But they used the number of colposcopies
and the number of tests conducted as their proxy for harms, primarily because these were more easily measured.
4%) proved to be CIN2 on biopsy while 22 suspicious colposcopies
were VIA negative of which only two were CIN 2 on biopsy.
Massad et al in 2002 performed colposcopies
on 2825 women.
Similar trends were observed for each of the six colposcopists (all well trained and highly experienced), each of whom performed at least 60 colposcopies
in the study population.
3 shows the actual age distribution of women attending colposcopies
at GSH between 2009 and 2010.
Colposcopists will be required to provide documentation of the number of colposcopies
and treatments performed to gain recertification.
Adjunct HPV testing resulted in the number of colposcopies
increasing from 2.
Because of the high incidence of cervical cancer in South Africa, colposcopies
in public hospitals are largely conducted in large numbers and under less than ideal circumstances.
For adolescent patients with biopsyproven CIN 2, a recent ACOG Committee Opinion recommends close follow-up--with Pap smears or colposcopies
every 4 to 6 months--due to the high rates of resolution of CIN 2 in adolescents.
Gold stressed that the ODS is not a screening tool, but is intended to increase the effectiveness of colposcopies
in women with abnormal Pap smears, in whom up to 36% of high grade lesions can be missed with colposcopy alone.
Among the 30 women with abnormal colposcopies
there were 15 LSIL, 13 HSIL and 2 case suspicious of malignancy.