http://www.medcitynews.com/2009/11/on-the-heels-of-controversial-mammography-recommendations-new-cervical-cancer-screening-guidelines-%e2%80%93-medcity-morning-read-nov-20-2009/?utm_source=rss&utm_medium=rss&utm_campaign=on-the-heels-of-controversial-mammography-recommendations-new-cervical-cancer-screening-guidelines-%25e2%2580%2593-medcity-morning-read-nov-20-2009 MedCity News Sat, 11 Feb 2012 15:17:29 +0000 hourly 1 http://wordpress.org/?v=3.2.1 http://www.medcitynews.com/2009/11/on-the-heels-of-controversial-mammography-recommendations-new-cervical-cancer-screening-guidelines-%e2%80%93-medcity-morning-read-nov-20-2009/comment-page-1/#comment-38038 David Albert, MD Fri, 20 Nov 2009 21:07:37 +0000 http://www.medcitynews.com/?p=14973#comment-38038 Big difference between these two recommendations. The mammography recommendation was NOT DONE BY CLINICIANS while the PAP smear rec was done by ACOG– the docs who care for cervical cancer. Another thought that clearly impacted this decision is that the HPV vaccine will continue to have increased penetration in younger women who are not sexually active (or maybe are) and they will be at a significantly lower risk of cervical cancer anyway. Clearly , clinical decisions should be made by clinicians using the best data provided by research but not made by statisticians looking at that same data– they have no accountability vis a vis the patient. Big difference between these two recommendations. The mammography recommendation was NOT DONE BY CLINICIANS while the PAP smear rec was done by ACOG– the docs who care for cervical cancer. Another thought that clearly impacted this decision is that the HPV vaccine will continue to have increased penetration in younger women who are not sexually active (or maybe are) and they will be at a significantly lower risk of cervical cancer anyway. Clearly , clinical decisions should be made by clinicians using the best data provided by research but not made by statisticians looking at that same data– they have no accountability vis a vis the patient.

]]> http://www.medcitynews.com/2009/11/on-the-heels-of-controversial-mammography-recommendations-new-cervical-cancer-screening-guidelines-%e2%80%93-medcity-morning-read-nov-20-2009/comment-page-1/#comment-37997 bmc Fri, 20 Nov 2009 15:23:18 +0000 http://www.medcitynews.com/?p=14973#comment-37997 In my twenties, precancerous cells were found on my cervix and an outpatient procedure occurred. It is likely that the precancerous cells were caused by HPV a sexually transmitted disease, with no warning signs until cancer cells appear. I can't believe that during the years when females are most likely to be sexually active outside of a monogamous relationship, that they are now being encouraged NOT to get a yearly pelvic exam/pap smear. These are the years that it's most critical for women to be mindful of reproductive health. It makes me profoundly sad. In my twenties, precancerous cells were found on my cervix and an outpatient procedure occurred. It is likely that the precancerous cells were caused by HPV a sexually transmitted disease, with no warning signs until cancer cells appear.
I can’t believe that during the years when females are most likely to be sexually active outside of a monogamous relationship, that they are now being encouraged NOT to get a yearly pelvic exam/pap smear. These are the years that it’s most critical for women to be mindful of reproductive health. It makes me profoundly sad.

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