Conduite à tenir devant une femme ayant une cytologie cervico-utérine anormale : actualisation des recommandations INCa après la mise en place du dépistage par le test HPV

IF 0.6 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-01 DOI:10.1016/j.gofs.2024.11.006

Jean-Luc Brun , Christine Bergeron , Gerlinde Averous , Katty Ardaens , Olivier Aynaud , Hortense Baffet , Sylvain Bouquet , Geoffroy Canlorbe , Charlotte Charpentier , Christine Clavel , Béatrix Cochand-Priollet , Monique Courtade , Mélanie Frigenza , Isabelle Garrigue , Jean Gondry , Isabelle Hernandez , Raphaël Hocquemiller , Bernard Huynh , Philippe Judlin , Karine Le Bail-Carval , Xavier Carcopino

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引用次数: 0

Abstract

Objective

To update the recommendations issued by the National Cancer Institute (INCa) on the management of women with abnormal cervical cytology.

Methods

INCa recommendations on the management of women with abnormal cervical cytology were published in 2016. In 2019, the High Authority of Health (HAS) recommends HPV test for cervical cancer screening in women over 30. It was therefore necessary to update the initial management and follow-up of women with a reflex cytology abnormality after a positive HPV test. We used the modified Delphi method. Each decision tree was modified by the 3 members of the organizing committee and then presented to 35 experts over 2 rounds, in order to obtain their agreement in terms of validity and clarity.

Results

This formalized consensus of experts allowed the creation of 17 decision trees instead of 15 previously: 13 on the diagnostic management of abnormal cytology, stratified according to age, and 4 on therapeutic indications in abnormal histology. The median agreement scores were 89% (81–97).

Conclusion

These 17 decision trees respond to the different situations that health professionals may encounter in order to enable them to act, to follow-up or delegate according to their specialties.

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来源期刊

Gynecologie Obstetrique Fertilite & Senologie Medicine-Obstetrics and Gynecology

CiteScore

1.70

自引率

0.00%

发文量

170

期刊介绍： Gynécologie Obstétrique Fertilité & Sénologie est un mensuel scientifique d''information et de formation destiné aux gynécologues, aux obstétriciens, aux sénologues et aux biologistes de la reproduction. La revue, dans ses éditoriaux, articles originaux, mises au point, lettres à la rédaction et autres rubriques, donne une information actualisée ayant trait à l''obstétrique et à la gynécologie et aux différentes spécialités développées à partir de ces deux pôles : médecine de la reproduction, médecine maternelle et fœtale, périnatalité, endocrinologie, chirurgie gynécologique, cancérologie pelvienne, sénologie, sexualité, psychosomatique…