TY - JOUR
T1 - Screening for gynecologic conditions with pelvic examination US preventive services task force recommendation statement
AU - Bibbins-Domingo, Kirsten
AU - Grossman, David C.
AU - Curry, Susan J.
AU - Barry, Michael J.
AU - Davidson, Karina W.
AU - Doubeni, Chyke A.
AU - Epling, John Jr W.
AU - García, Francisco A.R.
AU - Kemper, Alex R.
AU - Krist, Alex H.
AU - Kurth, Ann E.
AU - Landefeld, C. Seth
AU - Mangione, Carol M.
AU - Phillips, William R.
AU - Phipps, Maureen G.
AU - Silverstein, Michael
AU - Simon, Melissa
AU - Siu, Albert L.
AU - Tseng, Chien Wen
N1 - Publisher Copyright:
© 2017 American Medical Association.
PY - 2017/3/7
Y1 - 2017/3/7
N2 - IMPORTANCE Many conditions that can affect women's health are often evaluated through pelvic examination. Although the pelvic examination is a common part of the physical examination, it is unclear whether performing screening pelvic examinations in asymptomatic women has a significant effect on disease morbidity and mortality. OBJECTIVE To issue a new US Preventive Services Task Force (USPSTF) recommendation on screening for gynecologic conditions with pelvic examination for conditions other than cervical cancer, gonorrhea, and chlamydia, for which the USPSTF has already made specific recommendations. EVIDENCE REVIEW The USPSTF reviewed the evidence on the accuracy, benefits, and potential harms of performing screening pelvic examinations in asymptomatic, nonpregnant adult women 18 years and older who are not at increased risk for any specific gynecologic condition. FINDINGS Overall, the USPSTF found inadequate evidence on screening pelvic examinations for the early detection and treatment of a range of gynecologic conditions in asymptomatic, nonpregnant adult women. CONCLUSIONS AND RECOMMENDATION The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of performing screening pelvic examinations in asymptomatic, nonpregnant adultwomen. (I statement) This statement does not apply to specific disorders for which the USPSTF already recommends screening (ie, screening for cervical cancer with a Papanicolaou smear, screening for gonorrhea and chlamydia).
AB - IMPORTANCE Many conditions that can affect women's health are often evaluated through pelvic examination. Although the pelvic examination is a common part of the physical examination, it is unclear whether performing screening pelvic examinations in asymptomatic women has a significant effect on disease morbidity and mortality. OBJECTIVE To issue a new US Preventive Services Task Force (USPSTF) recommendation on screening for gynecologic conditions with pelvic examination for conditions other than cervical cancer, gonorrhea, and chlamydia, for which the USPSTF has already made specific recommendations. EVIDENCE REVIEW The USPSTF reviewed the evidence on the accuracy, benefits, and potential harms of performing screening pelvic examinations in asymptomatic, nonpregnant adult women 18 years and older who are not at increased risk for any specific gynecologic condition. FINDINGS Overall, the USPSTF found inadequate evidence on screening pelvic examinations for the early detection and treatment of a range of gynecologic conditions in asymptomatic, nonpregnant adult women. CONCLUSIONS AND RECOMMENDATION The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of performing screening pelvic examinations in asymptomatic, nonpregnant adultwomen. (I statement) This statement does not apply to specific disorders for which the USPSTF already recommends screening (ie, screening for cervical cancer with a Papanicolaou smear, screening for gonorrhea and chlamydia).
UR - http://www.scopus.com/inward/record.url?scp=85015908413&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85015908413&partnerID=8YFLogxK
U2 - 10.1001/jama.2017.0807
DO - 10.1001/jama.2017.0807
M3 - Review article
C2 - 28267862
AN - SCOPUS:85015908413
SN - 0098-7484
VL - 317
SP - 947
EP - 953
JO - JAMA - Journal of the American Medical Association
JF - JAMA - Journal of the American Medical Association
IS - 9
ER -