Evidence-Based Consensus Recommendations for Colposcopy Practice for Cervical Cancer Prevention in the United States

Nicolas Wentzensen, L. Stewart Massad, Edward J. Mayeaux, Michelle J. Khan, Alan G. Waxman, Mark H. Einstein, Christine Conageski, Mark H. Schiffman, Michael A. Gold, Barbara S. Apgar, David Chelmow, Kim K. Choma, Teresa M. Darragh, Julia C. Gage, Francisco A.R. Garcia, Richard S. Guido, Jose A. Jeronimo, Angela Liu, Cara A. Mathews, Martha M. MitchellAnna Barbara Moscicki, Akiva P. Novetsky, Theognosia Papasozomenos, Rebecca B. Perkins, Michelle I. Silver, Katie M. Smith, Elizabeth A. Stier, Candice A. Tedeschi, Claudia L. Werner, Warner K. Huh

Research output: Contribution to journalArticle

30 Scopus citations

Abstract

The American Society for Colposcopy and Cervical Pathology (ASCCP) Colposcopy Standards recommendations address the role of colposcopy and directed biopsy for cervical cancer prevention in the United States (US). The recommendations were developed by an expert working group appointed by ASCCP's Board of Directors. An extensive literature review was conducted and supplemented by a systematic review and meta-analysis of unpublished data. In addition, a survey of practicing colposcopists was conducted to assess current colposcopy practice in the US. Recommendations were approved by the working group members, and the final revisions were made based on comments received from the public. The recommendations cover terminology, risk-based colposcopy, colposcopy procedures, and colposcopy adjuncts. The ASCCP Colposcopy Standards recommendations are an important step toward raising the standard of colposcopy services delivered to women in the US. Because cervical cancer screening programs are currently undergoing important changes that may affect colposcopy performance, updates to some of the current recommendations may be necessary in the future.

Original languageEnglish (US)
Pages (from-to)216-222
Number of pages7
JournalJournal of lower genital tract disease
Volume21
Issue number4
DOIs
StatePublished - Oct 1 2017

Keywords

  • biopsy
  • cervical cancer
  • colposcopy
  • evidence based
  • recommendations
  • screening

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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    Wentzensen, N., Massad, L. S., Mayeaux, E. J., Khan, M. J., Waxman, A. G., Einstein, M. H., Conageski, C., Schiffman, M. H., Gold, M. A., Apgar, B. S., Chelmow, D., Choma, K. K., Darragh, T. M., Gage, J. C., Garcia, F. A. R., Guido, R. S., Jeronimo, J. A., Liu, A., Mathews, C. A., ... Huh, W. K. (2017). Evidence-Based Consensus Recommendations for Colposcopy Practice for Cervical Cancer Prevention in the United States. Journal of lower genital tract disease, 21(4), 216-222. https://doi.org/10.1097/LGT.0000000000000322