Abstract：
Cervical cancer is highly preventable when precancerous lesions are detected early and appropriately managed. However, the complexity of and frequent updates to existing evidence-based clinical guidelines make it challenging for clinicians to stay abreast of the latest recommendations. In addition, limited availability and accessibility to information technology (IT) decision supports make it difficult for groups who are medically underserved to receive screening or receive the appropriate follow-up care. The Centers for Disease Control and Prevention (CDC), Division of Cancer Prevention and Control (DCPC), is leading a multiyear initiative to develop computer-interpretable (\"computable\") version of already existing evidence-based guidelines to support clinician awareness and adoption of the most up-to-date cervical cancer screening and management guidelines. DCPC is collaborating with the MITRE Corporation, leading scientists from the National Cancer Institute, and other CDC subject matter experts to translate existing narrative guidelines into computable format and develop clinical decision support tools for integration into health IT systems such as electronic health records with the ultimate goal of improving patient outcomes and decreasing disparities in cervical cancer outcomes among populations that are medically underserved. This initiative meets the challenges and opportunities highlighted by the President\'s Cancer Panel and the President\'s Cancer Moonshot 2.0 to nearly eliminate cervical cancer.
摘要：
当早期发现并适当管理癌前病变时，宫颈癌是高度可预防的。然而,现有循证临床指南的复杂性和频繁更新使得临床医生掌握最新建议具有挑战性.此外,信息技术(IT)决策支持的可用性和可及性有限,使得医疗服务不足的群体很难接受筛查或接受适当的后续护理.疾病控制和预防中心（CDC），癌症预防和控制司（DCPC），正在领导一项多年计划，以开发现有循证指南的计算机可解释（“可计算”）版本，以支持临床医生对最新宫颈癌筛查和管理指南的认识和采用。DCPC正在与MITRE公司合作，国家癌症研究所的顶尖科学家，和其他CDC主题专家将现有的叙述指南转化为可计算格式，并开发临床决策支持工具，以集成到健康IT系统中，例如电子健康记录，最终目标是改善患者预后并减少医疗服务不足的人群中宫颈癌预后的差异。该倡议满足了总统癌症小组和总统癌症登月2.0所强调的挑战和机遇，以几乎消除宫颈癌。
