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Cervical Cancer Resources

 

Resources to Support Your Practice

Websites

Global Cancer Observatory (GCO): An interactive web-based platform presenting global cancer statistics to inform cancer control and research.

Pan American Health Organization (PAHO) / World Health Organization (WHO): Access cervical cancer guides, manuals, and resources intended for healthcare professionals.

Clinical Guidelines

The cervical cancer screening and management guidelines outlined below are recommended by professional societies in the United States. Other countries are adopting and implementing guidelines according to their own developed policies and recommendations.

July 30, 2020 American Cancer Society Guidelines Update

Recommendations include an HPV test every five years for individuals with a cervix ages 25-65 as the preferred method of testing over the Pap test or the combination of Pap and HPV. Another significant change is for cervical cancer screening to begin at age 25. The previous ACS guideline, released in 2012, called for screening starting at age 21. https://acsjournals.onlinelibrary.wiley.com/doi/full/10.3322/caac.21628

The new guidelines reflect the rapidly changing landscape of cervical cancer prevention in the United States and around the world, focusing on better outcomes, test efficiency and more simplified screening. Human papillomavirus (HPV) is the cause of nearly all cervical cancers. Primary HPV testing every 5 years is more effective than Pap cytology alone for cervical cancer prevention, and more efficient than co-testing, reducing the number of tests while providing comparable outcomes.1, 2

April 2, 2020—The ASCCP Risk Based Management Consensus Guidelines have now been published. Read here: https://journals.lww.com/jlgtd/pages/currenttoc.aspx?sessionEnd=true

ASCO Secondary Prevention of Cervical Cancer Resource-Stratified Guideline: https://www.asco.org/research-guidelines/quality-guidelines/guidelines/gynecologic-cancer#/14021 published in JGO DOI: 10.1200/JGO.2016.006577

US Preventive Services Task Force (USPSTF) Guidelines update August 21, 2018: https://www.uspreventiveservicestaskforce.org

American College of Obstetrics & Gynecology Practice Advisory update August 2018: https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2018/08/cervical-cancer-screening-update

Society of Gynecologic Oncology (SGO): https://www.sgo.org/clinical-practice/guidelines/

American Cancer Society (ACS): https://www.cancer.org/cancer/cervical-cancer/detection-diagnosis-staging/cervical-cancer-screening-guidelines.html

References

  1. Screening for Cervical Cancer in Primary Care: A Decision Analysis for the U.S. Preventive Services Task Force. Agency for Healthcare Research and Quality (US) Kim et. al., JAMA. 2018;320:706‐714 http://uspreventiveservicestaskforce.org/uspstf/document/modeling-study/cervical-cancer-screening;
    Accessed 4 August 2020.
  2. Cervical Cancer Screening for Individuals at Average Risk: 2020 Guideline Update from the American Cancer Society, Fontham et. al. https://acsjournals.onlinelibrary.wiley.com/doi/pdfdirect/10.3322/caac.21628; Accessed 3 August 2020