American Cancer Society’s New Cervical Cancer Screening Guidelines Lead to Doctor Mismatch

of Recent updates from the American Cancer Society Cervical cancer The screening guidelines elicit mixed opinions from local physicians.

On July 30, the association published the latest recommendations for starting screening at age 25 and recommended primary human papillomavirus (HPV) testing as a test every 5 years until age 65. Earlier guidelines published in 2012 indicated that the cervix cancer Screening begins at age 21.

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These tests help detect cervical cancer early.

In the Pap test, a gynecologist wipes cells near the patient’s cervix and sends the sample to the lab to test for abnormal cells or precancerous changes. In the HPV test, certain high-risk HPV types can cause cervical cancer, so doctors use a small brush to collect cervical cells to test for HPV.

Officials of the American Cancer Society said update Reflects the rapidly changing situation in cervical cancer prevention UsAccording to him, there is now a need for “less and more streamlined” screening, news release..

The change in recommended age is due to the lower incidence of cervical cancer between the ages of 20 and 24, and most HPV infections in these individuals go undetectable in 1-2 years.

Since not all labs have moved to primary HPV testing, the guidelines indicate that currently acceptable options include a 5-year Pap test (called a joint test) plus an HPV test, or a tri-yearly test. Pap test only.

As not all labs are migrating to primary HPV testing, the updated guideline is that acceptable options include a 5-year Pap test (called a joint test) plus an HPV test, or a tri-year test. Pap test only. The photo is a pap smear medical examination. (IStock)

However, some doctors say this change is a concern and conflict about the patient’s best interests.

Dr. Mark Spitzer, an OB/GYN specialist in New York and a clinical professor of obstetrics and gynecology at Hofstra/Northwell Zucker School of Medicine, disagrees with the latest guidelines and early co-testing will help diagnose and save on cancer. More life claimed to be important to.

“The data show that screening with two tests instead of one, screening more often, starting with a younger age, discovering and preventing a small but insignificant number of additional cancer cases, Is clearly shown to save lives,” writes Spitzer. E-mail statement to Fox News. Spitzer is also a former Chairman of the American Colposcopy and Cervical Pathology Society (ASCCP).

However, Spitzer said a joint test at a younger age may find some additional conditions that are not precancerous, and if treated with unnecessary colposcopy, the risk of preterm birth in future pregnancies is high. It could happen.

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Dr. Jessica Shepherd, an OB-GYN gynecologic surgeon at Baylor University Medical Center, also opposed what she called “on change” in the new guidelines.

“The guidelines recommend the future removal of the Pap test, even though the Pap test is a proven and effective part of the screening process. These guidelines maximize protection for women’s health I believe it is necessary to retain all screening options in order to be added.”

National Association of Women’s Nurses before society publishes new guidelines We conducted a survey to study Of 750 health care providers (HCPs) and 1,000 women on this topic, “the majority of HCP respondents call for a Pap test for women aged 21 to 29 and a joint test for women aged 30”. We continue to support the 2012 consensus screening guidelines.-65″

The findings were published in Women’s Healthcare: A Clinical Journal for Nurse Practitioners in June.

The study also found that 61% of HCPs and 68% of women said, “The complete elimination of the Pap test from the front line of cervical cancer screening and the reliance on HPV alone would adversely affect women’s health.” “

According to a study, 61% of HCPs and 68% of women believe that “eliminating the Pap test completely from the front line of cervical cancer screening and relying solely on HPV has a negative impact on women’s health” “. (IStock)

After the American Cancer Society published the updated guidelines on July 30, Dr. Christopher Zahn, vice president of clinical practice at the American College of Obstetricians and Gynecologists (ACOG), said: Issued a statement About the problem.

“The ACOG looks forward to a comprehensive review of the American Cancer Society’s recommendations and supporting evidence to determine whether similar updates to the clinical guidance document on cervical cancer screening are needed. “He said.

“In the meantime, ACOG has identified current cervical cancer screening guidelines that include all three screening strategies for cervical cancer: high-risk human papillomavirus testing only, cervical cytology only, and collaborative testing.” He continued. “ACOG’s current screening guidelines reflect a balance of benefits and potential harm and support shared decision making between patients and clinicians.”

Looking for updates on the ACOG’s stance on the issue, the organization’s spokesperson, Kate Connors, told Fox AC that there are no additional comments to the ACOG at this time.

However, “Our clinical guidance is [every] 12-18 months, our clinical review board didn’t have [the] Opportunity to evaluate new information.”

Connors said the guidance is still being implemented.

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Dr. Michael Randell, an OB-GYN in Atlanta, Georgia, reiterated the views of other physicians against the new guidelines.

“As a doctor, every decision I make is rooted not only in strong evidence, but also in the best interests of the patient. This is how we approach all patient care decisions,” Randell told Fox News. I wrote in an email statement. “But the new American Cancer Society guidelines can’t put patients’ attention at the forefront because they don’t support data that suggests it’s best for women.”

Randell said the guidelines would reduce women’s choices, ultimately reduce the “monumental reversal of progress” against cervical cancer (a preventable disease), and ultimately endanger more lives. Stated.

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