| Controversy in colposcopic management: a Canadian survey. | |
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MedLine Citation:
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PMID: 16533454 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Gregory S Nelson; Máire A Duggan; Jill G Nation |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2006-03-14 Completed Date: 2007-04-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101126664 Medline TA: J Obstet Gynaecol Can Country: Canada |
Other Details:
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Languages: eng Pagination: 36-40 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Calgary, Calgary, Alberta. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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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