Prevention of Cervical Cancer

Peter Hillemanns, Klaus Friese, Christian Dannecker, Stefanie Klug, Ulrike Seifert, Thomas Iftner, Juliane Hädicke, Thomas Löning, Lars Horn, Dietmar Schmidt, Hans Ikenberg, Manfred Steiner, Ulrich Freitag, Uwe Siebert, Gaby Sroczynski, Willi Sauerbrei, Matthias W. Beckmann, Marion Gebhardt, Michael Friedrich, Karsten MünstedtAchim Schneider, Andreas Kaufmann, K. Ulrich Petry, Axel P.A. Schäfer, Michael Pawlita, Joachim Weis, Anja Mehnert, Mathias Fehr, Christoph Grimm, Olaf Reich, Marc Arbyn, Jos Kleijnen, Simone Wesselmann, Monika Nothacker, Markus Follmann, Thomas Langer, Matthias Jentschke

Research output: Contribution to journalReview articlepeer-review

22 Scopus citations

Abstract

Aims Annual opportunistic screening for cervical carcinoma has been carried out in Germany since 1971. The creation of this S3 guideline meets an important need, outlined in the National Cancer Plan, with regard to screening for cervical cancer, as the guideline aims to provide important information and support for planned organized screening for cervical cancer in Germany. Methods With the financial support of German Cancer Aid, 21 professional societies developed evidence-based statements and recommendations (classified using the GRADE system) for the screening, management and treatment of precancerous conditions of the cervix. Two independent scientific institutes compiled systematic reviews for this guideline. Recommendations The first part of this short summary presents the pathological basis and considers various questions related to screening for cervical cancer. As also reported in earlier reviews, the meta-analysis by Kleijnen Systematic Reviews showed that HPV-based screening offers better protection against invasive cervical cancer compared to cytology-based screening. The authors of this guideline therefore recommend - in accordance with the guideline of the Joint National Committee of Germany (Gemeinsamer Bundesauschuss, G-BA) - that women aged 35 and above should be examined at regular intervals (at least every 3 years) and undergo HPV-based screening. Co-testing can also be carried out. Women between the ages of 20 and 35 should have cytological screening every 2 years.

Original languageEnglish
Pages (from-to)148-158
Number of pages11
JournalGeburtshilfe und Frauenheilkunde
Volume79
Issue number2
DOIs
StatePublished - 2019

Keywords

  • HPV
  • cervical cancer
  • cervical intraepithelial neoplasia (CIN)
  • cervical precancerous condition

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