Screening pelvic examination in adult women: a clinical practice guideline from the American College of Physicians
- PMID: 24979451
- DOI: 10.7326/M14-0701
Screening pelvic examination in adult women: a clinical practice guideline from the American College of Physicians
Abstract
Description: 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.
Methods: 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.
Recommendation: ACP recommends against performing screening pelvic examination in asymptomatic, nonpregnant, adult women (strong recommendation, moderate-quality evidence).
Comment in
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Screening pelvic examinations: right, wrong, or rite?Ann Intern Med. 2014 Jul 1;161(1):78-9. doi: 10.7326/M14-1205. Ann Intern Med. 2014. PMID: 24979453 No abstract available.
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Screening pelvic examination in adult women.Ann Intern Med. 2014 Dec 16;161(12):925. doi: 10.7326/L14-5035. Ann Intern Med. 2014. PMID: 25506864 No abstract available.
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Screening pelvic examination in adult women.Ann Intern Med. 2014 Dec 16;161(12):925-6. doi: 10.7326/L14-5035-2. Ann Intern Med. 2014. PMID: 25506865 No abstract available.
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Screening pelvic examination in adult women.Ann Intern Med. 2014 Dec 16;161(12):926. doi: 10.7326/L14-5035-3. Ann Intern Med. 2014. PMID: 25506866 No abstract available.
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American College of Physicians recommends against screening pelvic examinations in asymptomatic adult nonpregnant women.J Midwifery Womens Health. 2014 Nov-Dec;59(6):670. doi: 10.1111/jmwh.12263_5. J Midwifery Womens Health. 2014. PMID: 25692195 No abstract available.
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