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首页> 外文期刊>American Journal of Obstetrics and Gynecology >Current practice patterns in cervical cancer screening in Indiana
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Current practice patterns in cervical cancer screening in Indiana

机译：印第安纳州宫颈癌筛查的当前实践模式

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Objective The purpose of this study is to describe current health care provider cervical cancer screening practice patterns for average-risk women in the state of Indiana in comparison to the 2012 guidelines as well as earlier guidelines. We also aim to describe what factors are associated with increased adherence to guidelines, and what factors may impede adherence. Study Design We conducted a vignette-based survey among a convenience sample of obstetricians, gynecologists, midwives, nurse practitioners, and physician assistants attending the Indiana American Congress of Obstetricians and Gynecologists Section meeting in January 2013. Results Questionnaires were returned by 51% (112/218) of attendants. Of the 111 providers with completed surveys, 42 (38%) follow current guidelines. Of providers, 86% start screening at age 21 years. Of providers, 33% screen women aged 21-29 years every 3 years. Of providers, 33% follow recommendations for cotesting every 5 years for patients 30-65 years of age. The majority of providers follow guidelines to stop screening after a benign hysterectomy or age 65 years (75% and 51%, respectively). Conclusion The majority of providers follow the 2012 guidelines for the initiation and cessation of cervical screening; however, most providers screen more frequently than currently recommended for patients between ages 21-65 years.
机译：目的本研究的目的是与2012年指南和早期指南相比，描述印第安纳州中等风险妇女当前的医疗保健提供者子宫颈癌筛查实践模式。我们还旨在描述哪些因素与遵守指南的增加有关，以及哪些因素可能会阻碍遵守。研究设计我们在2013年1月参加印第安纳州美国妇产科医生会议的产科医师，妇产科医生，助产士，护士和医生助理的便利样本中进行了基于小插图的调查。结果，问卷调查的返回率为51％（112 / 218）。在完成调查的111位提供者中，有42位（38％）遵循了当前的指南。在提供者中，有86％从21岁开始筛查。在提供者中，有33％的女性每3年筛查21-29岁的女性。在提供者中，有33％遵循30-65岁患者每5年进行共同测试的建议。大多数提供者遵循指南以在良性子宫切除术或65岁以后停止筛查（分别为75％和51％）。结论大多数医疗服务提供者遵循2012年开始和停止子宫颈筛查的指南。但是，对于21至65岁之间的患者，大多数提供者的筛查频率要比目前建议的筛查频率更高。

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