Document Detail


Controversy in colposcopic management: a Canadian survey.
MedLine Citation:
PMID:  16533454     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The substantial reduction in cervical cancer mortality over the last 40 years is attributed to the use of Papanicolaou cervical smear screening with subsequent colposcopic assessment and treatment. Although there is consensus regarding colposcopic management of high-grade intraepithelial cervical lesions, optimal management of patients with low-grade (LG) lesions is less clear. Our goal was to document the colposcopic management of the latter group in Canada. METHODS: A survey was mailed to 252 colposcopists in seven Canadian provinces who recommended management for colposcopy scenarios. Responses were reported in aggregate form. RESULTS: A total of 120/252 (48%) completed questionnaires. Most respondents were 41 to 50 years old, and 68% were male. For women found on colposcopy to have no evidence of a low-grade cervical LG lesion, 43% recommended discharge from colposcopy, and 53% recommended repeat colposcopy. For referrals with a biopsy-confirmed LG lesion, 13% recommended discharge to cytological follow-up, 65% recommended repeat colposcopy, and 16% recommended treatment. Following excisional treatment of LG lesions with negative margins, 13% recommended discharge to cytological follow-up, and 69% recommended further colposcopy. CONCLUSION: These results demonstrate wide variation in management of low-grade cervical lesions among Canadian colposcopists and highlight the need to establish evidence-based management protocols.
Authors:
Gregory S Nelson; Máire A Duggan; Jill G Nation
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC     Volume:  28     ISSN:  1701-2163     ISO Abbreviation:  J Obstet Gynaecol Can     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2006-03-14     Completed Date:  2007-04-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101126664     Medline TA:  J Obstet Gynaecol Can     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  36-40     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Calgary, Calgary, Alberta.
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MeSH Terms
Descriptor/Qualifier:
Canada
Cervical Intraepithelial Neoplasia / pathology,  surgery
Cervix Uteri
Colposcopy / contraindications,  methods,  utilization*
Female
Humans
Male
Middle Aged
Neoplasm Staging
Physician's Practice Patterns*
Precancerous Conditions / pathology
Predictive Value of Tests
Questionnaires
Risk Factors
Unnecessary Procedures*
Uterine Cervical Neoplasms / pathology*,  surgery
Vaginal Smears*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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