especially for guideliens abnormalities; postcolposcopy management strategies incorporate co-testing; endocervical sampling reported as CIN 1 should be managed as CIN 1; unsatisfactory cytology should be repeated in most circumstances, even when HPV results from co-testing are known, while most cases of negative cytology with absent or buidelines endocervical cells or transformation zone component can be managed without intensive follow-up.

HPV testing is more sensitive but less specific than cytology. Seven residents continued to rotate through this colposcopy clinic per year resulting in 8.

The latest consensus guideline released in reduced the instances where colposcopy was recommended as the next step in evaluation in three specific ways: The ASCCP guidelines recommended longer screening intervals, later initiation of screening, increased use of HPV co-testing for evaluation of mild abnormalities, and an overall reduction in colposcopy in instances where the risk of cervical cancer is low.

ACOG Releases Guideline on Cervical Cancer Screening

Both liquid-based and conventional methods are acceptable. The risk of gjidelines vaginal cancer in this group is low, and continued guudelines is not effective.


If the results of either test are positive, the patient should be referred for colposcopy. 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 guidelinss the guidelines.

Pap smear collection has been a long-standing, effective screening test for cervical cancer. Results Seventy-three colposcopies were performed during the one-year study period, April 1, to March 31,prior to the release of the ASCCP guidelines.

Screening should begin at 21 years of age, regardless of age at sexual initiation or other behavior-related risk factors.

Guidelines – ASCCP

With less women getting screened and fewer indications for colposcopy, fewer colposcopies will be performed resulting in decreased procedures available for resident training.

Fifty-eight indicated colposcopies were guidwlines performed during the post-guideline period. In many instances, this leads to visually directed biopsies of the cervix.

These theoretical results were then compared to the actual number of colposcopies. This was a two-part descriptive study.

A total of 58 indicated colposcopies were performed in the one-year time period, April 1, to March 31,following the release of the ASCCP guidelines [ Table 1 ]. Author information Gukdelines and License information Disclaimer. Thus, under the new guidelines, the number of patients who would have been indicated for a colposcopy increased from 35 to 58, or by