ETWolverine
Nov 20, 2009, 07:07 AM
A new report just released:
http://news.yahoo.com/s/ap/20091120/ap_on_he_me/us_med_fewer_pap_smears;_ylt=AvHFPg2pJ3yvKEKz6zrQE v6s0NUE;_ylu=X3oDMTM5Y2YwaTFyBGFzc2V0A2FwLzIwMDkxM TIwL3VzX21lZF9mZXdlcl9wYXBfc21lYXJzBGNwb3MDNwRwb3M DNARwdANob21lX2Nva2UEc2VjA3luX2hlYWRsaW5lX2xpc3QEc 2xrA3JlcG9ydDIwLXNvbQ--
Report: 20-somethings can go 2 years between Paps
By LAURAN NEERGAARD, AP Medical Writer Lauran Neergaard, Ap Medical Writer
WASHINGTON – First mammograms. Now — in an apparent coincidence — Pap smears.
New guidelines by the American College of Obstetricians and Gynecologists say most women in their 20s can have a Pap smear every two years instead of annually to catch slow-growing cervical cancer.
The change comes amid a separate debate over when regular mammograms to detect breast cancer should begin. The timing of the Pap guidelines is coincidence, said ACOG, which began reviewing its recommendations in late 2007 and published the update Friday in the journal Obstetrics & Gynecology.
The guidelines also say:
_Routine Paps should start at age 21. Previously, ACOG had urged a first Pap either within three years of first sexual intercourse or at age 21.
_Women 30 and older should wait three years between Paps once they've had three consecutive clear tests. Other national guidelines have long recommended the three-year interval; ACOG had previously backed a two- to three-year wait.
_Women with HIV, other immune-weakening conditions or previous cervical abnormalities may need more frequent screening.
Paps can spot pre-cancerous changes in the cervix in time to prevent invasive cancer, and widespread use has halved cervical cancer rates in the U.S. in recent decades. About 11,270 new cases will be diagnosed this year, and about 4,070 women will die from it, according to American Cancer Society estimates. Half of women diagnosed with cervical cancer have never had a Pap, and another 10 percent haven't had one in five years.
Cervical cancer is caused by certain strains of the extremely common sexually transmitted virus called HPV, for human papillomavirus. There is a new HPV vaccine that should cut cervical cancer in the future; ACOG's guidelines say for now vaccinated women should follow the same Pap guidelines as the unvaccinated.
But the updated guidelines reflect better understanding of HPV. Infection is high among sexually active teens and young adults. Women's bodies very often fight off an HPV infection on their own without lasting harm, although it can take a year or two. The younger the woman, the more likely that HPV is going to be transient.
Moreover, ACOG cited studies showing no increased risk of cancer developing in women in their 20s if they extended Pap screening from every year to every two years.
As for adolescents, ACOG said cervical cancer in teens is rare — one or two cases per million 15- to 19-year-olds — while HPV-caused cervical abnormalities usually go away on their own, and unnecessary treatment increases the girls' risk of premature labor years later.
For all the talk about how the term "death panels" is just scare mongering and has no basis in reality, we now have TWO reports that have come out in the same week, both of which suggest LIMITING cancer screenings or preventive medicine.
The first was the mamogram report that said that women shouldn't bother with mamograms under the age of 50 and after 50 should get them every 2 years instead of annually.
In this report, we are being told that women should only get pap smears every two years instead of annually.
Is there anyone who really believes that this is a coincidence?
This is the future of medicine as controlled by your government... official "recommendations" of less preventive care that will become government policy and medical decisions made on the basis of cost and not care.
And for those who say that it won't happen... it's just recommendations, not government policy... I give you NICE, the health care rationing body of the UK... a body which has taken "recommendations" of lower levels of care and turned them into government policy. If it can happen in the UK, what makes anyone think that it won't happen here?
The biggest lie ever told is just 9 words long: "I'm from the government and I'm here to help."
Wake up, people.
Elliot
http://news.yahoo.com/s/ap/20091120/ap_on_he_me/us_med_fewer_pap_smears;_ylt=AvHFPg2pJ3yvKEKz6zrQE v6s0NUE;_ylu=X3oDMTM5Y2YwaTFyBGFzc2V0A2FwLzIwMDkxM TIwL3VzX21lZF9mZXdlcl9wYXBfc21lYXJzBGNwb3MDNwRwb3M DNARwdANob21lX2Nva2UEc2VjA3luX2hlYWRsaW5lX2xpc3QEc 2xrA3JlcG9ydDIwLXNvbQ--
Report: 20-somethings can go 2 years between Paps
By LAURAN NEERGAARD, AP Medical Writer Lauran Neergaard, Ap Medical Writer
WASHINGTON – First mammograms. Now — in an apparent coincidence — Pap smears.
New guidelines by the American College of Obstetricians and Gynecologists say most women in their 20s can have a Pap smear every two years instead of annually to catch slow-growing cervical cancer.
The change comes amid a separate debate over when regular mammograms to detect breast cancer should begin. The timing of the Pap guidelines is coincidence, said ACOG, which began reviewing its recommendations in late 2007 and published the update Friday in the journal Obstetrics & Gynecology.
The guidelines also say:
_Routine Paps should start at age 21. Previously, ACOG had urged a first Pap either within three years of first sexual intercourse or at age 21.
_Women 30 and older should wait three years between Paps once they've had three consecutive clear tests. Other national guidelines have long recommended the three-year interval; ACOG had previously backed a two- to three-year wait.
_Women with HIV, other immune-weakening conditions or previous cervical abnormalities may need more frequent screening.
Paps can spot pre-cancerous changes in the cervix in time to prevent invasive cancer, and widespread use has halved cervical cancer rates in the U.S. in recent decades. About 11,270 new cases will be diagnosed this year, and about 4,070 women will die from it, according to American Cancer Society estimates. Half of women diagnosed with cervical cancer have never had a Pap, and another 10 percent haven't had one in five years.
Cervical cancer is caused by certain strains of the extremely common sexually transmitted virus called HPV, for human papillomavirus. There is a new HPV vaccine that should cut cervical cancer in the future; ACOG's guidelines say for now vaccinated women should follow the same Pap guidelines as the unvaccinated.
But the updated guidelines reflect better understanding of HPV. Infection is high among sexually active teens and young adults. Women's bodies very often fight off an HPV infection on their own without lasting harm, although it can take a year or two. The younger the woman, the more likely that HPV is going to be transient.
Moreover, ACOG cited studies showing no increased risk of cancer developing in women in their 20s if they extended Pap screening from every year to every two years.
As for adolescents, ACOG said cervical cancer in teens is rare — one or two cases per million 15- to 19-year-olds — while HPV-caused cervical abnormalities usually go away on their own, and unnecessary treatment increases the girls' risk of premature labor years later.
For all the talk about how the term "death panels" is just scare mongering and has no basis in reality, we now have TWO reports that have come out in the same week, both of which suggest LIMITING cancer screenings or preventive medicine.
The first was the mamogram report that said that women shouldn't bother with mamograms under the age of 50 and after 50 should get them every 2 years instead of annually.
In this report, we are being told that women should only get pap smears every two years instead of annually.
Is there anyone who really believes that this is a coincidence?
This is the future of medicine as controlled by your government... official "recommendations" of less preventive care that will become government policy and medical decisions made on the basis of cost and not care.
And for those who say that it won't happen... it's just recommendations, not government policy... I give you NICE, the health care rationing body of the UK... a body which has taken "recommendations" of lower levels of care and turned them into government policy. If it can happen in the UK, what makes anyone think that it won't happen here?
The biggest lie ever told is just 9 words long: "I'm from the government and I'm here to help."
Wake up, people.
Elliot