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Screening Guidelines
American Cancer Society (ACS), American Society for Colposcopy and Cervical Pathology (ASCCP), and American Society for Clinical Pathology | U.S. Preventive Services Task Force (USPSTF)2 | American College of Obstetricians and Gynecologists (ACOG) | |||||||||
When to start screening | Age 21. Women aged <21 years should not be screened regardless of the age of sexual initiation or other risk factors | Age 21. (A recommendation) Recommend against screening women aged <21 years (D recommendation) | Age 21 regardless of the age of onset of sexual activity. Women aged <21 years should not be screened regardless of age at sexual initiation and other behavior-related risk factors (Level A evidence) | ||||||||
Statement about annual screening | Women of any age should not be screened annually by any screening method | Age >40 years: annually | Age 20-39 years: every 3 years age >40 years: annually |
Optional | |||||||
American College of Obstetricians and Gynecologists | 2011 | Age >40 years: annually | Age 20-39 years: every 3 years >40 years: annually |
Encouraged | - style="height:75px" | USPSTF | 2009 | Age 50-74 years: every 2 years Age 40-49 or >75: individualize decision (every 2 years if performed) |
Insufficient evidence for recommendation | Not recommended | |
American Cancer Society | 2010 | Age >40 years: annually | Age 20-39 years: every 3 years age >40 years: annually |
Optional | |||||||
American College of Obstetricians and Gynecologists | 2011 | Age >40 years: annually | Age 20-39 years: every 3 years >40 years: annually |
Encouraged | - style="height:75px" | USPSTF | 2009 | Age 50-74 years: every 2 years Age 40-49 or >75: individualize decision (every 2 years if performed) |
Insufficient evidence for recommendation | Not recommended | |
American Cancer Society | 2010 | Age >40 years: annually | Age 20-39 years: every 3 years age >40 years: annually |
Optional | |||||||
American College of Obstetricians and Gynecologists | 2011 | Age >40 years: annually | Age 20-39 years: every 3 years >40 years: annually |
Encouraged |
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