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Problem-based Learning & Finding the Evidence: Case 1: Danni Crane: Lost to Follow Up

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Week 1: Danni Crane - Lost to follow up

Featured Resource: Guidelines

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.  Guidelines.gov list several different ones - some more recent than others.  The organizations found with their search include:

  • American College of Obstetricians and Gynecologists
  • American Society for Colposcopy and Cervical Pathology
  • Centers for Disease Control and Prevention
  • US Preventive Services Task Force

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:

  • How recent is it?  
  • Does the organization have any specific bias that might impact their conclusions?  
  • How thorough and systematic was the research that helped to make these conclusions?  
  • Many other questions might come to mind -- what else do you need to consider? 

Usually, you can use the button to compare guidelines ;  however, because of the number of guides, the system provides a unique synthesis display of the top 3 guidelines (ACS, ACOG, and USPTF) with several factors highlighted including what the areas of agreement and differences .  The inteval of screening, which in this case varies, is one that often varies between organizations.

National Organizations

National organizations, both government and private organizations, often have very useful information for patients as well as physicians. 

Guidelines and concensus statements, while not a systematic review, review the existing literature and are considered a high level of evidence.

E-Books Refresher

Don't forget you can search across multiple texts for the information you seek.  You have several choices from which to choose.

Clinical Tools Refresher

Some of your topics may be ones for which the clinical tools might be helpful.  Just remember, we have several of these tools, not just Up to Date. 

MedlinePlus: Information Tool for Patients

MedlinePlus is a great place to find consumer-friendly materials along with directories, a dictionary & encyclopedia, and more.  Take a look and see what you find - try HPV.

Search MedlinePlus: