An audit of colposcopy appointment processes in women with abnormal cervical cytology
Objectives: This study was conducted to audit the waiting times and default rates of colposcopy using the standard requirements of the National Health Service Cervical Screening Programme (NHSCSP) 2004 guidelines. Methods: The records of 291 women with abnormal cervical smears referred to the colpos...
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th-cmuir.6653943832-26522014-08-30T02:25:13Z An audit of colposcopy appointment processes in women with abnormal cervical cytology Kietpeerakool C. Manopunya M. Phuprasertsak P. Jaijit T. Srisomboon J. Objectives: This study was conducted to audit the waiting times and default rates of colposcopy using the standard requirements of the National Health Service Cervical Screening Programme (NHSCSP) 2004 guidelines. Methods: The records of 291 women with abnormal cervical smears referred to the colposcopy clinic between January and December 2008 at Chiang Mai University Hospital, Thailand, were reviewed. Results: The proportion of women with abnormal cervical smears of any grade receiving colposcopy appointments within 8weeks of referral (96.9%) achieved the minimum requirements (≥90%). However, the waiting times for women with high-grade squamous intraepithelial lesion, glandular cell abnormality and invasive lesion smears were longer than recommended by NHSCSP guidelines. The default rate of 15.8% in this study was slightly higher than recommended by the guidelines (<15%). Having no health insurance, being known to have HIV infection and waiting times longer than 4weeks were independent predictors of default from an initial colposcopy appointment. Conclusion: The waiting times for colposcopy among women with high-grade smear abnormality and the default rate failed to meet standard requirements. Designing an effective protocol for colposcopy appointment processes is warranted. © 2010 Blackwell Publishing Ltd. 2014-08-30T02:25:13Z 2014-08-30T02:25:13Z 2011 Article 9565507 10.1111/j.1365-2303.2010.00790.x 20646018 CYTPE http://www.scopus.com/inward/record.url?eid=2-s2.0-79956088347&partnerID=40&md5=3322bb04ebfbf0744dc21b0c5f0dbb68 http://www.ncbi.nlm.nih.gov/pubmed/20646018 http://cmuir.cmu.ac.th/handle/6653943832/2652 English |
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Objectives: This study was conducted to audit the waiting times and default rates of colposcopy using the standard requirements of the National Health Service Cervical Screening Programme (NHSCSP) 2004 guidelines. Methods: The records of 291 women with abnormal cervical smears referred to the colposcopy clinic between January and December 2008 at Chiang Mai University Hospital, Thailand, were reviewed. Results: The proportion of women with abnormal cervical smears of any grade receiving colposcopy appointments within 8weeks of referral (96.9%) achieved the minimum requirements (≥90%). However, the waiting times for women with high-grade squamous intraepithelial lesion, glandular cell abnormality and invasive lesion smears were longer than recommended by NHSCSP guidelines. The default rate of 15.8% in this study was slightly higher than recommended by the guidelines (<15%). Having no health insurance, being known to have HIV infection and waiting times longer than 4weeks were independent predictors of default from an initial colposcopy appointment. Conclusion: The waiting times for colposcopy among women with high-grade smear abnormality and the default rate failed to meet standard requirements. Designing an effective protocol for colposcopy appointment processes is warranted. © 2010 Blackwell Publishing Ltd. |
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Article |
author |
Kietpeerakool C. Manopunya M. Phuprasertsak P. Jaijit T. Srisomboon J. |
spellingShingle |
Kietpeerakool C. Manopunya M. Phuprasertsak P. Jaijit T. Srisomboon J. An audit of colposcopy appointment processes in women with abnormal cervical cytology |
author_facet |
Kietpeerakool C. Manopunya M. Phuprasertsak P. Jaijit T. Srisomboon J. |
author_sort |
Kietpeerakool C. |
title |
An audit of colposcopy appointment processes in women with abnormal cervical cytology |
title_short |
An audit of colposcopy appointment processes in women with abnormal cervical cytology |
title_full |
An audit of colposcopy appointment processes in women with abnormal cervical cytology |
title_fullStr |
An audit of colposcopy appointment processes in women with abnormal cervical cytology |
title_full_unstemmed |
An audit of colposcopy appointment processes in women with abnormal cervical cytology |
title_sort |
audit of colposcopy appointment processes in women with abnormal cervical cytology |
publishDate |
2014 |
url |
http://www.scopus.com/inward/record.url?eid=2-s2.0-79956088347&partnerID=40&md5=3322bb04ebfbf0744dc21b0c5f0dbb68 http://www.ncbi.nlm.nih.gov/pubmed/20646018 http://cmuir.cmu.ac.th/handle/6653943832/2652 |
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