rdf-syntax-grammar
mods:
  schema location: http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-2.xsd
  title info:
    title: Screening pelvic examinations in asymptomatic average risk adult women
  name:
    name part: Bloomfield, Hanna E.
    role:
      role term: creator
    role:
      role term: author.
  name:
    name part: United States
    name part: Department of Veterans Affairs.
    name part: Health Services Research and Development Service,
    role:
      role term: issuing body.
  name:
    name part: Quality Enhancement Research Initiative (U.S.)
  name:
    name part: Minneapolis VA Health Care System (U.S.)
    name part: VA Evidence Synthesis Program.
  name:
    name part: Evidence-based Synthesis Program (U.S.)
  type of resource: text
  genre: bibliography
  genre: Technical reports.
  origin info:
    place:
      place term: dcu
    date issued: 2013
    issuance: monographic
  language:
    language term: eng
  physical description:
    form: remote
    extent: 1 online resource (iii, 50 pages) : illustrations
  abstract: The routine pelvic examination has been a usual part of preventive care for women for many decades. In 2008, 63.4 million pelvic examinations were performed in the United States. Many women and providers believe that the routine pelvic exam should be included in an annual comprehensive well-woman visit. The exam consists of inspection of the external genitalia, speculum examination of the vagina and cervix, bimanual examination, and sometimes rectal or rectovaginal examination. Traditionally, the examination in the asymptomatic average risk women has been used to screen for pathology through palpation, visualization, and specimen collection.^Pathology potentially detectable on the pelvic examination includes malignancies (e.g., cervical, ovarian, uterine, bladder, vaginal or vulvar); infections (e.g., Chlamydia, gonorrhea, warts, candidiasis, bacterial vaginosis); pelvic inflammatory disease (PID); or other pathology (e.g., atrophic vaginitis, cervical polyps, uterine prolapse, fibroids). In addition, pelvic examinations are often performed prior to the provision of hormonal contraception. Recent high quality evidence-based reviews and guidelines have concluded that pelvic examinations are not required for Chlamydia and gonorrhea screening or for hormonal contraception initiation and up-to-date evidence-based guidelines for cervical cancer screening are also available. However, we are unaware of any systematic reviews that have investigated the utility of the pelvic examination for the other indications.^This systematic review was undertaken to evaluate the benefits and harms of the routine screening pelvic examination in asymptomatic, average risk, non-pregnant, adult women. For cervical cancer and sexually transmitted infection (i.e., Chlamydia and gonorrhea) screening and for initiation of hormonal contraception we summarize the results of recent reviews and guidelines from major US health organizations. For all other indications, we performed and report results …
  note: Hanna E. Bloomfield [and six others].
  note: "Evidence-based synthesis program."
  note: "September 2013."
  note: GPO Cataloging Record Distribution Program (CRDP).
  note: Includes bibliographical references (pages 34-40).
  note: Prepared for: Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service, Washington, DC 20420. Prepared by: Evidence-based Synthesis Program (ESP) Center, Minneapolis, MN, Timothy J. Wilt, M.D., M.P.H., Director.
  note: VA-ESP 09-009
  subject:
    geographic code: n-us---
  subject:
    topic: Gynecologic examination
    geographic: United States
  subject:
    topic: Pelvis
    topic: Examination
    geographic: United States
  subject:
    topic: Outcome assessment (Medical care)
    geographic: United States
  subject:
    topic: Gynecologic examination
  subject:
    topic: Outcome assessment (Medical care)
  subject:
    topic: Pelvis
    topic: Examination
  subject:
    geographic: United States
  classification: VA 1.107/3:P 36
  identifier: https://purl.fdlp.gov/GPO/gpo154676
  record info:
    record content source: NLM
    record creation date: 140806
    record change date: 20220803200705.7
    record identifier: in00004435461
    language of cataloging:
      language term: eng