Division of Cancer Epidemiology & Genetics, National Cancer Institute, Rockville, MD.
Health and Community Services Administration, Pima County, Tucson, AZ.
J Low Genit Tract Dis. 2024 Apr 1;28(2):117-123. doi: 10.1097/LGT.0000000000000804. Epub 2024 Mar 2.
The Enduring Consensus Cervical Cancer Screening and Management Guidelines (Enduring Guidelines) effort is a standing committee to continuously evaluate new technologies and approaches to cervical cancer screening, management, and surveillance.
The Enduring Guidelines process will selectively incorporate new technologies and approaches with adequate supportive data to more effectively improve cancer prevention for high-risk individuals and decrease unnecessary procedures in low-risk individuals. This manuscript describes the structure, process, and methods of the Enduring Guidelines effort. Using systematic literature reviews and primary data sources, risk of precancer will be estimated and recommendations will be made based on risk estimates in the context of established risk-based clinical action thresholds. The Enduring Guidelines process will consider health equity and health disparities by assuring inclusion of diverse populations in the evidence review and risk assessment and by developing recommendations that provide a choice of well-validated strategies that can be adapted to different settings.
The Enduring Guidelines process will allow updating existing cervical cancer screening and management guidelines rapidly when new technologies are approved or new scientific evidence becomes available.
持续共识宫颈癌筛查和管理指南（持续指南）工作是一个常设委员会，旨在不断评估宫颈癌筛查、管理和监测的新技术和方法。
持续指南的工作流程将有选择地纳入具有充分支持数据的新技术和方法，以更有效地为高危人群预防癌症，并减少低危人群的不必要程序。本文描述了持续指南工作的结构、流程和方法。使用系统文献回顾和主要数据源，估计癌前风险，并根据既定基于风险的临床行动阈值背景下的风险估计提出建议。持续指南工作将通过确保在证据审查和风险评估中纳入不同人群，以及制定提供多种经过充分验证的策略选择的建议来考虑公平性和健康差异，这些策略可以适应不同的环境。
当新技术获得批准或新的科学证据可用时，持续指南工作流程将允许快速更新现有的宫颈癌筛查和管理指南。
