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Overuse of Papanicolaou Testing Among Older Women and Among Women Without a Cervix

Deanna Kepka, PhD, MPH1,2,3; Nancy Breen, PhD3; Jessica B. King, MPH4; Vicki B. Benard, PhD5; Mona Saraiya, MD, MPH5
[+] Author Affiliations
1Cancer Control and Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City
2College of Nursing, University of Utah, Salt Lake City
3Health Services and Economics Branch, National Cancer Institute, National Institutes of Health, Rockville, Maryland
4Cancer Surveillance Branch, Centers for Disease Control and Prevention, Atlanta, Georgia
5Epidemiology and Applied Research Branch, Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
JAMA Intern Med. 2014;174(2):293-296. doi:10.1001/jamainternmed.2013.12607.
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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.13 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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