Benard Vicki B, Howe William, Saraiya Mona, Helsel William, Lawson Herschel W
Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA.
J Low Genit Tract Dis. 2008 Oct;12(4):300-6. doi: 10.1097/LGT.0b013e31817e308e.
To assess the management of women in the National Breast and Cervical Cancer Early Detection Program with low-grade squamous intraepithelial lesions (LSIL) before and after the American Society for Colposcopy and Cervical Pathology (ASCCP) guidelines for management of abnormal cytology were published in 2002.
We examined the follow-up for 22,342 women with LSIL during 2 periods: 2000-2002 and 2003-2005.
The percentage of providers who followed the recommended guidelines with colposcopy for an LSIL Pap test result increased by 9% from the pre-ASCCP to the post-ASCCP period. An increase was seen in every age and racial/ethnic group. Younger women (<30 years) and white women were more likely than comparison groups to be followed by colposcopy rather than a repeat Pap test.
The increase in percentage of women having colposcopy in 2003, 1 year after the new guidelines were published, suggests a change in provider practices consistent with those guidelines.
评估在美国阴道镜及宫颈病理学会（ASCCP）2002年发布异常细胞学管理指南前后，参加国家乳腺癌和宫颈癌早期检测项目且患有低度鳞状上皮内病变（LSIL）的女性的管理情况。
我们在两个时间段对22342例患有LSIL的女性进行了随访：2000 - 2002年和2003 - 2005年。
对于LSIL巴氏试验结果采用推荐的阴道镜检查指南的医疗服务提供者比例，从ASCCP指南发布前到发布后增加了9%。各年龄组和种族/族裔组均有增加。年轻女性（<30岁）和白人女性比对照组更有可能接受阴道镜检查而非重复巴氏试验。
新指南发布1年后的2003年，接受阴道镜检查的女性比例增加，表明医疗服务提供者的做法发生了与这些指南一致的变化。
