Try out our newest resource for point of care information, DynaMed Plus. You will find some very relevant resources for this week's case from HPV vaccine information (and all the different organization recommendations) to diagnosing and treating Cervical Cancer. A unique feature that DynaMed has over Up to Date is specifying the level of evidence when they recommend something. So, as you move ever closer to clinical reasoning, DynaMed will help you know more about the evidence behind what you might suggest to your patient.
Cervical Cancer Screening Recommendations
One of the confusing factors about guidelines for cervical cancer screening is not only the number of organizations making recommendations but also the varience between their statements. For example, some of the organizations that have practice guidelines includes:
If you are at a large health-care organization, then the guidelines to follow may be spelled out for you. But what about the doctors in private practice? You need to discern the most appropriate for your practice - this is where your analytical skills from epidemiology come into play as well as your background with evidence-based medicine. Which one will you choose?
A few quesions to consider are:
For this case, I like how the American College of Obstetricians & Gynecologists presents the very newest information on recommendations. The USPSTF has just updated the guidelines - August 21, 2018. I would usually point you to a resource like the Trip Database but because the guidelines are so new, let me point you to a Google search.
This organization puts out Practice Advisory notices for their recommendations. Try a search like:
acog practice advisory cervical cancer screening