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Current Practice Patterns in Cervical Cancer Screening in Indiana

American Journal of Obstetrics and Gynecology
DOI: 10.1016/j.ajog.2014.01.001
  • Cervical Cancer Screening
  • Guideline Adherence
  • Pap Smears
  • Practice Patterns
  • Ecology
  • Medicine


Abstract Objectives The purpose of this study is to describe current health care provider cervical cancer screening practice patterns for average risk women in the state of Indiana in comparison to the 2012 guidelines as well as earlier guidelines. We also aim to describe what factors are associated with increased adherence to guidelines, and what factors may impede adherence. Study Design We conducted a vignette-based survey among a convenience sample of obstetricians, gynecologists, midwives, nurse practitioners and physicians assistants attending the Indiana American Congress of Obstetricians and Gynecologists (ACOG) Section meeting in January 2013. Results Questionnaires were returned by 51% (112/218) of attendants. Of the 111 providers with completed surveys, 42 (38%) of the providers follow current guidelines. Eighty-six percent of providers start screening at age 21. Thirty-three percent of providers screen women ages 21-29 every three years. Thirty-three percent of providers follow recommendations for co-testing every five years for patients 30-65 years of age. The majority of providers follow guidelines to stop screening after a benign hysterectomy or age 65 (75% and 51%, respectively). Conclusions The majority of providers follow the 2012 guidelines for the initiation and cessation of cervical screening; however, most providers screen more frequently than currently recommended for patients between ages 21-65.

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