Guidelines for the Well-Woman Exam - CME Conferences
Guidelines for the Well-Woman Exam - CME Conferences Guidelines for the Well-Woman Exam - CME Conferences
2 nd Annual Primary Care Fall Conference Wednesday, October 24, 2012Basic Components Labs• FBS – q 3 yr @ 45 y/o• TSH – q 5 yr @ 50 y/oBasic Components Labs• Colorectal CA screening - @ 50 y/o ACG – recomm African-Amer’s begin @ 45 Annual pt-collected fecal occult blood Or fecal immunochemical test (F.I.T.),or stool DNA test Q 5 yr flex sig Both of above Q 5 yr double-contrast BE Q 10 yr colonoscopyDavid Plourd, MDWomen Exam
2 nd Annual Primary Care Fall Conference Wednesday, October 24, 2012Whose Guidelines ?• USPSTF – United States PreventiveServices Task Force• ACOG - Amer College of OB/GYN• ACS – American Cancer Society• NCCN – National ComprehensiveCancer NetworkMammographyScreening Guidelines• USPSTF (2009)USPSTF’sreason based on old data 1986-2006 Q 2 years for women ages 50--74 (forwomen at average risk) – Level B Screening before age 50 should NOTbe done routinely Base upon woman’s individual valuesregarding risks and benefits – Level C• 15% reduction in mortality rate at ages 39—49• 1,904 women screened x 10 yrs to prevent 1breast CA mortality (vs 1,339 for 50—74 y/o)Do not teach SBE – Level DDavid Plourd, MDWomen Exam
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2 nd Annual Primary Care Fall Conference Wednesday, October 24, 2012Basic Components Labs• FBS – q 3 yr @ 45 y/o• TSH – q 5 yr @ 50 y/oBasic Components Labs• Colorectal CA screening - @ 50 y/o ACG – recomm African-Amer’s begin @ 45 Annual pt-collected fecal occult blood Or fecal immunochemical test (F.I.T.),or stool DNA test Q 5 yr flex sig Both of above Q 5 yr double-contrast BE Q 10 yr colonoscopyDavid Plourd, MDWomen <strong>Exam</strong>
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