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Cost-effectiveness of 3 Methods to Enhance the Sensitivity of Papanicolaou Testing

Article Abstract:

New technologies to improve the accuracy of Pap tests may be cost-effective if women get a Pap test once every three years. Researchers evaluated the cost-effectiveness of ThinPrep, AutoPap, and Papnet, which are automated systems using computers to analyze cervical samples. In a hypothetical scenario covering 20- to 65-year-old women, all three systems increased the cost of screening compared to a regular Pap test. However, when used once every three years, all three systems increased life expectancy at a lower cost than regular Pap tests.

Author: Brown, Adalsteinn D., Garber, Alan M.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1999
Reports, Technology application, Cost benefit analysis

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Risk of cervical cancer associated with extending the interval between cervical-cancer screenings

Article Abstract:

Women who wait three years to have another Pap test after having a negative test may be increasing their risk of cervical cancer, according to a study of 938,576 women. Even so, the risk of cervical cancer in women who have few risk factors is very low. In this study, the risk was 2 in 100,000 in young women who had annual Pap tests, and 5 in 100,000 for young women who waited three years after a negative test to have another Pap test. Older women had an even lower risk of developing cervical cancer.

Author: Lawson, Herschel W., Washington, A. Eugene, Myers, Evan R., Sawaya, George F., Lee, Nancy C., Kulasingam, Shalini L., Kerlikowske, Karla, McConnell, K. John, Melnikow, Joy, Gildengorin, Ginny
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2003
Risk factors

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Current approaches to cervical-cancer screening

Article Abstract:

Women who have had several normal Pap smears in a row can probably begin having a Pap smear every three years instead of every year. This is especially true if the woman is 65 years old or older and is no longer sexually active.

Author: Washington, A. Eugene, Sawaya, George F., Brown, Adalsteinn D., Garber, Alan M.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2001
Standards, Diagnosis

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Subjects list: Evaluation, Medical screening, Health screening, Pap test, Cervical cancer
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