Cancer Causes & Control

, Volume 24, Issue 8, pp 1583–1593

Recommendations for a national agenda to substantially reduce cervical cancer

Authors

    • Department of EpidemiologyUNC Gillings School of Global Public Health
  • Noel T. Brewer
    • Department of Health BehaviorUNC Gillings School of Global Public Health
  • Debbie Saslow
    • American Cancer Society
  • Kenneth Alexander
    • Pediatric Infectious DiseasesUniversity of Chicago
  • Mildred R. Chernofsky
    • Sibley Center for Gynecologic Oncology and Advanced Pelvic Surgery
  • Richard Crosby
    • University of Kentucky College of Public Health
  • Libby Derting
    • Women in Government
  • Leah Devlin
    • Department of Health Policy and ManagementUNC Gillings School of Global Public Health
  • Charles J. Dunton
    • Division of Gynecologic OncologyLankenau Hospital
  • Jeffrey Engle
    • North Carolina Department of Health and Human Services
  • Maria Fernandez
    • The University of Texas School of Public Health
  • Mona Fouad
    • School of MedicineUniversity of Alabama at Birmingham
  • Warner Huh
    • School of MedicineUniversity of Alabama at Birmingham
  • Walter Kinney
    • The Permanente Medical Group
  • Jennifer Pierce
    • Medical University of South Carolina
  • Elena Rios
    • National Hispanic Medical Association
  • Mitchel C. Rothholz
    • American Pharmacists Association
  • Judith C. Shlay
    • Denver Public HealthDenver Health and Hospital Authority
  • Rivienne Shedd-Steele
    • School of Medicine
  • Sally W. Vernon
    • The University of Texas School of Public Health
  • Joan Walker
    • University of Oklahoma Health Sciences Center
  • Theresa Wynn
    • School of MedicineUniversity of Alabama at Birmingham
  • Gregory D. Zimet
    • School of Medicine
  • Baretta R. Casey
    • University of Kentucky College of Public Health
Original paper

DOI: 10.1007/s10552-013-0235-8

Cite this article as:
Smith, J.S., Brewer, N.T., Saslow, D. et al. Cancer Causes Control (2013) 24: 1583. doi:10.1007/s10552-013-0235-8

Abstract

Purpose

Prophylactic human papillomavirus (HPV) vaccines and new HPV screening tests, combined with traditional Pap test screening, provide an unprecedented opportunity to greatly reduce cervical cancer in the USA. Despite these advances, thousands of women continue to be diagnosed with and die of this highly preventable disease each year. This paper describes the initiatives and recommendations of national cervical cancer experts toward preventing and possibly eliminating this disease.

Methods

In May 2011, Cervical Cancer-Free America, a national initiative, convened a cervical cancer summit in Washington, DC. Over 120 experts from the public and private sector met to develop a national agenda for reducing cervical cancer morbidity and mortality in the USA.

Results

Summit participants evaluated four broad challenges to reducing cervical cancer: (1) low use of HPV vaccines, (2) low use of cervical cancer screening, (3) screening errors, and (4) lack of continuity of care for women diagnosed with cervical cancer. The summit offered 12 concrete recommendations to guide future national and local efforts toward this goal.

Conclusions

Cervical cancer incidence and mortality can be greatly reduced by better deploying existing methods and systems. The challenge lies in ensuring that the array of available prevention options are accessible and utilized by all age-appropriate women—particularly minority and underserved women who are disproportionately affected by this disease. The consensus was that cervical cancer can be greatly reduced and that prevention efforts can lead the way towards a dramatic reduction in this preventable disease in our country.

Keywords

Cervical cancer preventionHuman papillomavirusHPV vaccineHPV testPap test

List of symbols

ACA

Affordable Care Act of 2010

ACIP

Advisory Committee on Immunization Practices

ACS

American Cancer Society

ASCCP

American Society for Colposcopy and Cervical Pathology

ASCP

American Society for Clinical Pathology

CCFA

Cervical Cancer-Free America

CDC

Centers for Disease Control and Prevention

CHIP

Children’s Health Insurance Program

FDA

Food and Drug Administration

FERPA

Family Education Rights and Privacy Act

FQHC

Federally Qualified Health Centers

HPV

Human papillomavirus

NBCCEDP

National Breast and Cervical Cancer Early Detection Program

Pap

Papanicolaou

UNC

University of North Carolina

USPSTF

United States Preventive Services Task Force

VFC

Vaccines for Children

Copyright information

© Springer Science+Business Media Dordrecht 2013