Papanicolaou test collection with the Papette brush or the spatula with cytobrush: A pragmatic study

Autor: Danielle J O’Laughlin, Brittany A Strelow, Nicole A Fellows, Joy N Stevens, Elizabeth A Kelsey, Stephanie R Fink, Sonya M Peters, Jennifer A Johnson, Jaclyn P Houghton, Anne M Stolp, Karen M Fischer, Johanna M Tweedy, Ramona S DeJesus
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Women's Health, Vol 19 (2023)
Druh dokumentu: article
ISSN: 1745-5065
17455057
DOI: 10.1177/17455057231170975
Popis: Background: Cotesting with the Papanicolaou (Pap) and human papillomavirus tests detects most precancerous and cancerous lesions and increases the sensitivity for detecting high-grade precancerous and invasive cervical cancers compared with human papillomavirus testing alone. Objective: To compare the use of the Papette brush (hereafter Papette) to the traditional spatula with endocervical brush (cytobrush) for cervical cancer screening. Design: Pragmatic observational study. Methods: Adult women aged 21–64 years who were eligible for a Papanicolaou test at a Midwest Community Internal Medicine practice underwent cervical cancer screening using the Papette or spatula with cytobrush from 18 August 2021 through 1 February 2022. Cluster sampling was used across the practice. Pathology reports were then analyzed to compare the number of satisfactory versus unsatisfactory results between the two collection techniques. Results: We collected results for 756 Pap tests. The test results were satisfactory with the Papette 93.8% of the time compared with 93.0% for the spatula with cytobrush. Conclusion: The Papette is not inferior to a spatula with cytobrush as a collection method for Pap tests.
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