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3-year interval between Pap smears adequate for women with prior negative results
PRACTICE RECOMMENDATIONS

This study predicts that among women aged 30 to 64 years with 3 recent, negative Papanicolaou (Pap) smears, extending the interval for cervical cancer screening from 1 to 3 years would lead to an excess risk of cervical cancer of 3 in 100,000.

For women aged 30 to 44 years, preventing 1 case of cervical cancer through yearly Pap smears would require an additional 69,665 Pap smears and 3861 colposcopies (compared with screening 3 years after the last negative Pap smear). Clinicians should feel comfortable extending the interval for Pap smears from 1 to 3 years in women with prior normal results and a high likelihood of follow-up.

 
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Practice Recommendations from Key Studies

Sawaya GF, McConnell KJ, Kulasingam SL, et al. Risk of cervical cancer associated with extending the interval between cervical-cancer screenings. N Engl J Med 2003; 349:1501–1509.

Michael Ohl, MD
Kevin Y. Kane, MD, MSPH
Department of Family and Community Medicine, University of Missouri–Columbia. E-mail: ohlm@health.missouri.edu.

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The Journal of Family Practice - 53(3)
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172-188
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Practice Recommendations from Key Studies

Sawaya GF, McConnell KJ, Kulasingam SL, et al. Risk of cervical cancer associated with extending the interval between cervical-cancer screenings. N Engl J Med 2003; 349:1501–1509.

Michael Ohl, MD
Kevin Y. Kane, MD, MSPH
Department of Family and Community Medicine, University of Missouri–Columbia. E-mail: ohlm@health.missouri.edu.

Author and Disclosure Information

Practice Recommendations from Key Studies

Sawaya GF, McConnell KJ, Kulasingam SL, et al. Risk of cervical cancer associated with extending the interval between cervical-cancer screenings. N Engl J Med 2003; 349:1501–1509.

Michael Ohl, MD
Kevin Y. Kane, MD, MSPH
Department of Family and Community Medicine, University of Missouri–Columbia. E-mail: ohlm@health.missouri.edu.

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PRACTICE RECOMMENDATIONS

This study predicts that among women aged 30 to 64 years with 3 recent, negative Papanicolaou (Pap) smears, extending the interval for cervical cancer screening from 1 to 3 years would lead to an excess risk of cervical cancer of 3 in 100,000.

For women aged 30 to 44 years, preventing 1 case of cervical cancer through yearly Pap smears would require an additional 69,665 Pap smears and 3861 colposcopies (compared with screening 3 years after the last negative Pap smear). Clinicians should feel comfortable extending the interval for Pap smears from 1 to 3 years in women with prior normal results and a high likelihood of follow-up.

 
PRACTICE RECOMMENDATIONS

This study predicts that among women aged 30 to 64 years with 3 recent, negative Papanicolaou (Pap) smears, extending the interval for cervical cancer screening from 1 to 3 years would lead to an excess risk of cervical cancer of 3 in 100,000.

For women aged 30 to 44 years, preventing 1 case of cervical cancer through yearly Pap smears would require an additional 69,665 Pap smears and 3861 colposcopies (compared with screening 3 years after the last negative Pap smear). Clinicians should feel comfortable extending the interval for Pap smears from 1 to 3 years in women with prior normal results and a high likelihood of follow-up.

 
Issue
The Journal of Family Practice - 53(3)
Issue
The Journal of Family Practice - 53(3)
Page Number
172-188
Page Number
172-188
Publications
Publications
Topics
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3-year interval between Pap smears adequate for women with prior negative results
Display Headline
3-year interval between Pap smears adequate for women with prior negative results
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