Outcome of women referred to colposcopy for persistently inadequate smears

Cytopathology. 2000 Feb;11(1):38-44. doi: 10.1046/j.1365-2303.2000.00210.x.

Abstract

The outcome of referral to colposcopy of 240 women who had persistently inadequate smears was investigated. Of 232 women who attended colposcopy, 214 (92.2%) had a normal outcome, 12 (5.2%) had low grade abnormalities, and six (2.6%) had high grade abnormalities. This group of women therefore has a negligibly increased risk of harbouring cervical neoplasia. Although not directly comparable, women with a history of previous abnormal cytology did not have a higher risk than those without such a history. Unnecessary colposcopy could have been avoided in the majority of cases if a good quality repeat smear had been taken. Improved smear taker training could decrease the number of referrals. A hospital cytology clinic is proposed as a cost-effective alternative to colposcopy at the first attendance.

MeSH terms

  • Cervical Intraepithelial Neoplasia / diagnosis
  • Cervical Intraepithelial Neoplasia / economics
  • Cervical Intraepithelial Neoplasia / epidemiology
  • Cervical Intraepithelial Neoplasia / pathology
  • Colposcopy / economics
  • Colposcopy / statistics & numerical data*
  • Cost-Benefit Analysis
  • Female
  • Humans
  • Medical Audit
  • National Health Programs / economics
  • Papillomaviridae / isolation & purification
  • Papillomavirus Infections / diagnosis
  • Papillomavirus Infections / epidemiology
  • Papillomavirus Infections / pathology
  • Prevalence
  • Referral and Consultation
  • Retrospective Studies
  • Risk
  • Specimen Handling
  • Treatment Outcome
  • Tumor Virus Infections / diagnosis
  • Tumor Virus Infections / epidemiology
  • Tumor Virus Infections / pathology
  • United Kingdom / epidemiology
  • Uterine Cervical Dysplasia / diagnosis*
  • Uterine Cervical Dysplasia / economics
  • Uterine Cervical Dysplasia / epidemiology
  • Uterine Cervical Dysplasia / pathology
  • Uterine Cervical Neoplasms / diagnosis*
  • Uterine Cervical Neoplasms / economics
  • Uterine Cervical Neoplasms / epidemiology
  • Uterine Cervical Neoplasms / pathology
  • Uterine Cervicitis / diagnosis
  • Uterine Cervicitis / epidemiology
  • Uterine Cervicitis / pathology
  • Vaginal Smears* / economics