An audit of Colposcopy referrals from a GU/STD clinic.

Hdl Handle:
http://hdl.handle.net/10147/95294
Title:
An audit of Colposcopy referrals from a GU/STD clinic.
Authors:
O'Connor, Catherine; Myles, Helena; O'Connor, Mortimer B; Clancy, Josephine; Ryan, Ailis; Traynor, Mary; McGrath, Dolores; O'Sullivan, Kitty
Affiliation:
Dept. of GU/STD Medicine, Mid-Western Regional Hospital, Limerick, Ireland. Catherine.OConnor@mailh.hse.ie
Citation:
An audit of Colposcopy referrals from a GU/STD clinic. 2008, 1:24 BMC Res Notes
Journal:
BMC research notes
Issue Date:
2008
URI:
http://hdl.handle.net/10147/95294
DOI:
10.1186/1756-0500-1-24
PubMed ID:
18710481
Abstract:
BACKGROUND: Cervical cancer is increasing at 1.5% per year in Ireland with 50% mortality giving 2.2% of all cancer deaths. In the Mid-West region a pilot screening programme has begun to screen all women 25-60 years. 66% of Genitourinary/Sexually transmitted disease (GU/STD) clinics' abnormal smears are <25 years. Requests to abandon "opportunistic" screening prompted this GU/STD clinic audit. METHODS: 221(8.4%) patients referred to colposcopy over 4 years were audited. Retrospective analysis was carried out on GU/STD clinic files, hospital files and computer records for biopsy reports. Ethical approval was prospectively granted. RESULTS: 2637 smears were carried out from November 1999 - September 2003.221 patients referred to colposcopy were audited.1%, 3%, 5% had severe, moderate and, mild dyskaryosis, respectively, on cervical screening while 0.8%, 1.2%, 1.5% had CIN3, CIN2, CIN1 abnormalities, respectively, on biopsy with 3.5% having no abnormality (Cervical Intraepithelial Neoplasia = CIN).53% referred to colposcopy were <25 years. CONCLUSION: 2% had high grade lesions. 37% of high grade lesions are <25 years.Of the high grade lesions 13% had Chlamydia trachomatis (27% of CIN3) and 44% had HPV despite Relative Risks (RR) being 0.75 and 1.09 respectively. Older women had higher grade changes. No statistical difference was found for progression, regression and persistence in those over and under 25.
Language:
en
ISSN:
1756-0500

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Connor, Catherineen
dc.contributor.authorMyles, Helenaen
dc.contributor.authorO'Connor, Mortimer Ben
dc.contributor.authorClancy, Josephineen
dc.contributor.authorRyan, Ailisen
dc.contributor.authorTraynor, Maryen
dc.contributor.authorMcGrath, Doloresen
dc.contributor.authorO'Sullivan, Kittyen
dc.date.accessioned2010-03-30T14:23:53Z-
dc.date.available2010-03-30T14:23:53Z-
dc.date.issued2008-
dc.identifier.citationAn audit of Colposcopy referrals from a GU/STD clinic. 2008, 1:24 BMC Res Notesen
dc.identifier.issn1756-0500-
dc.identifier.pmid18710481-
dc.identifier.doi10.1186/1756-0500-1-24-
dc.identifier.urihttp://hdl.handle.net/10147/95294-
dc.description.abstractBACKGROUND: Cervical cancer is increasing at 1.5% per year in Ireland with 50% mortality giving 2.2% of all cancer deaths. In the Mid-West region a pilot screening programme has begun to screen all women 25-60 years. 66% of Genitourinary/Sexually transmitted disease (GU/STD) clinics' abnormal smears are <25 years. Requests to abandon "opportunistic" screening prompted this GU/STD clinic audit. METHODS: 221(8.4%) patients referred to colposcopy over 4 years were audited. Retrospective analysis was carried out on GU/STD clinic files, hospital files and computer records for biopsy reports. Ethical approval was prospectively granted. RESULTS: 2637 smears were carried out from November 1999 - September 2003.221 patients referred to colposcopy were audited.1%, 3%, 5% had severe, moderate and, mild dyskaryosis, respectively, on cervical screening while 0.8%, 1.2%, 1.5% had CIN3, CIN2, CIN1 abnormalities, respectively, on biopsy with 3.5% having no abnormality (Cervical Intraepithelial Neoplasia = CIN).53% referred to colposcopy were <25 years. CONCLUSION: 2% had high grade lesions. 37% of high grade lesions are <25 years.Of the high grade lesions 13% had Chlamydia trachomatis (27% of CIN3) and 44% had HPV despite Relative Risks (RR) being 0.75 and 1.09 respectively. Older women had higher grade changes. No statistical difference was found for progression, regression and persistence in those over and under 25.-
dc.language.isoenen
dc.titleAn audit of Colposcopy referrals from a GU/STD clinic.en
dc.contributor.departmentDept. of GU/STD Medicine, Mid-Western Regional Hospital, Limerick, Ireland. Catherine.OConnor@mailh.hse.ieen
dc.identifier.journalBMC research notesen

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