Pap Guide

The Pap Guide app pulls together and presents guidance to clinicians on cervical cancer screening and Pap smears. Organized by female patients' age and/or circumstance, Pap Guide advises doctors when to start doing Paps, how to incorporate HPV testing, when to stop, how often to do them, how to manage the results of Paps. It also offers guidance on how HIV, pregnancy, and hysterectomy may impact screening regimens and results management. The main source of guidance is the 2012 ASCCP et. al. consensus guideline supplemented by guidelines from ACOG, the US Dept. Health & Human Services, and more.

The app addresses such common questions as:
- at what age should Pap screening begin?
- when should HPV testing be done as part of screening?
- if a patient has had a hysterectomy, should she still be screened with a smear?
- when should a 26 year old with ASCUS and negative HPV have her next Pap?
- how does HIV change recommended screening and management regimens?
- should a 42 year old with LSIL proceed to colposcopy?
- when should a patient finish Pap screening, and what circumstances would extend screening beyond that age?

This app is written and intended for practicing clinicians involved in cervical cancer screening, prevention, and treatment such as gynecologists, internists, family physicians, nurses, PA's and NP's; for resident physician trainees; and for medical students. As an educator and clinician, I am interested in feedback and I would be grateful for guidance on improving the tool.

更新履歴
App updated to include the guidance changes from the late 2012 ASCCP guideline update published in early 2013. This mainly includes the changed recommendations on Pap screening approach for the 21-24 year old vs. 25-29 year old patient groups, how to handle unsatisfactory specimen Pap results, how to handle insufficient sample Pap results, how to handle presence or absence of HPV results when availability does not optimally match guideline recommendations, and more.