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Systematic review
Evidence is lacking to support pelvic examinations as a screening tool for non-cervical cancers or other conditions
  1. Mona Saraiya
  1. Division of Cancer Prevention and Control, Centres for Disease Control and Prevention, Atlanta, Georgia, USA
  1. Correspondence to : Dr Mona Saraiya, Division of Cancer Prevention and Control, Centres for Disease Control and Prevention, 4770 Buford Hwy, Mailstop F76, Atlanta GA 30341, USA; msaraiya{at}cdc.gov

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Commentary on: Bloomfield HE, Olson A, Greer N, et al. Screening pelvic examinations in asymptomatic, average-risk adult women: an evidence report for a clinical practice guideline from the American College of Physicians. Ann Intern Med 2014;161:46–53.

Context

The pelvic examination (PE) includes a visual examination of external genitalia, the speculum examination, and the bimanual examination (BME).1 Coupled with the Pap test, the PE is considered part of the annual well-woman examination. This systematic review evaluated the evidence for the PE to detect non-cervical cancers and benign conditions such as fibroids. This evidence review approach differs from those conducted by the US Preventive Services Task Force, which considers a particular examination or test for the prevention of a specific disease.2

Methods

This systematic review assessed accuracy, benefits and harms of PE among asymptomatic, non-pregnant …

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