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

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

Research output: Contribution to journalArticle

58 Citations (Scopus)

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

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Gynecological Examination
Practice Guidelines
Guidelines
Physicians
Health Services Needs and Demand
MEDLINE
Fear
Language
Anxiety
Pathology
Morbidity
Pain
Mortality
Medical Overuse

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Screening pelvic examination in adult women : A clinical practice guideline from the american college of physicians. / Qaseem, Amir; Humphrey, Linda; Harris, Russell; Starkey, Melissa; Denberg, Thomas D.

In: Annals of Internal Medicine, Vol. 161, No. 1, 01.07.2014, p. 67-72.

Research output: Contribution to journalArticle

Qaseem, Amir ; Humphrey, Linda ; Harris, Russell ; Starkey, Melissa ; Denberg, Thomas D. / Screening pelvic examination in adult women : A clinical practice guideline from the american college of physicians. In: Annals of Internal Medicine. 2014 ; Vol. 161, No. 1. pp. 67-72.
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