Screening Pelvic Examinations in Asymptomatic, Average-Risk Adult Women
Authors: John C. Jennings, Jennifer Blake
Journal: Annals of Internal Medicine (2014)

Letters16 December 2014Screening Pelvic Examinations in Asymptomatic, Average-Risk Adult WomenJohn C. Jennings, MD and Jennifer Blake, MD, MSCJohn C. Jennings, MDFrom American College of Obstetricians and Gynecologists, Washington, DC, and The Society of Obstetricians and Gynaecologists of Canada, Ottawa, Ontario, Canada. and Jennifer Blake, MD, MSCFrom American College of Obstetricians and Gynecologists, Washington, DC, and The Society of Obstetricians and Gynaecologists of Canada, Ottawa, Ontario, Canada.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L14-5034 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:As important as evidence-based decision making is to medical practice, creating guidelines based on limited and low-quality evidence is inappropriate. Lack of evidence does not mean lack of value. The ability of pelvic examination to help gynecologists diagnose and treat patients for such conditions as vulvar disease, atrophy, prolapse, incontinence, and sexual dysfunction clearly justifies its role in gynecologic practice.Bloomfield and colleagues' evidence report (1), done in conjunction with the American College of Physicians' clinical practice guidelines about pelvic examination, relied solely on evidence regarding its use to detect noncervical cancer or pelvic inflammatory disease or ...References1. Bloomfield HE, Olson A, Greer N, Cantor A, MacDonald R, Rutks I, et al. Screening pelvic examinations in asymptomatic, average-risk adult women: an evidence report for a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2014;161:46-53. [PMID: 24979449] doi:10.7326/M13-2881 LinkGoogle Scholar2. Adonakis GL, Paraskevaidis E, Tsiga S, Seferiadis K, Lolis DE. A combined approach for the early detection of ovarian cancer in asymptomatic women. Eur J Obstet Gynecol Reprod Biol. 1996;65:221-5. [PMID: 8730628] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From American College of Obstetricians and Gynecologists, Washington, DC, and The Society of Obstetricians and Gynaecologists of Canada, Ottawa, Ontario, Canada.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L14-0484. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoScreening Pelvic Examinations in Asymptomatic, Average-Risk Adult Women: An Evidence Report for a Clinical Practice Guideline From the American College of Physicians Hanna E. Bloomfield , Andrew Olson , Nancy Greer , Amy Cantor , Roderick MacDonald , Indulis Rutks , and Timothy J. Wilt Screening Pelvic Examinations in Asymptomatic, Average-Risk Adult Women Hanna E. Bloomfield , Andrew Olson , and Timothy J. Wilt Screening Pelvic Examinations in Asymptomatic, Average-Risk Adult Women Hanna E. Bloomfield , Andrew Olson , and Timothy J. Wilt Metrics 16 December 2014Volume 161, Issue 12Page: 924KeywordsDisclosureIncontinenceInformation storage and retrievalMorbidityPelvic inflammatory diseasePopulation statisticsSexual dysfunctionSurgeryTreatment guidelines ePublished: 16 December 2014 Issue Published: 16 December 2014 Copyright & PermissionsCopyright © 2014 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...