New 2019 ASCCP Risk-Based Management Consensus Guidelines for abnormal cervical cancer screening tests and cancer precursors provide new recommendations.
ASCCP is pleased to offer this app to streamline navigation of the ASCCP Risk-Based Management Consensus Guidelines for abnormal cervical cancer screening tests and cancer precursors. The guidelines articles, as published in the Journal of Lower Genital Tract Disease, as well as the comprehensive risk estimates, can be accessed through https://www.asccp.org/guidelines.
These evidence-based management guidelines, initially developed in 2019, came together through a consensus process of 19 organizations. The updated management guidelines aim to:
• Allow for a more complete and precise estimation of risk
• Provide more appropriate intervention for high-risk individuals (detect and treat more precancer)
• Recommend less intervention for low-risk individuals (decrease testing and treatment that won’t prevent cancer and may cause reproductive harm)
• Allow for the future addition of new risk modifiers and screening and management technologies
See https://www.asccp.org/UserGuide for tips on using the app.
ASCCP Management Guidelines Positive Reviews
Chock full of informationThis new app will take time to get used to. It is definitely not as intuitive as the original. My first attempts to figure out where to jump in for a complex patient were completely frustrating. But with some guidance from the ASCCP listserv folks ( some of whom developed the app) it was easier. Apparently ASCCP is going to offer some educational sessions to help with using the app. I recommend it but don’t expect to “get it” on the first try. Since the new guidelines are so “dense” not surprising the new app is too.SLOPeeDeeVersion: 1.0
Simplified patient careThis app is a very user friendly medical app that includes all of the updates management guidelines so I can better manage my patients. It includes prior risk thresholds that predict current and future risk. Like the last app this one takes some wine to get used to, but once you do, it makes shared decision making very efficient..Mark H EinsteinVersion: 1.0
Can be a little confusingNot as bad as the other review suggests but can be confusing if you’re not starting from square 1. The app was redesigned to reflect the updated guidelines for screening and management. The major thing this app is missing that was present in the old version was the “next steps” section where you could continue to enter results and it would take you down the appropriate pathway. If this feature is implemented then this app would be great!.Alexmac08Version: 1.0
New version not intuitiveThis app has great information. The old version was super easy to use. But this new version is confusing, not intuitive and I feel like even after spending a lot of time on the app, I can’t always find the information I’m looking for.
Wish they would go back to their older versions with step by step input from screen to screen. And I wish they would provide the references flow sheets from the guidelines in their results. Please improve!.Paddler95Version: 1.1
Good info for patients/chartI have found the app to be easy to use and, while it has not changed how I would manage the patient, the percentage risk numbers allow for a better discussion with the patient and better data when documenting decision making.
Overall it is worthwhile..NoahagoldmanVersion: 1.0
Guideline paradigm shift not app problemI am using the new app and was reticent because of the negative reviews but it works well! It is totally different than before but considering the change in guidelines it couldn’t have been the same plug and play. Agree that it’s stupidly expensive but it’s worth the money to keep my practice current..SybarriteVersion: 1.0
Great app, a notification on the old app would have been good!I use this app daily. i’m glad to see that there are now ways to input previous results. it would be a very good idea to send a notification to all the previous app users that they need to update to this new one..RdajaoVersion: 1.1
Great app!I really appreciate this app. I’m a nurse and I work in a pap follow-up department so I use this every day and it’s incredibly helpful. My co-workers and I noticed one thing after the recent update, though: y’all spelled “colposcopy” wrong on the “Evaluation of a colposcopy biopsy” button. I mean, come on guys, this is a professional medical organization — use spell check..PinkspecsVersion: 1.5
So useful!!I use this app nearly every day I’m the clinic to help evaluate results and guide clinical decisions. I love that it has the most up to date information. Would recommend for all clinicians who are evaluating paps and colposcopies..JmcelyeaVersion: 1.7
Not as easy to navigateThe previous app was easier to navigate. I do appreciate the updated information, however. If they could combine the ease of the previous app with the information of the new app, this would be perfect..Carabiner252Version: 1.2
ApAp is not as helpful as last version but prob related to the guidelines being harder to navigate.Charlotte docVersion: 1.2
Easier than looking at the most complex spreadsheets everBut Why not offer as an update to the old app!!!! This was a major selling point last time- yes it’s $10 but at least you’ll stay updated when the guidelines change 🤦🏼♀️.JejomupiVersion: 1.0
How do you update app version?It looks like there are some updates but it has not automatically updated my app. How do the updates get applied?.F2casanovaVersion: 1.7
Figures for Algorithim Are GoneThe iPhone app no longer shows the figures for the algorithm, so you don’t have it to compare to the recommended testing when the app doesn’t spit out a good answer or the clinical presentation is complicated.AdhetrickVersion: 1.3
OB/GYN Nurse PracttionerWhen using app it does not clear, I would like a short cut to actual diagram pathways as before. Thank you.TSO/NPVersion: 1.1
PhysicianApp is not that smooth; does not scroll on my iPhone well; was told there is portion also for DES exposure but not able to find that; a bit disappointed.DrAnneGVersion: 1.3
Handy Concise ToolGreat to have instant access to help with quality patient care. Still trying to learn the new app but 5 stars..Alamosa momVersion: 1.0
ReviewThis new app is terrible. The older version was better..SD MDVersion: 1.1
I wish I had the old version backNew app is confusing to use compared to previous version.Cayman SVersion: 1.3
The new app is not as intuitive as the originalThis app is not intuitive. I prefer the original style, especially since this one is a paid app..RobK2011Version: 1.1
“Manage per guidelines”A lot of the algorithms mention “manage per 2019 guilds lines. But they don’t include what those guidelines are. Otherwise easy to use.Mcwoods278Version: 1.7
WowLove this diagnostic tool. Easy to use, accurate..HealhearthhikeVersion: 1.7
Not as goodThis new app isn’t as user friendly or clear as the first. Better than nothing though..UK/USVersion: 1.2
ASCCP algorithmGreat app. Helps me remember what to do and is a very good patient education tool.FarbmdVersion: 1.7
Need a better way to search specific management issuesIe endometrial cells on pap.CaterjinaVersion: 1.7
Love this appThis is must have for any NP but especially women’s health..Jpillow2019Version: 1.3
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ASCCP Management Guidelines Negative Reviews
Not user friendlyThe previous version was far more intuitive. When you try to start entering in your most recent results and where to go from there, it becomes unclear if it is wanting you to collect and enter in cytology and HPV status from AFTER your last test (eg colpo biopsy or LEEP) or if you are entering in cytology and HPV from BEFORE your last test. Then, if what you have done in the past or what you have been given (such as a new patient you’re trying to catch up on) doesn’t match up with the algorithm order, it just doesn’t even give you any recommendations. I feel like I’m going to have to know the guidelines so thoroughly in order to even use the app that I won’t even need it by then!.RBeardsleyVersion: 1.0
Why not update the last app???I do not understand why the last app was not updated and we have to purchase a new one. I had no idea there was a new app. I assumed my last app was auto updating with the most recent guidelines. I ended up recommending a colpo for a patient that didn’t need one because I was using an outdated app and recommendations changed. Thankfully she did not end up having an unnecessary procedure but this is a huge issue.
At the very least, a notification when opening the last app stating an updated version is available would have been nice so we not using outdated information. This is not good patient care..ChowskiVersion: 1.7
Not user friendlyI loved the old app! It was extremely user friendly, efficient, and always got me the info I needed. This new app is incredibly frustrating and often ends with “not enough information” or “use your clinical judgement.” I wish I had known so I wouldn’t have deleted the old version and paid the $9.99 for this one. I am part of a social network of thousands of women OB/Gyns that are feeling similarly to me. I am hoping this app will be revised, and fast, otherwise I will likely end up deleting it. It is a shame, because I used the old app several times a day..DrEM1982Version: 1.0
Frustrating.I hope I am missing something. I wish this app was as integrated as the previous one- this one seems to require a person have both this app for the latest guidelines, and the previous one to have the actual recommendations. Which makes sense from a monetary stand point since the last app was not updated and instead a new app was made- but frustrating from a clinician POV..J.reviewsVersion: 1.2
ReviewThis is not as good as the previous app. People want to move forward in time in a step-wise manner like the previous version.
Also the language used for the point in time in which we begin entering our previous results in unclear. For example are we following up on current results of a pap or Colpo? Most of the time the are coming to us for a pap or colpo and we want to know are they appropriately scheduled for such..TookfwqioplmbfddyijbVersion: 1.5
Not user friendlyConfusing, challenging to use especially when trying to quickly look something up between patients. I do like that you can put in their previous results. VERY unhappy to pay $9.99 AGAIN. Should have been an included upgrade in previous app. Still remains most expensive app I’ve ever downloaded, now I'll just consider it $20 not just $10..CNM KatieVersion: 1.0
Horrible appThis app is BEYOND confusing and information is missing. I am trying to put in a CIN3 for the colpo and there is not an option to pick CIN3. I am jumping all over the place trying different scenarios and I am so confused. To have to repurchase this app (because I could not upgrade the old one) for it to be subpar is inappropriate and DANGEROUS! You all need to fix this ASAP. Or I will just have to use my “clinical judgement” as the told me for CIN2 on a colpo..Confused GynecologistVersion: 1.0
$$The old version was already one of the most expensive basic medical apps on the market, and to come out with an entirely new one, for another $9.99, rather than just updating the old one is really praying of residents with limited financial resources who are just trying to learn and provide good care. It is a great app and helpful, but to have had to pay for it twice in residency leaves a very sour taste in my mouth..Obgyn421Version: 1.0
Poor updateThis app is confusing and difficult to use. For example, I put in a normal result for a 25 year old with a normal history. Even then, the routine follow up was hard to see. In fact, just try to find the routine screening guidelines. I think that this app was tested on people with prior knowledge. It is going to confuse new practitioners. ACSSP - get your money back from the programmers - this app is not worth $10!.Customer037393Version: 1.0
There should be a video on how to use the appThis app is very challenging to use. I am struggling with being able to easily insert the appropriate information to get the recommendations such as: abnormal pap, colp, abnormal pap—get recommendation. I miss the old App which was straightforward and you didn’t have to back log vs move forward..Becca237Version: 1.0
Difficult to useI have been using ASCCP app since it first came out. I loved the previous app. It was very user-friendly. This new app is SO confusing. It is so much more difficult then the previous app. I do not like it at all. I even watched the tutorial. Please consider revamping it. All of my co-workers agree..NP CindyVersion: 1.0
So difficult to useNot user friendly. Things need to be linked to each other. Still reference the old app because it’s so much easier to use and get to a final recommendation..MerkpVersion: 1.3
Not user friendlyDespite following the instructions and tips for using the new app, it’s performance is woeful compared to its predecessor. Fingers crossed there is a revision and an another version becomes available which we can use to provide patient care..Jeff42642Version: 1.7
AwfulThis new app is terrible and quite frankly useless. Almost any “follow up after treatment situation” ends with “no data is available, use clinical judgement”. Even though the algorithm papers would give you a recommendation. I regret having deleted the old app!.Lsr0911Version: 1.0
ASCCP has pooped this on us.This set of guidelines and this application are likely the worst I have ever seen as a physician. In no way do these guidelines help us and it is hard to imagine that they improve care for our patients. The application is almost as bad as they the guidelines. I am unbelievably saddened by the loss of efficiency and stress these guidelines will cause.SchultzeFamilyVersion: 1.2
New format is awfulI loved my old ASCCP app. This new one is very difficult to navigate. Also don’t like that it goes backwards from current pap rather than allowing you to follow from beginning of abnormal history. Miss my old one..Mudwifemeg19Version: 1.5
Needs improvementThis simply does not come the may s as centroid we see patients in. Half the time it is not helpful on making a course of action. Not user friendly.Devanshi73Version: 1.2
Big disappointmentI was a big fan of the old app, but the new one is frustrating. Hard to use, not intuitive, poor graphics user interface..FlutterlashVersion: 1.1
Don’t waste your moneyThe new app is not nearly as clear and concise as the original. I am of the impression that ASCCP now recommends 6 month f/u cytology after LEEP but do not see a way to access that recommendation after entering in my clinical scenario. This app needs work..Jen OBGYNVersion: 1.0
ConfusingI’ve used the old app for years- it was wonderful- and user friendly. Not sure why the society felt the need to change. The new app is cumbersome and confusing, not intuitive at all. Definitely needs more work..PraleyVersion: 1.0
Needs improvementI loved the old app and how it guided one through the algorithms. This new app is much harder to use. It can be confusing to figure out the frequency to screen. I would love the new recommendations to be incorporated into the form of the old app..Elizabeth212121Version: 1.0
This new edition is worse and more complicated than the previous oneNot easy to read or understand.Yanbo999Version: 1.7
HORRIBLE!!This app is horrible I have yet to be able to use it outside of normal results. If you have any abnormal results this is not the place to go for guidance. I want the old app back please!.ZionMidwifeVersion: 1.6
Old app was betterThis “new & improved” version is not user friendly and very hard to use..1960tcVersion: 1.1
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American Society For Colposcopy And Cervical Pathology Inc
