2019年ASCCP基于风险的管理共识指南:更新到2023年
Rebecca B Perkins1, Richard S Guido2, Philip E Castle3
1Boston University School of Medicine/Boston Medical Center, Boston, MA.
Journal of lower genital tract disease
|December 20, 2023
概括
本研究信件详细介绍了2019年至2023年9月的宫癌查和管理指南更新. 关键的更新包括人类乳头瘤病毒 (HPV) 测试策略和治疗后随访协议.
科学领域:
- 妇科 妇科 妇科 妇科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 2019年宫癌查和管理指南需要定期更新,以纳入新的证据和临床建议.
- 最近人类乳头瘤病毒 (HPV) 测试的进展和对宫内皮质瘤 (CIN) 的理解需要对指南进行修订.
- 确保艾滋病毒或免疫抑制患者以及宫细胞学异常或不完整结肠镜检查患者的最佳患者护理至关重要.
研究的目的:
- 总结从2019年到2023年9月的所有指南更新.
- 澄清有关HPV检测,细胞学管理和镜后续检查的具体建议.
- 为管理宫癌查和相关疾病的临床医生提供综合资源.
主要方法:
- 审查和综合到2023年9月发布的更新指南和建议.
- 识别和总结2019年指南的关键变化和澄清.
- 根据临床情景对更新进行分类,包括机会性感染,HPV检测,细胞学和镜管理.
主要成果:
- 支持2021年针对免疫功能低下患者的机会性感染指南.
- 关于单独使用HPV测试来观察宫内皮质瘤2 (CIN2) 的澄清.
- 对不令人满意的细胞学和未完成推的结肠镜检查的患者进行修订的管理.
- 关于使用HPV检测或CIN2+治疗后联合检测的治疗后随访间隔的指导.
- 澄清对微小异常结果的后视镜管理.
结论:
- 更新的指南为管理宫癌查和相关疾病提供了关键的澄清.
- 遵守这些更新的建议确保了基于证据的护理,特别是对于高风险人群.
- 这些修订旨在优化诊断的准确性,治疗的有效性和宫异常的后续监测.
更多相关视频
08:31A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
3.9K
06:15Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
49.9K
相关概念视频
01:19Standards of Care II
656
Nurses bear specific legal responsibilities under several federal statutes, including:
656
01:22Standards of Care I
695
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
695
01:30Asthma-IV: Diagnostic and Management
2.5K
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.5K
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K
01:30Asthma-IV: Nursing Management
3.1K
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
3.1K
01:22Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K