Ann Intern Med. 2014 Jul 1;161(1):67-72. doi: 10.7326/M14-0701.
The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on the utility of screening pelvic examination for the detection of pathology in asymptomatic, nonpregnant, adult women.
This guideline is based on a systematic review of the published literature in the English language from 1946 through January 2014 identified using MEDLINE and hand-searching. Evaluated outcomes include morbidity; mortality; and harms, including overdiagnosis, overtreatment, diagnostic procedure-related harms, fear, anxiety, embarrassment, pain, and discomfort. The target audience for this guideline includes all clinicians, and the target patient population includes asymptomatic, nonpregnant, adult women. This guideline grades the evidence and recommendations using the ACP's clinical practice guidelines grading system.
ACP recommends against performing screening pelvic examination in asymptomatic, nonpregnant, adult women (strong recommendation, moderate-quality evidence).
美国医师学院（ACP）制定本指南，旨在介绍对无症状、非妊娠成年女性进行盆腔检查以发现病变的筛查效用的证据，并提供相关临床建议。
本指南基于对从 1946 年至 2014 年 1 月发表的英文文献的系统评价，使用 MEDLINE 和手工检索进行文献检索。评估的结局指标包括发病率；死亡率；以及危害，包括过度诊断、过度治疗、诊断程序相关危害、恐惧、焦虑、尴尬、疼痛和不适。本指南的目标受众是所有临床医生，目标患者人群为无症状、非妊娠的成年女性。本指南使用 ACP 的临床实践指南分级系统对证据和建议进行分级。
ACP 不建议对无症状、非妊娠的成年女性进行盆腔检查筛查（强烈推荐，中等质量证据）。
