J Low Genit Tract Dis

Importance:Current cancer screening guidelines recommend cessation of cervical cancer screening at age 65 for most women. To examine residual risk among elderly women, we compared cervical cancer incidence rates in Massachusetts from 2004\u20132015 among women aged <65 vs. 6565.Methods:The Massachusetts Cancer Registry (MCR) was used to identify all women diagnosed with cervical cancer between 1/1/2004\u201312/31/2015. Cancer incidence was calculated based on age of diagnosis (<65 vs. 6565).Results:In Massachusetts, 2,418 incident cases of cervical cancer were diagnosed from 2004\u20132014, of which 571 (23.6%) were diagnosed among women ages 65 and older. When compared with women diagnosed under age 65, women diagnosed at age 6565 were more likely to be diagnosed with Stage II or higher (71.8% vs. 43.8%, p < 0.001). Cervical cancer incidence rates decreased annually for women