Enduring Consensus Guidelines for Cervical Cancer Screening and Management: Introduction to the Scope and Process

被引:11
作者
Wentzensen, Nicolas [1 ]
Garcia, Francisco [2 ]
Clarke, Megan A. [1 ]
Massad, L. Stewart [3 ]
Cheung, Li C. [1 ]
Egemen, Didem [1 ]
Guido, Richard [4 ]
Huh, Warner [5 ]
Saslow, Debbie [6 ]
Smith, Robert A. [6 ]
Unger, Elizabeth R. [7 ]
Perkins, Rebecca B. [8 ]
机构
[1] NCI, Div Canc Epidemiol & Genet, Rockville, MD USA
[2] Pima Cty, Hlth & Community Serv Adm, Tucson, AZ USA
[3] Washington Univ, Dept Obstet & Gynecol, St Louis, MO USA
[4] Univ Pittsburgh, Magee Womens Hosp, Sch Med, Pittsburgh, PA USA
[5] Univ Alabama Birmingham, Dept Obstet & Gynecol, Birmingham, AL USA
[6] Amer Canc Soc, Atlanta, GA USA
[7] Ctr Dis Control & Prevent, Chron Viral Dis Program, Atlanta, GA USA
[8] Boston Univ, Boston Med Ctr, Chobanian & Avedisian Sch Med, Dept Obstet & Gynecol, Boston, MA USA
关键词
cervical cancer; human papillomavirus; screening; triage; management; risk; precancer; recommendations; consensus guidelines; PREVENTION; TESTS;
D O I
10.1097/LGT.0000000000000804
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
ObjectivesThe Enduring Consensus Cervical Cancer Screening and Management Guidelines (Enduring Guidelines) effort is a standing committee to continuously evaluate new technologies and approaches to cervical cancer screening, management, and surveillance.Methods and ResultsThe Enduring Guidelines process will selectively incorporate new technologies and approaches with adequate supportive data to more effectively improve cancer prevention for high-risk individuals and decrease unnecessary procedures in low-risk individuals. This manuscript describes the structure, process, and methods of the Enduring Guidelines effort. Using systematic literature reviews and primary data sources, risk of precancer will be estimated and recommendations will be made based on risk estimates in the context of established risk-based clinical action thresholds. The Enduring Guidelines process will consider health equity and health disparities by assuring inclusion of diverse populations in the evidence review and risk assessment and by developing recommendations that provide a choice of well-validated strategies that can be adapted to different settings.ConclusionsThe Enduring Guidelines process will allow updating existing cervical cancer screening and management guidelines rapidly when new technologies are approved or new scientific evidence becomes available.
引用
收藏
页码:117 / 123
页数:7
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