Update InitialIntensiveSurveillancePeriod to only look for 3 tests rather than 4

ccsm-cds-tools / ccsm-cds-with-tests

This repository contains clinical decision support (CDS) which provides recommendations for cervical cancer screening and management (CCSM).

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Update InitialIntensiveSurveillancePeriod to only look for 3 tests rather than 4 #51

Closed mickohanlon23 closed 1 year ago

mickohanlon23 commented 1 year ago

Management Surveillance (J.3.1) The recommendation and logic will need to be updated to include the Errata regarding HPV-based testing at 18 and 30 months.

mickohanlon23 commented 1 year ago

@ssebast2, @gmmeadows can you update the L2 logic after we confirm what the errata is, if we do plan to implement the errata to this section?

ssebast2 commented 1 year ago

@mickohanlon23 - I don't see any mention of testing at 18 and 30 months in the errata. Once we receive word that the errata is stable, we will delve into this.

ssebast2 commented 1 year ago

Oops. Now I see it. It is r/t text in a Figure that is being updated. We used the narrative text to build out the logic b/c we found many of the figures inaccurate or glossing over required details. We'll have to review this more carefully when the article is published - which keeps getting pushed back more and more.

mjo4rk commented 1 year ago

I will keep this open so that we can track the update more closely once the errata article is published.

ssebast2 commented 1 year ago

@mickohanlon23 - I updated the L2. This was a translation misinterpretation of the guidelines by Rose and I; not an update to the guidelines.

mickohanlon23 commented 1 year ago

Email from Sharon:

This was a translation error on the parts of Rose and I (as opposed to an error in the narrative text of the 2019 guidelines). Side note – there was an error in Figure 7 of the 2019 guidelines that pictured requiring a total of 4 tests. Perhaps that is what swayed us to interpret the narrative guidelines as we did.

We initially interpreted the guidelines as requiring a neg HPV-based test at 6 months, followed by 3 neg, annual HPV-based tests.
I now realize that the guidelines only required a neg. HPV-based test at 6 months, followed by 2 neg annual HPV-based tests (at 18 mos and 30 mos).
- Note: this aligns with management guideline J.2.1. and Risk Tables 5A and 5B
I updated the required count of tests to = 3 in the L2

mickohanlon23 commented 1 year ago

Resolved by https://github.com/ccsm-cds-tools/ccsm-cds-with-tests/pull/105.