Are olderwomen being over-screened for cervical cancer? JAMAInternalMed
What are the use trends and expenditures for cervical cancer screening–associated services in different age groups in women older than 65 years?In this population-based, observational cross-sectional study using Medicare fee-for-service claims data from 1999 to 2019, annual use rates of cytology and/or human papillomavirus testing, colposcopy, and cervical procedures decreased by 55.3%, 43.2%, and 64.4%, respectively.
Data analysis was conducted between July 2021 and April 2022.Proportion of testing modalities ; annual use rate per 100 000 women of cytology and HPV testing, colposcopy, and cervical procedures from 1999 to 2019; Medicare expenditure for these services in 2019.There were 15 323 635 women 65 years and older with Medicare fee-for-service coverage in 1999 and 15 298 656 in 2019. In 2019, the mean age of study population was 76.2 years, 5.1% were Hispanic, 0.
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