Title in Initial Caps: 40point Arial

1
(No Transcript)
2
Managing HPV A New Era in Patient Care

• Presented By
• Association of Reproductive Health Professionals
  www.arhp.org
• Planned Parenthood Federation of America
• www.ppfa.org

3
Expert Medical Advisory Committee

• Nancy R. Berman, MSN, APRN, BC
• Barbara Clark, MPAS, PA-C
• Don Downing, RPh
• Francisco Garcia, MD, MPH
• Sherri Sheinfeld Gorin, PhD
• Richard Guido, MD
• Julie Hibben, LMSW, CPSI

Required Slide
more
4
Expert Medical Advisory Committee (Continued)

• Mary M. Rubin, RNC, PhD, CRNP
• Marie Savard, MD
• Anafidelia Tavares, MD, MPH
• Maria Trent, MD, MPH
• Jeffrey Waldman, MD
• Thomas C. Wright, Jr, MD

5
Module 9 HPV Counseling
6
Learning Objectives

• Describe the current state of public awareness of
  HPV and HPV-related disease
• List 4 major patient counseling points
• Identify support tools for use in counseling
  individuals and groups about the HPV vaccine

7
HPV Awareness National Cancer Institute Survey

• NCI sponsored random telephone interview of
  adults
• All women (3,500) asked about HPV
• Only 38 had never heard of human papillomavirus
  or HPV
• Of these, only 47 were aware that HPV causes
  cervical cancer

NCI Website. 2007.
8
Counseling Women Age 30 or Older with HPV and a
Negative Pap

• Diligent follow-up is important
• Need to return in12 months for a Pap and HPV Test
• If HPV is still present at follow-up, colposcopy
  will be recommended even if the Pap is still
  negative

Wright TC, Jr. AJOG. 2007.
9
Counseling Women with HPV

• Remind your patient that
• Most women will have HPV at some point
• There is no way of knowing how long HPV has been
  present
• Having HPV is not a sign of infidelity

more
10
Counseling Women with HPV (Continued)

• Most women who have HPV do not develop abnormal
  cells of cancer
• Women who have HPV in their cells a long time are
  at greater risk for developing abnormal cells or
  cancer

11
HPV Educational Messages

• HPV is sexually transmitted
• HPV is very common
• Most women with HPV will not get cancer
• HPV infection usually clears without treatment
• Pap tests are used to detect HPV-related
  pre-cancers

more
Monk BJ. Cancer. 2004 Moscicki AB. JAMA. 2001.
12
HPV Educational Messages (Continued)

• Many women initially positive for high-risk HPV
  will not have pre-cancer on further evaluation or
  be diagnosed with cancer
• 30 of cervical cancers caused by HPV types not
  covered by vaccine
• Women will continue to need cervical cancer
  screening even if vaccinated

CDC. HPV Information for Clinicians. 2006.
13
Expert Medical Advisory Committee
InsertPhotoHere
Nancy R. Berman, MSN, APRN, BC Northwest
Internal Medicine Associates Southfield, MI
InsertPhotoHere
Barbara Clark, MPAS, PA-C Knox OB/GYN,
Ltd. Galesburg, IL
Don Downing, RPh Clinical Associate Professor,
Department of Pharmacy Institute for Innovative
Pharmacy Practice University of Washington School
of Pharmacy Seattle, WA
InsertPhotoHere
more
14
Expert Medical Advisory Committee (Continued)
Francisco Garcia, MD, MPH (Chair) Associate
Professor Director, Division of Gynecology
University of Arizona Tuscon, AZ
InsertPhotoHere
InsertPhotoHere
Sherri Sheinfeld Gorin, PhD Associate Professor
of Health and Social Behavior Columbia
University New York, NY
Richard Guido, MD Associate Professor of
Obstetrics/Gynecology Reproductive
Services University of Pittsburgh Pittsburgh, PA
InsertPhotoHere
more
15
Expert Medical Advisory Committee (Continued)
Julie Hibben, LMSW, CPSI Director of Education
Community Outreach Planned Parenthood of Greater
Iowa Des Moines, IA
InsertPhotoHere
Marie Savard, MD Author and Private Practice
Internal Medicine and Womens Health Wynnewood,
PA
InsertPhotoHere
Mary M. Rubin, RNC, PhD, CRNP Associate Clinical
Professor School of Nursing Gyn Oncology Clinical
Research Coordinator University of California San
Francisco San Francisco, CA
InsertPhotoHere
more
16
Expert Medical Advisory Committee (Continued)
InsertPhotoHere
Anafidelia Tavares, MD, MPH Director, The ISIS
Project The Balm in Gilead, Inc New York, NY
InsertPhotoHere
Maria Trent, MD, MPH Assistant Professor,
General Pediatrics and Adolescent Medicine Johns
Hopkins University Hospital Baltimore, MD
InsertPhotoHere
Jeff Waldman, MD Senior Director, Clinical
Services and Medical Education Planned Parenthood
Federation of America New York, NY
more
17
Expert Medical Advisory Committee (Continued)
InsertPhotoHere
Thomas C. Wright, Jr, MD Pathology Columbia
University New York, NY
18
(No Transcript)