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Extra info for The Guide to Clinical Preventive Services 2006 Recommendations of the U.S. Preventive Services Task Force
Sample text
Furthermore, existing evidence that screening can detect early-stage ovarian cancer is insufficient to indicate that this earlier diagnosis will reduce mortality. ■ Because there is a low incidence of ovarian cancer in the general population (age-adjusted incidence of 17 per 100,000 women), screening for ovarian cancer is likely to have a relatively low yield. The great majority of women with a positive screening test will not have ovarian cancer (ie, they will have a false-positive result). In women at average risk, the positive predictive value of an abnormal screening test is, at best, approximately 2% (ie, 98% of women with positive test results will not have ovarian cancer).
2nd ed. Washington, DC: ACOG;2002: 121-134, 140-141. 7. Mitchell HS, Giles GG. Cancer diagnosis after a report of negative cervical cytology. Med J Aust. 1996;164(5):270-273. 8. Sigurdsson K. Trends in cervical intra-epithelial neoplasia in Iceland through 1995: evaluation of targeted age groups and screening intervals. Acta Obstet Gynecol Scand. 1999;78(6):486-492. This USPSTF recommendation was first published by: Agency for Healthcare Research and Quality, Rockville, MD. January 2003. htm. S.
Rating: D Recommendation. The USPSTF recommends against routine Pap smear screening in women who have had a total hysterectomy for benign disease. Rating: D Recommendation. The USPSTF concludes that the evidence is insufficient to recommend for or against the routine use of new technologies to screen for cervical cancer. Rating: I Recommendation. The USPSTF concludes that the evidence is insufficient to recommend for or against the routine use of human papillomavirus (HPV) testing as a primary screening test for cervical cancer.
