Management of Abnormal Pap-HPV Tests Not Guideline Based

Most primary care physicians, including obstetrician-gynecologists, do not follow guidelines

TUESDAY, Nov. 23 (HealthDay News) -- When faced with managing even the most common abnormal Pap smear and human papillomavirus (HPV) testing results, most physicians, including obstetrician-gynecologists, do not adhere to current management guidelines, according to research published in the December issue of Obstetrics & Gynecology.

Zahava Berkowitz, of the U.S. Centers for Disease Control and Prevention in Atlanta, and colleagues conducted a survey of 950 primary care physicians familiar with HPV testing to assess the factors associated with various screening recommendations. The physicians were asked to make recommendation to a 35-year-old woman in each of two vignettes: discordant (normal Pap and positive HPV) or mildly abnormal (atypical squamous cells of undetermined significance Pap and negative HPV).

The researchers found that only 54.3 percent of physicians adhered to management guidelines by recommending both Pap and HPV testing in six to 12 months for the discordant test results; there was no significant difference in adherence by physician specialty. For the mildly abnormal results, obstetrician-gynecologists had a significantly higher percentage of guideline adherence (19.8 percent) compared with family and general practitioners (9.3 percent) and internists (11 percent).

"Our findings suggest that development and evaluation of interventions to improve adherence to management guidelines for the newer HPV DNA test, including educational efforts, reminder systems, and changes in test ordering systems will be important areas for additional research," the authors write.

Abstract
Full Text (subscription or payment may be required)

Copyright © 2010 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Debunking Three Rape Myths
Journal of Forensic Nursing, October/December 2014
Expires: 12/31/2016 CE:2.5 $24.95


Drug updates and approvals: 2014 in review
The Nurse Practitioner, 13December 2014
Expires: 12/31/2016 CE:3 $27.95


Can Food Processing Enhance Cancer Protection?
Nutrition Today, September/October 2014
Expires: 10/31/2016 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events