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Cervical Cancer ScreeningIssues of Collection Tools and Reporting
Arch Fam Med. 1993;2(3):261-263.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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ISSUES REGARDING the early detection of cervical cancer continue to require well-planned and implemented research to eradicate death due to cervical cancer, unnecessary morbidity, and unnecessary use of medical services. In the February1 and March2 issues of the ARCHIVES, two studies addressed key issues related to the early detection of cervical cancer, accuracy of the Papanicolaou test (cervical smear), and the reporting of cervical smear results using the Bethesda system.
Crouse and colleagues1 evaluated the sensitivity of cervical smears collected with a cytobrush and Ayre spatula. The authors used atypia and dysplasia as the end points to evaluate the sensitivities of these two collection instruments. A multitude of studies have demonstrated the advantage of the cytobrush in collecting endocervical elements compared with the spatula and cottontipped applicators. However, no studies have evaluated the newer cervical smear instruments using a clinically relevant end point or marker.
Theoretically, endocervical
. . . [Full Text PDF of this Article]
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