Navigation Links
Onsite colposcopy clinic improves cancer screening rates: Study
Date:8/12/2013

TORONTO, ON, August 12, 2013 Women who had a colposcopy at a sexual health clinic that provided extra support and counselling were 34 per cent more likely to undergo the cancer screening procedure compared to women who were referred to a hospital or doctor's office, according to a new study by Women's College Hospital's Dr. Sheila Dunn.

Although colposcopy is an important component of cervical cancer screening, some women, particularly those who are disadvantaged, fail to attend colposcopy appointments. However, researchers in the study, published today in the Journal of Obstetrics and Gynaecology Canada, found that providing intensive nurse counselling and support with the procedure at the same clinic where a woman has her Pap test, improves uptake and eliminates barriers to cancer detection.

"A colposcopy is extremely important followup for women who have abnormal Pap smears because it prevents pre-malignant lesions from developing into cancer," says the study's lead author and family doctor at WCH Dr. Dunn. "However, we know from research women fail to have the procedure because of various barriers, including not understanding its importance, high anxiety around the procedure, and lack of available childcare services, time, or transportation to and from the clinic."

Colposcopy is a procedure that examines a woman's cervix to detect precancerous changes and early cancers when they are easier to manage. A doctor usually recommends a colposcopy after certain abnormal Pap results. However, research suggests that a significant number of women do not go on to have this procedure despite referral from a doctor.

As part of the study, the researchers established an onsite colposcopy service within a sexual health clinic in downtown Toronto specifically to address the needs of women who required extra support. The clinic is staffed by a family doctor and a nurse who educates women about their abnormal results and the procedure. The nurse schedules a colposcopy appointment, assesses the woman's concerns and specific barriers to having the procedure, and provides tailored support, including translators, extra time for highly anxious women, telephone reminders, and followup and tracking for missed appointments.

The researchers reviewed the charts of 685 women who were referred for a colposcopy between January 2007 and September 2010. They compared the women who went on to have the procedure at the clinic with those who had a colposcopy at a nearby hospital or doctor's office and found:

  • 13% of women who were referred offsite did not have a colposcopy compared with 4% of women at the onsite clinic.
  • Women screened at an abortion visit were almost three times more likely to not have the procedure after having a Pap smear. The researchers suggest that women experiencing stressful events may be less likely to prioritize followup for an abnormal Pap.
  • Although services were provided at no cost to the women, uninsured women were twice as likely not to have a colposcopy than women who were insured.
  • Younger women were more likely not to have the procedure.

"Our findings suggest by tailoring services to support women, they are more likely to have their recommended colposcopy. We think this is likely to be particularly important for women of low socioeconomic status, uninsured women, and newcomers," adds Dr. Dunn, a researcher at Women's College Research Institute. "We now need to use this research to determine what components of this model are most important and how they can be used to improve the effectiveness of cervical screening programs across the country."


'/>"/>

Contact: Julie Saccone
Julie.Saccone@wchospital.ca
416-323-6400 x4054
Women's College Hospital
Source:Eurekalert

Related medicine news :

1. Recovery Associates Announces the Opening of its Onsite State-of-the-Art Drug Testing Lab at its AddictionTreatment Facility
2. Mayo Clinic: Preclinical tests may lead to new approach to treat CNS lymphoma
3. Hope For The Warriors and BAADS Host Wounded-Veteran Sailing Clinic
4. URAC Announces Finalists for Care Coordination and Clinical Integration Best Practices Awards
5. Top Addiction Treatment Clinic, The Coleman Institute, Expands into Tampa Bay Metro Area
6. Imprivata is the Most Widely Selected Single Sign-On Solution by U.S. Hospitals Using Siemens Soarian Clinicals according to HIMSS Analytics
7. Registration Open for Skills and Drills Clinic
8. Sansum Clinic's Dr. Kurt Ransohoff and Vince Jensen elected to the Board of Directors of the California Association of Physician Groups
9. Harvard Scientists Commend Erchonia for Excellence in Clinical Research for the Zerona Laser
10. Mayo Clinic researchers decode origin of inflammation-driven pancreatic cancer
11. ATS publishes clinical practice guideline on ILD in infancy
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 27, 2016 , ... Quality metrics are proliferating ... many ways they remain in the eye of the beholder, according to experts who ... of The American Journal of Managed Care. For the full issue, click here ...
(Date:6/26/2016)... ... June 26, 2016 , ... PawPaws brand pet supplements ... was developed to enhance the health of felines. The formula is all-natural and is ... herbs in the PawPaws Cat Kidney Support Supplement Soft Chews are Astragalus ...
(Date:6/25/2016)... D.C. (PRWEB) , ... June 25, 2016 , ... ... discuss health policy issues and applications at AcademyHealth’s Annual Research Meeting June 26-28, ... their work on several important health care topics including advance care planning, healthcare ...
(Date:6/25/2016)... ... 2016 , ... "With 30 hand-drawn hand gesture animations, FCPX users can easily ... of Pixel Film Studios. , ProHand Cartoon’s package transforms over 1,300 hand-drawn pictures ... . Simply select a ProHand generator and drag it above media or text in ...
(Date:6/25/2016)... Oklahoma City, Oklahoma (PRWEB) , ... June 25, ... ... to helping both athletes and non-athletes recover from injury. Recently, he has implemented ... for the Oklahoma City area —Johnson is one of the first doctors to ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016   Bay ... Rehabilitation Network,s Dean Center for Tick Borne ... Medicine and Rehabilitation, MIT Hacking Medicine, University of ... Innovation, today announced the five finalists of ... Lyme disease.  More than 100 scientists, clinicians, researchers, ...
(Date:6/24/2016)... , June 24, 2016 ... the "Structural Electronics 2015-2025: Applications, Technologies, Forecasts" ... In-Mold Electronics, Smart Skin, Structural ... Structural electronics involves electronic and/or ... protective structures, replacing dumb structures such as vehicle ...
(Date:6/24/2016)... , June 24, 2016 Dehaier Medical Systems ... "Company"), which develops, markets and sells medical devices and ... , signed a strategic cooperation agreement with Hongyuan Supply ... Supply Chain") on June 20, 2016, to develop Dehaier,s ... strategic cooperation agreement, Dehaier will leverage Hongyuan Supply Chain,s ...
Breaking Medicine Technology: