Association of cervical cryotherapy with inadequate follow-up colposcopy.
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| Title: | Association of cervical cryotherapy with inadequate follow-up colposcopy. |
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| Authors: | Sparks, Rhonda A., Scheid, Dewey, Loemker, Vicki, Stader, Eric, Reilly, Kathy, Hamm, Rob, McCarthy, Laine |
| Source: | Journal of Family Practice. Jun2002, Vol. 51 Issue 6, p526-529. 4p. 2 Charts. |
| Subjects: | Colposcopy, Cervix uteri, Vagina examination, Cold therapy, Dysplasia |
| Abstract: | OBJECTIVE We studied the anatomic changes that occur in the ectocervix after cryotherapy and the role these changes play in the adequacy of follow-up colposcopic examination. * STUDY DESIGN We retrospectively reviewed patients' charts. * POPULATION Between January 1, 1991, and December 1, 1995, 268 women underwent 2 colposcopic examinations in 7 state-run public health clinics. * OUTCOMES MEASURED The likelihood that a follow-up colposcopic examination would be inadequate. * RESULTS Of the 268 women who underwent 2 colposcopic examinations during the study period, 83 had cryotherapy, 24 had loop excision of the ectocervical portion or cervical conization, and 96 had no procedure. Sixty-five were excluded because of missing data. Subjects were similar with respect to age, whether endocervical curettage was performed, presence of cervical dysplasia or human papilloma virus, and whether glandular involvement was noted. Patients who had cryotherapy had an increased likelihood of inadequate follow-up colposcopic examination compared with women who had no procedure (adjusted odds ratio = 18.7, 95% confidence interval = 7.0-49.8). * CONCLUSIONS Undergoing cryotherapy of the uterine cervix increases the risk that a follow-up colposcopic examination will be inadequate. Given the reported high rates of regression of mild and moderate cervical dysplasia and the risks posed by possibly unnecessary procedures performed after inadequate colposcopic examination, a trend toward less aggressive therapy and watchful waiting may be appropriate but should be investigated in a controlled clinical trial. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Family Practice is the property of Frontline Medical Communications and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 7077911 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Association of cervical cryotherapy with inadequate follow-up colposcopy. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Sparks%2C+Rhonda+A%2E%22">Sparks, Rhonda A.</searchLink><br /><searchLink fieldCode="AR" term="%22Scheid%2C+Dewey%22">Scheid, Dewey</searchLink><br /><searchLink fieldCode="AR" term="%22Loemker%2C+Vicki%22">Loemker, Vicki</searchLink><br /><searchLink fieldCode="AR" term="%22Stader%2C+Eric%22">Stader, Eric</searchLink><br /><searchLink fieldCode="AR" term="%22Reilly%2C+Kathy%22">Reilly, Kathy</searchLink><br /><searchLink fieldCode="AR" term="%22Hamm%2C+Rob%22">Hamm, Rob</searchLink><br /><searchLink fieldCode="AR" term="%22McCarthy%2C+Laine%22">McCarthy, Laine</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Family+Practice%22">Journal of Family Practice</searchLink>. Jun2002, Vol. 51 Issue 6, p526-529. 4p. 2 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Colposcopy%22">Colposcopy</searchLink><br /><searchLink fieldCode="DE" term="%22Cervix+uteri%22">Cervix uteri</searchLink><br /><searchLink fieldCode="DE" term="%22Vagina+examination%22">Vagina examination</searchLink><br /><searchLink fieldCode="DE" term="%22Cold+therapy%22">Cold therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Dysplasia%22">Dysplasia</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: OBJECTIVE We studied the anatomic changes that occur in the ectocervix after cryotherapy and the role these changes play in the adequacy of follow-up colposcopic examination. * STUDY DESIGN We retrospectively reviewed patients' charts. * POPULATION Between January 1, 1991, and December 1, 1995, 268 women underwent 2 colposcopic examinations in 7 state-run public health clinics. * OUTCOMES MEASURED The likelihood that a follow-up colposcopic examination would be inadequate. * RESULTS Of the 268 women who underwent 2 colposcopic examinations during the study period, 83 had cryotherapy, 24 had loop excision of the ectocervical portion or cervical conization, and 96 had no procedure. Sixty-five were excluded because of missing data. Subjects were similar with respect to age, whether endocervical curettage was performed, presence of cervical dysplasia or human papilloma virus, and whether glandular involvement was noted. Patients who had cryotherapy had an increased likelihood of inadequate follow-up colposcopic examination compared with women who had no procedure (adjusted odds ratio = 18.7, 95% confidence interval = 7.0-49.8). * CONCLUSIONS Undergoing cryotherapy of the uterine cervix increases the risk that a follow-up colposcopic examination will be inadequate. Given the reported high rates of regression of mild and moderate cervical dysplasia and the risks posed by possibly unnecessary procedures performed after inadequate colposcopic examination, a trend toward less aggressive therapy and watchful waiting may be appropriate but should be investigated in a controlled clinical trial. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Family Practice is the property of Frontline Medical Communications and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 4 StartPage: 526 Subjects: – SubjectFull: Colposcopy Type: general – SubjectFull: Cervix uteri Type: general – SubjectFull: Vagina examination Type: general – SubjectFull: Cold therapy Type: general – SubjectFull: Dysplasia Type: general Titles: – TitleFull: Association of cervical cryotherapy with inadequate follow-up colposcopy. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Sparks, Rhonda A. – PersonEntity: Name: NameFull: Scheid, Dewey – PersonEntity: Name: NameFull: Loemker, Vicki – PersonEntity: Name: NameFull: Stader, Eric – PersonEntity: Name: NameFull: Reilly, Kathy – PersonEntity: Name: NameFull: Hamm, Rob – PersonEntity: Name: NameFull: McCarthy, Laine IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: Jun2002 Type: published Y: 2002 Identifiers: – Type: issn-print Value: 00943509 Numbering: – Type: volume Value: 51 – Type: issue Value: 6 Titles: – TitleFull: Journal of Family Practice Type: main |
| ResultId | 1 |
