Analysis of the Peninsula Health Colposcopy Service Data of One Year Since Transitioning to the New Cervical Screening Program

Obstetrics and gynecology research Pub Date : 2019-01-01 DOI:10.26502/ogr026

Stephanie Sii, A. Trivedi, W. C. Wang

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Abstract

Aims: We aim to analyze the data from our colposcopy clinic since its transition to the new cervical screening program to determine its effectiveness in clinical practice. Materials and Methods: We extracted data from hospital electronic records, which was analyzed by a bio-statistician. Associations and concordance between referring (Human Papilloma Virus) HPV types, Liquid Based Cytology (LBC), colposcopic impression and cervical biopsy were calculated and analyzed. Results: Data from 262 women who attended our colposcopy clinic from December 2017 to November 2018 was analyzed. Our study showed that the volume of referrals had increased by 6-fold since the implementation of the new cervical screening program in Australia. HPV Other (non 16/18) had the highest prevalence among women referred and accounted for the highest number of high-grade referrals to our unit. Conclusion: 83.3% of referrals with HPV Other (non 16/18) had abnormal cytology. HPV Other appears to be the most pathogenic of all HPV subtypes. The concordance between colposcopic impression and cervical biopsy was 61.9%.

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过渡到新子宫颈筛查计划后一年半岛健康阴道镜服务数据分析

目的:我们的目的是分析自阴道镜临床过渡到新的子宫颈筛查项目以来的数据，以确定其在临床实践中的有效性。材料和方法:我们从医院电子病历中提取数据，并由生物统计学家进行分析。计算和分析参考(人乳头瘤病毒)HPV类型、液体细胞学(LBC)、阴道镜印象和宫颈活检之间的相关性和一致性。结果:分析了2017年12月至2018年11月在我们阴道镜诊所就诊的262名女性的数据。我们的研究表明，自澳大利亚实施新的子宫颈筛查计划以来，转诊的数量增加了6倍。其他HPV(非16/18)在转诊的妇女中患病率最高，占我们单位高级别转诊人数最多。结论:83.3%的转诊HPV Other(非16/18)患者细胞学异常。HPV Other似乎是所有HPV亚型中最具致病性的。阴道镜印象与宫颈活检的一致性为61.9%。

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Obstetrics and gynecology research

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