Missed connections: Unintended consequences of updated cervical cancer screening guidelines on screening rates for sexually transmitted infections.
Can Fam Physician
; 61(10): e459-66, 2015 Oct.
Article
en En
| MEDLINE
| ID: mdl-26759845
ABSTRACT
OBJECTIVE:
To examine the effects of the updated 2012 cervical cancer screening guidelines on the rates of sexually transmitted infection (STI) screening in primary care.DESIGN:
Retrospective chart review.SETTING:
Five academic family practice units at St Michael's Hospital in Toronto, Ont.PARTICIPANTS:
Female patients, aged 19 to 25, who had at least 1 visit with a physician at 1 of the 5 academic family practice units during a 12-month period before (May 1, 2011, to April 30, 2012) or after (November 1, 2012, to October 31, 2013) the release of the updated guidelines. MAIN OUTCOMEMEASURES:
Number of women who received Papanicolaou tests or underwent STI screening; rates of STI screening performed during a Pap test or a periodic health examination; screening rates for HIV, syphilis, and hepatitis C; and the methods used for STI screening before and after the release of the updated guidelines. Results Before the release of the 2012 guidelines, 42 of 100 women had Pap tests and 40 of 100 women underwent STI screening. After the release of the guidelines, 17 of 100 women had Pap tests and 20 of 100 women received STI screening. Female patients were less likely to undergo STI screening under the 2012 guidelines compared with the 2005 guidelines (odds ratio 0.38, 95% CI 0.19 to 0.74; P = .003).CONCLUSION:
Implementation of the 2012 cervical cancer screening guidelines was associated with lower rates of STI screening in the primary care setting. Primary care physicians should screen at-risk women for STIs at any clinically appropriate encounter and consider using noninvasive self-sampling methods.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Enfermedades de Transmisión Sexual
/
Neoplasias del Cuello Uterino
/
Tamizaje Masivo
/
Guías de Práctica Clínica como Asunto
/
Detección Precoz del Cáncer
Tipo de estudio:
Diagnostic_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Límite:
Adult
/
Female
/
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Can Fam Physician
Año:
2015
Tipo del documento:
Article