The American Society for Colposcopy and Cervical Pathology Publishes New Choosing Wisely List

On February 14, the American Society for Colposcopy and Cervical Pathology (ASCCP) published its Choosing Wisely list. More than 75 medical specialty society partners have now collectively published over 485 tests and treatments they say may be unnecessary and should be discussed by clinicians and patients.

Recommendations from ASCCP include:

1. Don’t perform vaginal cytology (Pap test) or HPV screening in women who had hysterectomy (with removal of the cervix) for reasons other than high-grade cervical dysplasia (CIN 2/3) or cancer.
2. Don’t perform cervical cytology (Pap tests) or HPV screening in immunocompetent women under age 21.
3. Don’t order screening tests for low-risk HPV types.
4. Avoid treatment of CIN 1 in women under age 25.
5. Don’t perform annual cervical cytology (Pap test) or annual HPV screening of immunocompetent women with a history of negative screening.

View ASCCP’s complete list, along with citations and information on how the list was created.