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It's time to re-evaluate cervical Cancer screening after age 65

      Highlights

      • Cervical cancer screening guidelines recommend screening stop after age 65 despite 20% of new cases occurring in this group
      • Demographics, research methods and treatment paradigms are changing and guidelines may not adequately address these changes
      • Racial disparities in cervical cancer may be exacerbated by not addressing the preventive health needs of older women

      Abstract

      Cervical cancer screening guidelines currently recommend cessation of cervical cancer screening after age 65, despite 20% of new cervical cancer cases occurring in this age group. The US population is aging, research methodology that examines cervical cancer incidence and mortality rates has changed, and sexual behaviors and the rates at which women have hysterectomies have changed over time. Current guidelines do not adequately address these changes, and may be missing significant opportunities to prevent cervical cancer cases and deaths in older women. Furthermore, racial disparities in cervical cancer outcomes may be exacerbated by not addressing the preventive health needs of older women through cervical cancer screening.

      Keywords

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