The pathology system of electronic medical records at The Methodist Hospital was searched for cervical histologic specimens with a diagnosis of CIN 2 or greater and a preceding Pap test
result (within 1 year; July 1, 2010, through June 30, 2011).
Preventive Services Task Force called for Pap screening to begin no earlier than age 21 and within an interval of 3 years between routine Pap tests
for women aged 22-30 years.
Three years ago, 84 percent of women in Oregon had Pap tests
, but only 75 percent had a test in 2010 according to the Women's Health Report Card, published by Oregon Health & Science University and the National Law Center.
The Pap test
does not screen for any other forms of cancer.
8 times higher risk of missing Pap test
in past year (if their last pelvic exam was not at their usual HIV clinic)
Too many Pap tests
are being done in older women as well.
Optional testing for women ages 65 to 70 with at least three normal Pap tests
and no abnormal Pap tests
in the past ten years.
This lack of screening represents 50 percent of the risk and is a factor that health professionals can influence by offering the Pap test
to female patients.
Women who have had a hysterectomy should continue to have a Pap test
every two to three years until age 65 or 70 if they had a history of high grade squamous intraepithelial lesions before they had the hysterectomy.
Yet cervical cancer is nearly 100 percent preventable with regular Pap test
The FDA initially approved the HPV DNA test in March 2000 for testing women who had abnormal Pap test
results to determine whether they needed to be referred for further examination.
The procedure in question is the Pap test
, and the threat is from juries that are awarding large sums to women with uterine or cervical cancer who have had any negative Pap test
findings before the development of their cancer.