现在是时候重新评估 65 岁以上女性的宫颈癌筛查了。
It's time to re-evaluate cervical Cancer screening after age 65.
机构信息
Community Health Network, Indianapolis, IN, United States of America.
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL, United States of America.
出版信息
Gynecol Oncol. 2021 Jul;162(1):200-202. doi: 10.1016/j.ygyno.2021.04.027. Epub 2021 Apr 26.
Abstract
Cervical cancer screening guidelines currently recommend cessation of cervical cancer screening after age 65, despite 20% of new cervical cancer cases occurring in this age group. The US population is aging, research methodology that examines cervical cancer incidence and mortality rates has changed, and sexual behaviors and the rates at which women have hysterectomies have changed over time. Current guidelines do not adequately address these changes, and may be missing significant opportunities to prevent cervical cancer cases and deaths in older women. Furthermore, racial disparities in cervical cancer outcomes may be exacerbated by not addressing the preventive health needs of older women through cervical cancer screening.
摘要
宫颈癌筛查指南目前建议在 65 岁后停止宫颈癌筛查，尽管该年龄段仍有 20%的新宫颈癌病例发生。美国人口老龄化，研究宫颈癌发病率和死亡率的方法发生了变化，性行为以及女性接受子宫切除术的比例随时间而变化。目前的指南没有充分考虑到这些变化，可能会错失预防老年女性宫颈癌病例和死亡的重要机会。此外，如果不通过宫颈癌筛查来解决老年女性的预防性健康需求，可能会加剧宫颈癌结局方面的种族差异。
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