Does experience in colposcopy improve identification of high grade abnormalities?
Ruud L Bekkers, Hedwig P van de Nieuwenhof, Deborah E Neesham, Jan H Hendriks, Jeff Tan, Michael A Quinn
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY | ELSEVIER SCIENCE BV | Published : 2008
OBJECTIVE: This study investigates whether experience in colposcopy improves identification of high grade abnormalities. The sensitivity and positive predictive value (PPV) of colposcopy in identifying high grade intra-epithelial lesions (HSIL) performed by relatively inexperienced as compared to experienced colposcopists are evaluated. STUDY DESIGN: Of 18,421 colposcopies performed at the Royal Women's Hospital, Melbourne, Australia, between 1999 and 2004 by 5 senior and 11 junior colposcopists, the colposcopic impression was correlated with the histopathology result of the biopsy taken at 6020 colposcopies, with respect to the experience of the colposcopist. RESULTS: Colposcopy had a 60% s..View full abstract