Screening pelvic examination in adult women: A clinical practice guideline from the american college of physicians

Amir Qaseem, Linda L. Humphrey, Russell Harris, Melissa Starkey, Thomas D. Denberg

Research output: Contribution to journalReview article

61 Scopus citations

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).

Original languageEnglish (US)
Pages (from-to)67-72
Number of pages6
JournalAnnals of internal medicine
Volume161
Issue number1
DOIs
StatePublished - Jul 1 2014

ASJC Scopus subject areas

  • Internal Medicine

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