Overuse of papanicolaou testing among older women and among women without a cervix.

Kepka, Deanna; Breen, Nancy; King, Jessica B; Benard, Vicki B; Saraiya, Mona · JAMA Intern Med · 2014

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Abstract

Leading national organizations are increasingly using evidence-based recommendations for Papanicolaou testing. As of 2003, organizations recommended against Papanicolaou testing for women without a cervix following a hysterectomy who do not have a history of high-grade precancerous lesion or cervical cancer and for women older than 65 years with adequate prior screening and who are not at high risk.<sup>–</sup> Few studies have investigated overuse of Papanicolaou testing among US women. We aimed to investigate overuse of Papanicolaou testing in relation to cervical cancer screening recommendations.

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