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Current practice patterns in cervical cancer screening in Indiana.

Nicole R King1, Kelly M Kasper1, Joanne K Daggy1

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|January 14, 2014
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Most Indiana health providers initiate and stop cervical cancer screening appropriately, but many screen average-risk women more often than recommended between ages 21-65.

Keywords:
Pap smearscervical cancer screeningguideline adherencepractice patterns

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Area of Science:

  • Gynecology
  • Preventive Medicine
  • Public Health

Background:

  • Cervical cancer screening guidelines have evolved, with the 2012 guidelines recommending specific age ranges and intervals for screening.
  • Adherence to these guidelines by healthcare providers is crucial for effective cancer prevention and resource allocation.

Purpose of the Study:

  • To assess current cervical cancer screening practices among Indiana healthcare providers.
  • To compare these practices against 2012 and earlier guidelines.
  • To identify factors influencing adherence and non-adherence to screening recommendations.

Main Methods:

  • A vignette-based survey was administered to obstetricians, gynecologists, midwives, nurse practitioners, and physician assistants.
  • Participants were attendees of the Indiana American Congress of Obstetricians and Gynecologists Section meeting in January 2013.
  • A 51% response rate was achieved, with 111 completed surveys.

Main Results:

  • Only 38% of surveyed providers adhered to current cervical cancer screening guidelines.
  • While 86% correctly initiate screening at age 21, only 33% follow recommended intervals for ages 21-29 and 30-65.
  • Most providers (75% and 51%) correctly follow guidelines for stopping screening after hysterectomy or at age 65.

Conclusions:

  • Healthcare providers in Indiana largely follow guidelines for initiating and ceasing cervical cancer screening.
  • A significant gap exists in adherence to recommended screening frequencies for women aged 21-65.
  • Further education and interventions may be needed to improve guideline adherence for optimal cervical cancer prevention.