Colposcopy audit for improving quality of service in areas with a high incidence of cervical cancer

• Main Authors: Manopunya M., Suprasert P., Srisomboon J., Kietpeerakool C.
• Format: Article
• Language: English
• Published: 2014
• Online Access: http://www.scopus.com/inward/record.url?eid=2-s2.0-71149103011&partnerID=40&md5=88a1e540dbfcb2857f1d11d6d2337d29; http://www.ncbi.nlm.nih.gov/pubmed/19892342; http://cmuir.cmu.ac.th/handle/6653943832/2631
• Institution: Chiang Mai University

Objective: To audit routine colposcopy performance using 8 standard requirements of the National Health Service Cervical Screening Programme (NHSCSP). Methods: Records of women who underwent colposcopy for abnormal cervical cytology between January and December 2008 at Chiang Mai University Hospital, Thailand, were reviewed. Results: The standard requirements were not achieved in 2 practices: (1) the proportion of women who had recordings of visibility of the transformation zone (96.6%) did not achieve the NHSCSP requirement of 100%; and (2) the rate of excisional biopsy (87.8%) was lower than the 95% minimum required. Conclusion: Colposcopic performance at Chiang Mai University Hospital was generally favorable. However, re-audit is necessary to ensure that unmet standards of performance are improved and achieved standards are maintained. © 2009 International Federation of Gynecology and Obstetrics.