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Erschienen in: Cancer Causes & Control 8/2013

01.08.2013 | Original paper

Recommendations for a national agenda to substantially reduce cervical cancer

verfasst von: Jennifer S. Smith, Noel T. Brewer, Debbie Saslow, Kenneth Alexander, Mildred R. Chernofsky, Richard Crosby, Libby Derting, Leah Devlin, Charles J. Dunton, Jeffrey Engle, Maria Fernandez, Mona Fouad, Warner Huh, Walter Kinney, Jennifer Pierce, Elena Rios, Mitchel C. Rothholz, Judith C. Shlay, Rivienne Shedd-Steele, Sally W. Vernon, Joan Walker, Theresa Wynn, Gregory D. Zimet, Baretta R. Casey

Erschienen in: Cancer Causes & Control | Ausgabe 8/2013

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Abstract

Purpose

Prophylactic human papillomavirus (HPV) vaccines and new HPV screening tests, combined with traditional Pap test screening, provide an unprecedented opportunity to greatly reduce cervical cancer in the USA. Despite these advances, thousands of women continue to be diagnosed with and die of this highly preventable disease each year. This paper describes the initiatives and recommendations of national cervical cancer experts toward preventing and possibly eliminating this disease.

Methods

In May 2011, Cervical Cancer-Free America, a national initiative, convened a cervical cancer summit in Washington, DC. Over 120 experts from the public and private sector met to develop a national agenda for reducing cervical cancer morbidity and mortality in the USA.

Results

Summit participants evaluated four broad challenges to reducing cervical cancer: (1) low use of HPV vaccines, (2) low use of cervical cancer screening, (3) screening errors, and (4) lack of continuity of care for women diagnosed with cervical cancer. The summit offered 12 concrete recommendations to guide future national and local efforts toward this goal.

Conclusions

Cervical cancer incidence and mortality can be greatly reduced by better deploying existing methods and systems. The challenge lies in ensuring that the array of available prevention options are accessible and utilized by all age-appropriate women—particularly minority and underserved women who are disproportionately affected by this disease. The consensus was that cervical cancer can be greatly reduced and that prevention efforts can lead the way towards a dramatic reduction in this preventable disease in our country.
Fußnoten
1
In March 2012, the ASCCP/ACS/ASCP and the USPSTF included HPV testing in their updated recommendations.
 
2
The ACS/ASCCP/ASCP and the USPSTF 2012 recommend screening begin at 21 years of age.
 
3
Consistency among guidelines has been accomplished over the past year, with the American Cancer Society, the American Society for Colposcopy and Cervical Pathology and the American Society for Clinical Pathology issuing joint guidelines that are essentially the same as the newly released USPSTF guidelines. In addition, the American College of Obstetrics and Gynecologists endorsed these guidelines and is expected to update their own guidelines to match them.
 
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Metadaten
Titel
Recommendations for a national agenda to substantially reduce cervical cancer
verfasst von
Jennifer S. Smith
Noel T. Brewer
Debbie Saslow
Kenneth Alexander
Mildred R. Chernofsky
Richard Crosby
Libby Derting
Leah Devlin
Charles J. Dunton
Jeffrey Engle
Maria Fernandez
Mona Fouad
Warner Huh
Walter Kinney
Jennifer Pierce
Elena Rios
Mitchel C. Rothholz
Judith C. Shlay
Rivienne Shedd-Steele
Sally W. Vernon
Joan Walker
Theresa Wynn
Gregory D. Zimet
Baretta R. Casey
Publikationsdatum
01.08.2013
Verlag
Springer Netherlands
Erschienen in
Cancer Causes & Control / Ausgabe 8/2013
Print ISSN: 0957-5243
Elektronische ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-013-0235-8

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