Abstract
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. 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. ACP recommends against performing screening pelvic examination in asymptomatic, nonpregnant, adult women (strong recommendation, moderate-quality evidence).
Highlights
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
The purpose of this American College of Physicians (ACP) guideline is to present the available evidence on screening for pathology using pelvic examination in adult, asymptomatic, average-risk, nonpregnant women
SUMMARY Pelvic examination is commonly used in asymptomatic, nonpregnant, adult women to screen for pathology
Summary
Screening Pelvic Examination in Adult Women: A Clinical Practice Guideline From the American College of Physicians. MD, MPH; Russell Harris, MD, MPH; Melissa Starkey, PhD; and Thomas D. MD, PhD, for the Clinical Guidelines Committee of the American College of Physicians*. 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
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