| Aesthetic Medicine Today |
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| 2009 American College of Obstetricians and Gynecologists (ACOG) Evidence-Based Cervical Screening Guidelines Christina Cruz Dominguez Staff Writer and Steven Dominguez, MD, MPH Medical Editor November 20, 2009 - The 2009 American College of Obstetricians and Gynecologists (ACOG) evidence-based Cervical Screening guidelines were issued today and published in the December issue of Obstetrics & Gynecology. These revised guidelines have remarkable changes limiting women’s current and future healthcare access with resultant increased morbidity and mortality potential; 1. Moving the baseline cervical screening to age 21 from within 3 years of first intercourse 2. Women from ages 21 to 30 may be screened every two years 3. Women younger than 30 may have a cervical screening once every two years instead of annually 4. Women age 30 and older can be re-screened once every three years 5. Stop cervical cancer screening at age 65 or 70 6. These guidelines are applicable if the women has had three consecutive negative cervical screening tests and is not immunocompromised. The ACOG cites research revealing lower cancer rates of 50% in the last 30 years (ed.: perhaps because of aggressive screening and early treatment protocols). Other data points used in developing the ACOG guidelines are: • increased cancer diagnosis and death rates in women who did not undergo routine yearly cervical screening tests (ed.: this seems to argue against their own revised guidelines). • HPV cervical cancer is slow growing • Decreased healthcare costs will be recognized Practice Bulletin #109, "Cervical Cytology Screening," is published in the December 2009 issue of Obstetrics & Gynecology Click here to read the entire Guideline: http://www.acog. org/from_home/publications/press_releases/nr11-20-09.cfm |
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