Impact of management guidelines for abnormal cervical cytology on colposcopy procedure rates among young women.

ABSTRACT:

Objective

In 2012, updated ASCCP management guidelines for abnormal cervical cytology recommended observation rather than immediate referral to colposcopy for low-grade abnormalities in women ages 21-24. We evaluated the impact of these guidelines on changes in colposcopy procedure rates among young women.

Methods

We analyzed administrative and claims data from the largest statewide family planning program between July 2011 and June 2015. Using a difference-in-differences approach, we estimated changes in colposcopy procedure rates among women ages 21-24 years before and after the 2012 ASCCP management guidelines, relative to a comparison group of women ages 25-44.

Results

Our analysis included 333,977 women from 216 primary care provider sites. After publication of t

SUBMITTER: Nonzee NJ 

PROVIDER: S-EPMC12248225 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature