Outcome of loop electrosurgical excision for HIV-positive women in a low-resource outpatient setting

Objective: To assess outcome in HIV-positive women undergoing the loop electrosurgical excision procedure (LEEP). Method: A prospective study was conducted with 789 outpatients undergoing LEEP at Chiang Mai University Hospital between October 2004 and June 2008. Results: The 70 HIV-positive women (8...

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Main Authors: Chumnan Kietpeerakool, Prapaporn Suprasert, Jatupol Srisomboon
Format: Journal
Published: 2018
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/49391
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spelling th-cmuir.6653943832-493912018-08-16T02:15:46Z Outcome of loop electrosurgical excision for HIV-positive women in a low-resource outpatient setting Chumnan Kietpeerakool Prapaporn Suprasert Jatupol Srisomboon Medicine Objective: To assess outcome in HIV-positive women undergoing the loop electrosurgical excision procedure (LEEP). Method: A prospective study was conducted with 789 outpatients undergoing LEEP at Chiang Mai University Hospital between October 2004 and June 2008. Results: The 70 HIV-positive women (8.9%) were younger (P < 0.001) and had a lower parity (P < 0.001) than the remaining women. The proportion of women undergoing LEEP for persistent low-grade lesions was higher (8.6% vs 1.9%) and the prevalence of margin involvement was higher (60.0% vs 49.4%) among the HIV-positive women. After adjusting for age, parity, menopausal status, size of excised lesion, and histopathologic result, HIV infection was not significantly associated with LEEP complications (adjusted odds ratio, 0.41; 95% confidence interval, 0.15-1.15). Conclusion: The higher risk of resection margin involvement in HIV-infected women was not associated with LEEP complications. © 2008 Elsevier Ireland Ltd. All rights reserved. 2018-08-16T02:15:46Z 2018-08-16T02:15:46Z 2009-01-01 Journal 00207292 2-s2.0-62649091152 10.1016/j.ijgo.2008.11.006 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=62649091152&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/49391
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Medicine
spellingShingle Medicine
Chumnan Kietpeerakool
Prapaporn Suprasert
Jatupol Srisomboon
Outcome of loop electrosurgical excision for HIV-positive women in a low-resource outpatient setting
description Objective: To assess outcome in HIV-positive women undergoing the loop electrosurgical excision procedure (LEEP). Method: A prospective study was conducted with 789 outpatients undergoing LEEP at Chiang Mai University Hospital between October 2004 and June 2008. Results: The 70 HIV-positive women (8.9%) were younger (P < 0.001) and had a lower parity (P < 0.001) than the remaining women. The proportion of women undergoing LEEP for persistent low-grade lesions was higher (8.6% vs 1.9%) and the prevalence of margin involvement was higher (60.0% vs 49.4%) among the HIV-positive women. After adjusting for age, parity, menopausal status, size of excised lesion, and histopathologic result, HIV infection was not significantly associated with LEEP complications (adjusted odds ratio, 0.41; 95% confidence interval, 0.15-1.15). Conclusion: The higher risk of resection margin involvement in HIV-infected women was not associated with LEEP complications. © 2008 Elsevier Ireland Ltd. All rights reserved.
format Journal
author Chumnan Kietpeerakool
Prapaporn Suprasert
Jatupol Srisomboon
author_facet Chumnan Kietpeerakool
Prapaporn Suprasert
Jatupol Srisomboon
author_sort Chumnan Kietpeerakool
title Outcome of loop electrosurgical excision for HIV-positive women in a low-resource outpatient setting
title_short Outcome of loop electrosurgical excision for HIV-positive women in a low-resource outpatient setting
title_full Outcome of loop electrosurgical excision for HIV-positive women in a low-resource outpatient setting
title_fullStr Outcome of loop electrosurgical excision for HIV-positive women in a low-resource outpatient setting
title_full_unstemmed Outcome of loop electrosurgical excision for HIV-positive women in a low-resource outpatient setting
title_sort outcome of loop electrosurgical excision for hiv-positive women in a low-resource outpatient setting
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=62649091152&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/49391
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