Screening for gynecologic conditions with pelvic examination : Us preventive services task force recommendation statement
A partir d'une revue systématique de la littérature publiée jusqu'en août 2016 (8 études incluant au total 28 920 patientes), un groupe d'experts américains analyse, du point de vue du rapport bénéfices/risques et de la précision des diagnostics, l'intérêt d'examens pelviens périodiques ou de routine pour détecter précocement certains cancers ou certaines infections gynécologiques chez les femmes asymptomatiques âgées de 18 ans ou plus et ne présentant pas de facteurs de risque particuliers
Importance : Many conditions that can affect women’s health are often evaluated through pelvic examination. Although the pelvic examination is a common part of the physical examination, it is unclear whether performing screening pelvic examinations in asymptomatic women has a significant effect on disease morbidity and mortality.
Objective : To issue a new US Preventive Services Task Force (USPSTF) recommendation on screening for gynecologic conditions with pelvic examination for conditions other than cervical cancer, gonorrhea, and chlamydia, for which the USPSTF has already made specific recommendations.
Evidence Review : The USPSTF reviewed the evidence on the accuracy, benefits, and potential harms of performing screening pelvic examinations in asymptomatic, nonpregnant adult women 18 years and older who are not at increased risk for any specific gynecologic condition.
Findings : Overall, the USPSTF found inadequate evidence on screening pelvic examinations for the early detection and treatment of a range of gynecologic conditions in asymptomatic, nonpregnant adult women.
JAMA , article en libre accès, 2016