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Primary HPV testing recommendations of US providers, 2015
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Dec 2017
Source: Prev Med. 105:372-377. -
Alternative Title:Prev Med
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Personal Author:
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Description:Objective
To investigate the HPV testing recommendations of US physicians who perform cervical cancer screening.
Methods
Data from the 2015 DocStyles survey of U.S. health care providers were analyzed using multivariate logistic regression to identify provider characteristics associated with routine recommendation of primary HPV testing for average-risk, asymptomatic women ≥30 years old. The analysis was limited to primary care physicians and obstetrician-gynecologists who performed cervical cancer screening (N = 843).
Results
Primary HPV testing for average-risk, asymptomatic women ≥30 years old was recommended by 40.8% of physicians who performed cervical cancer screening, and 90.1% of these providers recommended primary HPV testing for women of all ages. The screening intervals most commonly recommended for primary HPV testing with average-risk, asymptomatic women ≥30 years old were every 3 years (35.5%) and annually (30.2%). Physicians who reported that patient HPV vaccination status influenced their cervical cancer screening practices were almost four times more likely to recommend primary HPV testing for average-risk, asymptomatic women ≥30 years old than other providers (Adj OR = 3.96, 95% CI = 2.82–5.57).
Conclusion
Many US physicians recommended primary HPV testing for women of all ages, contrary to guidelines which limit this screening approach to women ≥25 years old. The association between provider recommendation of primary HPV testing and patient HPV vaccination status may be due to anticipated reductions in the most oncogenic HPV types among vaccinated women.
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Subjects:
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Source:
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Pubmed ID:29056319
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Pubmed Central ID:PMC5809311
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Document Type:
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Main Document Checksum:
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Download URL:
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File Type:
[PDF-105.64 KB]
Email
CDC-INFO
