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Comment & Response
February 12, 2019

Age of Initiation of Cervical Cancer Screening

Author Affiliations
  • 1Department of Family Medicine, University of Calgary, Calgary, Alberta, Canada
JAMA. 2019;321(6):611-612. doi:10.1001/jama.2018.19085

To the Editor The US Preventive Services Task Force (USPSTF) recently recommended screening for cervical cancer every 3 years with cervical cytology in women aged 21 to 29 years (A recommendation).1 I question why cervical screening is recommended starting at age 21 years rather than 25 years. For unscreened women younger than 25 years, the incidence of invasive cervical cancer is extremely low. Many other countries with evidence-based national policies start screening at age 25 years or even 30 years.2,3 The task force did not appear to consider the question of starting age.