Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA.
J Womens Health (Larchmt). 2010 Apr;19(4):651-7. doi: 10.1089/jwh.2009.1928.
Since 2003, newer cervical cancer screening guidelines that include human papillomavirus (HPV) testing with cytology (HPV co-testing) call for extension of screening intervals in women who are cytology normal and HPV negative. Continuing medical education (CME) may help increase knowledge and appropriate adoption of new technologies and guidelines. However, there are concerns that industry support of CME may bias messages favoring newer technologies without emphasizing the updated guidelines, especially less frequent testing recommendations. Our objectives were to assess availability and accuracy of web-based CME activities describing cervical cancer screening guidelines, screening intervals, and HPV testing.
We identified 20 web-based CME activities available between 2006 and 2008 and evaluated the content for messages related to HPV and natural history, cervical cancer screening guidelines, management of HPV abnormalities, and counseling tips for patients. In addition to content, we noted funding source, credit offered, and dates available.
Most activities (80%) discussed the updated screening guidelines with HPV co-testing for eligible women. Twelve activities (60%) referenced professional organization support of the extended screening interval with the HPV co-test, and three (15%) discussed the justification for extension of intervals for eligible women. Eight activities (40%) were funded by industry, seven of which included accurate, updated screening guidelines about extension of screening intervals.
Web-based CME activities generally support updated guidance for HPV co-testing and extended screening intervals but need more information on counseling patients and acceptability of extending screening intervals.
自 2003 年以来，包含人乳头瘤病毒（HPV）检测与细胞学检测（HPV 联合检测）的新宫颈癌筛查指南呼吁对细胞学正常且 HPV 阴性的女性延长筛查间隔。继续医学教育（CME）可能有助于提高知识水平，并促进新技术和新指南的恰当应用。然而，人们担心行业对 CME 的支持可能会偏向于新技术，而不强调更新的指南，尤其是对更频繁的检测建议。我们的目的是评估描述宫颈癌筛查指南、筛查间隔和 HPV 检测的基于网络的 CME 活动的可用性和准确性。
我们确定了 2006 年至 2008 年间提供的 20 项基于网络的 CME 活动，并评估了与 HPV 和自然史、宫颈癌筛查指南、HPV 异常的管理以及患者咨询技巧相关的内容。除了内容外，我们还注意了资金来源、提供的学分以及可获得的日期。
大多数活动（80%）讨论了更新的 HPV 联合检测筛查指南，适用于符合条件的女性。12 项活动（60%）提到了专业组织对 HPV 联合检测延长筛查间隔的支持，3 项活动（15%）讨论了为符合条件的女性延长间隔的理由。8 项活动（40%）由行业资助，其中 7 项活动包括了关于延长筛查间隔的准确、更新的筛查指南。
基于网络的 CME 活动通常支持 HPV 联合检测和延长筛查间隔的最新指南，但需要更多关于咨询患者和接受延长筛查间隔的信息。
