Audit of Colposcopy Referrals from a GU/STD Clinic
Author Information
Author(s): Catherine O'Connor, Helena Myles, Mortimer B O'Connor, Josephine Clancy, Ailis Ryan, Mary Traynor, Dolores McGrath, Kitty O'Sullivan
Primary Institution: The Dept of GU/STD Medicine, Mid-Western Regional Hospital, Limerick, Ireland
Hypothesis
Is there a significant rate of high-grade lesions in patients referred to colposcopy from a GU/STD clinic?
Conclusion
2% of patients screened had high-grade lesions, with 37% of these being under 25 years old.
Supporting Evidence
- 221 patients referred to colposcopy were audited.
- 1%, 3%, and 5% had severe, moderate, and mild dyskaryosis, respectively.
- 37% of high-grade lesions were found in patients under 25 years.
- 13% of patients with high-grade lesions had Chlamydia trachomatis.
- 44% of patients with high-grade lesions had HPV.
Takeaway
The study looked at women referred for cervical cancer screening and found that some young women had serious issues, but many were not at risk.
Methodology
Retrospective analysis of GU/STD clinic files, hospital files, and computer records for biopsy reports over four years.
Potential Biases
Potential bias in patient selection and reporting.
Limitations
The study may not represent all populations as it was conducted in a specific clinic.
Participant Demographics
53% of the patients referred to colposcopy were under 25 years old.
Statistical Information
Confidence Interval
0.62,-0.70
Digital Object Identifier (DOI)
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