Navigation Links
Doctors Too Pap-Happy, Survey Suggests

MONDAY, April 8 (HealthDay News) -- Most primary care physicians advise women to get "Pap" tests for cervical cancer screening more often than clinical guidelines recommend, new research reveals.

Guidelines recommend that women aged 30 or older with a negative test result for the potentially cancer-causing human papillomavirus (HPV) and a normal Papanicolaou (Pap) test wait three years before getting another Pap test.

However, after surveying almost 2,100 doctors, researchers led by Zahava Berkowitz of the U.S. Centers for Disease Control and Prevention found most advise that women get another Pap test even sooner.

"From 2006 to 2009, primary care providers consistently reported that they would recommend Papanicolaou testing sooner than recommended by guidelines, especially after normal co-testing results," the authors wrote in a research letter published online April 8 in JAMA Internal Medicine.

When a woman undergoes a Pap test, cells scraped from her cervix are examined under a microscope to check for precancerous abnormalities.

In an accompanying journal editorial, Dr. Nancy Morioka-Douglas and Dr. Paula Adams Hillard, of the Stanford University School of Medicine in California, argued that performing Pap tests on women younger than 21 and women who have had a total hysterectomy for a benign condition poses clear risks with no proven advantage.

The annual cost of Pap tests in these women is an estimated $850 million, they noted in a journal news release. "For specific high-risk populations, including women with a history of cervical cancer or high-grade cervical lesions, those who were exposed to diethylstilbestrol [DES] in utero, and those who are immunocompromised or HIV-infected, screening may be appropriate," the editorialists concluded.

Another expert said he is inclined to agree. In response to their argument, Dr. Michael LeFevre, of the University of Missouri, Columbia, wrote in a separate journal editorial, "Leaving costs out of the debate, the case that the use of Papanicolaou tests in women in these clinical situations results in more harm than good is compelling."

More information

The U.S. Centers for Disease Control and Prevention has more about cervical cancer screening.

-- Mary Elizabeth Dallas

SOURCE: JAMA Internal Medicine, news release, April 8, 2013

Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Study finds doctors have exaggerated fears when starting patients on insulin
2. Doctors Detail High Costs of Fighting Malpractice Claims
3. Callahan honored for improving older adults health in their doctors offices
4. Doctors Urge Routine Skin Screenings
5. Doctors Restore Some Hand Function to Quadriplegic Patient
6. Men Can Still Ask for PSA Test, and Some Should, Doctors Say
7. Female Doctors Earn Less Than Male Counterparts: Study
8. Male doctors make $12K more per year than female doctors
9. Is it constitutional for states to regulate pharmaceutical gifts and meals to doctors?
10. Doctors cite concern for patients, colleagues top motives for working sick
11. Hospitals communication during residency matching may put stress on OB-GYN doctors-in-training
Post Your Comments:
Related Image:
Doctors Too Pap-Happy, Survey Suggests
(Date:6/26/2016)... ... June 26, 2016 , ... On June 10-11, 2016, ... the 2016 Cereal Festival and World’s Longest Breakfast Table in Battle Creek, MI, where ... city’s history as home to some of the world’s leading providers of cereal and ...
(Date:6/26/2016)... ... June 26, 2016 , ... Many women ... diagnosed with endometriosis. These women need a treatment plan to not only alleviate ... that can help for preservation of fertility and ultimately achieving a pregnancy. The ...
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand gesture animations, ... Christina Austin - CEO of Pixel Film Studios. , ProHand Cartoon’s package transforms ... Final Cut Pro X . Simply select a ProHand generator and drag it above ...
(Date:6/25/2016)... ... June 25, 2016 , ... On Friday, June 10, Van Mitchell, ... at Work award to iHire in recognition of their exemplary accomplishments in worksite health ... annual Maryland Workplace Health & Wellness Symposium at the BWI Marriott in Linthicum Heights. ...
(Date:6/24/2016)... , ... June 24, 2016 , ... June 19, 2016 ... dangers associated with chronic pain and the benefits of holistic treatments, Serenity Recovery ... are suffering with Sickle Cell Disease. , Sickle Cell Disease (SCD) is a disorder ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... June 24, 2016 Research ... "Structural Electronics 2015-2025: Applications, Technologies, Forecasts" ... In-Mold Electronics, Smart Skin, Structural Health ... Structural electronics involves electronic and/or electrical ... structures, replacing dumb structures such as vehicle bodies ...
(Date:6/24/2016)... , June 24, 2016 Research ... World Market for Companion Diagnostic Tests" report to their ... Market for Companion Diagnostics The World Market ... and personalized medicine diagnostics. Market analysis in the report includes ... Test Market (In Vitro Diagnostic Kits) by Region (N. America, ...
(Date:6/24/2016)... KNOXVILLE, Tenn. , June 24, 2016 /PRNewswire/ ... market providing less invasive and more durable cerebrospinal ... million in funding.  The Series-A funding is led ... the Lighthouse Fund, and other private investors.  Arkis, ... less-invasive neurosurgical instrumentation and the market release of ...
Breaking Medicine Technology: