AI Article Synopsis
- Since 2006, cotesting (HPV DNA and Pap testing) for cervical cancer screening in women aged 30 and older has been recommended, but actual adoption in clinical settings has been limited.
- Over a 2.5-year study, the percentage of cotests for women aged 30 and older rose from 15.9% to 39.4%, showing an increase in appropriate criteria adherence.
- In contrast, cotesting for women aged 18 to 29 initially grew but then declined significantly to 7.7%, indicating ongoing issues with age-inappropriate testing practices.
Article Abstract
The use of human papillomavirus DNA testing plus Papanicolaou (Pap) testing (cotesting) for cervical cancer screening in women 30 years and older has been recommended since 2006. However, few studies have detailed the adoption of such cotesting in clinical practice. We examined the trends in monthly percentage of Pap tests ordered as cotests in our laboratory over a 2.5-year period and used joinpoint regression to identify periods in which there was a change in the average monthly proportion of cotests. Cotesting of patients 30 years and older increased from 15.9% in January 2008 to 39.4% in June 2010. In patients aged 18 to 29 years, cotesting initially increased, but showed a downward trend in the last 14 months of the study, ending at 7.7% in June 2010. Our study highlights increased adoption of age-appropriate cotesting as well as the persistence of age-inappropriate cotesting.
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| http://dx.doi.org/10.1309/AJCPPVX91HQMNYZZ | DOI Listing |
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