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Assessment of Follow-Up for Low-Grade Cytological Abnormalities in the National Breast and Cervical Cancer Early Detection Program, 2000-2005

Benard, Vicki B. PhD1; Howe, William BS2; Saraiya, Mona MD1; Helsel, William MS2; Lawson, Herschel W. MD1

Journal of Lower Genital Tract Disease: October 2008 - Volume 12 - Issue 4 - pp 300-306
doi: 10.1097/LGT.0b013e31817e308e
Original Articles
Spanish Translation

Objective. To assess the management of women in the National Breast and Cervical Cancer Early Detection Program with low-grade squamous intraepithelial lesions (LSIL) before and after the American Society for Colposcopy and Cervical Pathology (ASCCP) guidelines for management of abnormal cytology were published in 2002.

Materials and Methods. We examined the follow-up for 22,342 women with LSIL during 2 periods: 2000-2002 and 2003-2005.

Results. The percentage of providers who followed the recommended guidelines with colposcopy for an LSIL Pap test result increased by 9% from the pre-ASCCP to the post-ASCCP period. An increase was seen in every age and racial/ethnic group. Younger women (<30 years) and white women were more likely than comparison groups to be followed by colposcopy rather than a repeat Pap test.

Conclusions. The increase in percentage of women having colposcopy in 2003, 1 year after the new guidelines were published, suggests a change in provider practices consistent with those guidelines.

Study findings show evidence that providers respond positively to changes in recommendations for management of women with LSIL.

1Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, and 2Information Management Services, Inc, Silver Spring, MD

Reprint requests to: Vicki B. Benard, PhD, Epidemiology and Applied Research Branch, Division of Cancer Prevention and Control, Mailstop K-55, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford HWY NE, Atlanta, GA 30341. E-mail: vdb9@cdc.gov

"The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention."

©2008The American Society for Colposcopy and Cervical Pathology