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stetricians and Gynecologists, and the American Cancer Society recommended that women, beginning at age 21, start Pap test screening every three years and that women should not be screened annually. The same groups agree that screening is unnecessary for most wom- en who have had a total hysterectomy for noncancerous reasons and for wom- en aged 65 years and older with several years of normal test results. CDC says cervical cancer screening has become more consistent with current recommendations:


• The percentage of women aged 18 to 21 who reported never being screened increased from 23.6 per- cent in 2000 to 47.5 percent in 2010. Screening is not recommended for women younger than 21.


• In 2010, recent Pap testing (within three years) dropped among women aged 30 years and older without a hysterectomy, primarily due to de- clines among women aged 65 years and older (from 73.5 percent in 2000 to 64.5 percent).


• For women aged 30 years and older who had a hysterectomy, Pap testing declined from 73.3 percent in 2000 to 58.7 percent in 2010.


CDC says that, contrary to recommen- dations, the percentage of women aged 22 to 30 years not screened increased from 6.5 percent in 2000 to 9 percent in 2010. Women aged 30 to 64 years who did not have health insurance and had not had a hysterectomy were less likely to have received a Pap test within the previous three years — from 74.4 per- cent in 2000 to 68.7 percent in 2010. “The good news is we are focusing our public health efforts on women at highest risk, while decreasing screening for women under age 21, when cervical cancer is rare and screening is not rec- ommended,” said Keisha Houston, epi- demic intelligence service officer with CDC’s Division of Cancer Prevention and Control. “We need to remain vigilant and increase screening among women who would benefit most from this preventive service.” Under the Patient Protection and Af-


fordable Care Act, many private health plans and Medicare now cover certain preventive services, including cervical cancer screening, with no copays or oth- er out-of-pocket costs. For information about CDC’s efforts in cervical cancer prevention, visit www


.cdc.gov/cancer/cervical/index.htm. To learn more about the screening guide-


lines, consult CDC’s cervical cancer screening guidelines chart available on- line at www.cdc.gov/cancer/cervical/ pdf/guidelines.pdf. n


Crystal Zuzek is an associate editor of Texas Medicine. You can reach her by telephone at (800) 880-1300, ext. 1385, or (512) 370-1385; by fax at (512) 370-1629; or by email at crystal.zuzek@texmed.org.


CALL FOR POSTERS


The Texas Medical Association Council on Health Care Quality and TMF Health Quality Institute are excited to host the NEW TexMed 2013 Quality Poster Session.


This is a great opportunity for Texas practices to share quality improvement successes and best practices for improving patient care. All TMA member physicians and their practices are encouraged to apply.


• First-, second-, and third-place winners will receive special recognition at TexMed 2013 and in Texas Medicine, TMA’s monthly magazine.


• All selected submissions will be listed in Texas Medicine magazine.


• All selected submissions will receive a modest honorarium.


TEXMED 2013


QUALITY POSTER SESSION DETAILS


WHERE:


Henry B. Gonzalez Convention Center San Antonio, TX


WHEN: TexMed 2013


Saturday, May 18, 2013 HOW:


Contact


posters@texmed.org for more information and an application packet.


April 2013 TEXAS MEDICINE 41


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