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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Main Authors: Kietpeerakool C., Manopunya M., Phuprasertsak P., Jaijit T., Srisomboon J.
Format: Article
Language:English
Published: 2014
Online Access: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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Institution: Chiang Mai University
Language: English
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spelling 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
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
language English
description 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.
format 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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