colposcopy referral

colposcopy referral

A generic term for the referral of a woman for colposcopy in response to an abnormal pap smear.
References in periodicals archive ?
Routine cervical smear taking and STI screening are a large part of RNs' daily work, which includes colposcopy referral and treatment of infections.
Initial clinical assessments of a colposcopy referral population showed that the test had better than anticipated specificity with equivalent sensitivity, versus traditional NAAT methods, including equivalent numbers of true positives and notably fewer false positives in women with negative biopsies, noted Dr.
2008 NTCC Pathology Group, The risk of false-positive histology according to the reason for colposcopy referral in cervical cancer screening: a blind revision of all histologic lesions found in the NTCC trial, American Journal of Clinical Pathology, 129(1): 75-80.
4) However, referrals of low-grade dysplasia to GSH probably represent a small fraction of the true number of women requiring colposcopy, given the low Pap smear rates reported at PHC sites, and the requirement of two low-grade Pap smear abnormalities for colposcopy referral.
Those patients with less than HSIL, however, should undergo a repeat Pap in another 12 months, at which point, evidence of ASC-US or greater warrants a colposcopy referral, he said.
The 2001 guidelines recommended a course of intravaginal estrogen followed by repeat cervical cytology for postmenopausal women, and colposcopy referral for all immunosuppressed women.
Colposcopy results were not collected at the time of the study, as its initial focus was to investigate the most recent incidence of colposcopy referrals (which would indicate a high risk of invasive lesions).
Additionally, in women over age 35 years, HPV testing combined with Pap cytology triage was more specific than cytology alone, and decreased colposcopy referrals and follow-up tests, making this screening option cost effective (J.
11) Although this higher specificity could potentially help reduce colposcopy referrals, widespread adoption of E6E7 mRNA tests will likely be limited by the test's complexity and need for expensive laboratory instruments.
The authors noted that the large number of false-positive HPV results--and the associated colposcopy referrals, risks of overtreatment and costs--were a major limitation of the study.
However, there is a tripling in the number of colposcopy referrals in this age group when screening occurs every 2 years.
Martens reported on a secondary end point built into the PATRICIA trial to assess vaccine efficacy in preventing abnormal Pap smear results and subsequent reduction in colposcopy referrals and cervical excision procedures.