Treatment of Cervical Dysplasia by Clinicians Who Perform Colposcopy in German-speaking Countries – a Questionnaire-based Study
| Autor: | Günther A. Rezniczek, Ziad Hilal, Clemens B. Tempfer |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Kolposkopie Konisation 03 medical and health sciences 0302 clinical medicine Maternity and Midwifery Cervical carcinoma medicine General anaesthesia GebFra Science conisation Loop excision CIN Colposcopy Response rate (survey) 030219 obstetrics & reproductive medicine Local anaesthetic medicine.diagnostic_test business.industry screening General surgery colposcopy Obstetrics and Gynecology Original Article/Originalarbeit Zervixkarzinom medicine.disease zervikale Dysplasie cervical dysplasia Dysplasia Current practice cervical carcinoma business management |
| Zdroj: | Geburtshilfe und Frauenheilkunde |
| ISSN: | 1438-8804 0016-5751 |
| DOI: | 10.1055/a-0828-7831 |
| Popis: | Introduction In connection with the reorganisation of cervical carcinoma screening, the importance of colposcopy as an integral part of the planned series of clarification testing will greatly increase. Quality standards for performing the colposcopic examination should therefore be defined in detail. A precondition for this is surveying the current standard in clinical practice. The objective of this study was to evaluate the current practice of colposcopy and conisation in Germany by means of a questionnaire aimed at gynaecologists who perform colposcopies in order to document the actual therapeutic standard of treatment of cervical dysplasia. Materials and Methods Gynaecologists were invited via e-mail or during events to participate in a web-based survey. The questionnaire contained 38 questions on management before, during and after the examination as well as questions on the technical implementation of colposcopy and conisation. Results From February 2018 to April 2018, 961 e-mails were sent. A response was received in 197 cases (response rate 20.5%). Responses were received for another 40 questionnaires during events (response rate approx. 80%). After taking the inclusion criteria into account, 160 questionnaires were evaluated. The majority of those surveyed take an average of 2 cervical biopsies (67.3%) and nearly all of those surveyed (94.5%) do not use any local anaesthetic. As a standard method for removing cervical precancerous cells, most of the physicians surveyed perform a loop excision with the electrosurgical loop (91.2%) under colposcopic visualisation (61.2%) under general anaesthesia (92.5%). Postoperative bleeding prophylaxis by means of tamponade is performed only in 27.6% of all cases. Conclusion A differential colposcopy with two colposcopically targeted biopsies and treatment with the electrosurgical loop are the methods most frequently used by clinicians who perform colposcopy in Germany. A uniform procedure should be defined in detail within the scope of directives or guidelines. |
| Databáze: | OpenAIRE |
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