Journal
CYTOPATHOLOGY
Volume 14, Issue 5, Pages 281-286Publisher
BLACKWELL PUBLISHING LTD
DOI: 10.1046/j.1365-2303.2003.00082.x
Keywords
cervical cytology; colposcopy
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From 1189 colposcopy referrals in 1997 at a single cervical screening centre, 88 women who had no biopsy taken at colposcopy ( negative colposcopy) were identified. We followed up these women for a maximum of 4 years and calculated the positive predictive value (PPV) of a single smear before and after follow-up. Using slide review we attempted to correlate the grade of smear leading to colposcopy referral with final outcome. Our results showed that long-term follow-up alters the PPV of cervical cytology. Analysis showed a strong correlation between the review grade of the referring smear and the final outcome after follow-up. From these results we suggest an evidence-based protocol for cervical screening follow-up after negative colposcopy.
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