Less Is More
May 27, 2013

No Papanicolaou Tests in Women Younger Than 21 Years or After Hysterectomy for Benign Disease

Author Affiliations

Author Affiliations: Center for Education and Research in Family and Community Medicine (Dr Morioka-Douglas); and Department of Obstetrics and Gynecology (Dr Hillard), Stanford University School of Medicine, Stanford, California.

JAMA Intern Med. 2013;173(10):855-856. doi:10.1001/jamainternmed.2013.316

In 2010, the National Physicians Alliance (NPA) with the support of the American Board of Internal Medicine Foundation convened the Good Stewardship Working Group, consisting of a representative sample of practicing primary care physicians selected from a variety of practice settings as well as geographic locations around the United States. Their goal was to identify the top 5 common outpatient practices in general pediatrics, general internal medicine, and family medicine for which there was evidence supporting the lack of benefit as well as potential increased risk.1

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