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Comment & Response
February 12, 2019

Age of Initiation of Cervical Cancer Screening—Reply

Author Affiliations
  • 1University of Iowa, Iowa City
  • 2Fairfax Family Practice Residency, Fairfax, Virginia
  • 3Veterans Affairs Palo Alto Health Care System, Palo Alto, California
JAMA. 2019;321(6):612. doi:10.1001/jama.2018.19089

In Reply Dr Dickinson raises the question as to why the USPSTF recommended screening for cervical cancer with cervical cytology every 3 years in women aged 21 to 29 years (A recommendation)1 rather than starting at age 25 years. In support of starting screening at a later age, he cites the low incidence of cervical cancer in younger women, a case-control study showing no benefit in screening women aged 22 to 24 years vs 25 to 29 years, and clinical data from Wales reporting follow-up testing rates after screening in younger women.