Auditing the use of colposcopy versus general gynecology clinics to investigate women with postcoital or intermenstrual bleeding: A case for a new outpatient service

Journal of Lower Genital Tract Disease

Volumn 11, Issue 2, 2007, Pages 108-111

  Harry, Vanessa N ^a   Cruickshank, Margaret E ^a   Parkin, David E ^a  

^a ABERDEEN ROYAL INFIRMARY   (United Kingdom)

Author keywords

Cervical cytology; Colposcopy; Ectopy; Intermenstrual bleeding; Postcoital bleeding

Indexed keywords

ADULT; ARTICLE; BREAKTHROUGH BLEEDING; CHLAMYDIA; COLPOSCOPY; COMPARATIVE STUDY; CONTROLLED STUDY; ECTOPIC TISSUE; FEMALE; GYNECOLOGIC DISEASE; GYNECOLOGY; HUMAN; HYSTEROSCOPY; MAJOR CLINICAL STUDY; OUTPATIENT CARE; POSTCOITAL BLEEDING; PRACTICE GUIDELINE; PRIMARY MEDICAL CARE; PROSPECTIVE STUDY; ULTRASOUND; UTERINE CERVIX CARCINOMA IN SITU; UTERINE CERVIX ECTOPY;

ADULT; AMBULATORY CARE FACILITIES; CERVICAL INTRAEPITHELIAL NEOPLASIA; COITUS; COLPOSCOPY; FEMALE; GYNECOLOGY; HUMANS; MEDICAL AUDIT; METRORRHAGIA; MIDDLE AGED; PRACTICE GUIDELINES; PROSPECTIVE STUDIES; REFERRAL AND CONSULTATION; UTERINE CERVICAL NEOPLASMS; UTERINE HEMORRHAGE; WAITING LISTS;

EID: 34247168618     PISSN: 10892591     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.lgt.0000245049.67965.39     Document Type: Article

References (20)

1. Pretorius R, Semrad N, Watring W, Fotheringham N. Presentation of cervical cancer. Gynecol Oncol 1991;42:48-53.
2. Pardanani NS, Tischler LP, Brown WH, Feo ED. Carcinoma of cervix. Evaluation of treatment in community hospital. N Y State J Med 1975;75:1018-21.
3. Fraser IS, Petrucco OM. Management of intermenstrual and postcoital bleeding, and an appreciation of the issues arising out of the recent case of O'Shea versus Sullivan and Macquarie pathology. Aust N Z J Obstet Gynaecol 1996;36:67-73.
4. Luesley D, Leeson S. Colposcopy and programme management. Guidelines for the NHS cervical screening programme. NHSCSP Publication No. 20. Sheffield, UK: NHSCSP, 2004.
5. Department of Health. NHS executive guidelines for referral for suspected cancer. London, UK: Department of Health, 2000.
6. The Royal Australian and New Zealand College of Obstetricians and Gynecologists. Guidelines for referral for investigations of intermenstrual and postcoital bleeding. Available at: http://www.ranzcog.edu.au/publications/ statements/C-gyn6.pdf. Accessed July 2004.
7. Khattab AF, Ewies AA, Appleby D, Cruickshank DJ. The outcome of referral with postcoital bleeding (PCB). J Obstet Gynaecol 2005;25:279-82.
8. Shapley M, Jordan K, Croft PR. An epidemiological survey of symptoms of menstrual loss in the community. Br J Gen Pract 2004;54:359-63.
9. Slater DN. Multifactorial audit of invasive cervical cancer: key lessons for the National Screening Programme. J Clin Pathol 1995;48:405-7.
10. Viikki M, Pukkala E, Hakama M. Bleeding symptoms and subsequent risk of gynecological and other cancers. Acta Obstet Gynecol Scand 1998;77:564-9.
11. Lindner LE, Geerling S, Nettum JA, Miller SL, Altman KH. Clinical characteristics of women with chlamydial cervicitis. J Reprod Med 1988;33:684-90.
12. Chen MY, Rohrsheim R, Donovan B. Chlamydia trachomatis infection in Sydney women. Aust N Z J Obstet Gynaecol 2005;45:410-3.
13. Nher H, Lamminger C, Zimmermann J, Petzoldt D. The value of symptoms and clinical findings in cervical Chlamydia trachomatis infection. Hautarzt 1991;42:687-91.
14. Bax CJ, Oostvogel PM, Mutsaers JA, Brand R, Craandijk M, Trimbos JB, et al. Clinical characteristics of Chlamydia trachomatis infections in a general outpatient department of obstetrics and gynaecology in the Netherlands. Sex Transm Infect 2002;78:E6.
15. Abu J, Davies Q, Ireland D. Should women with postcoital bleeding be referred for colposcopy? J Obstet Gynaecol 2006;26:45-7.
16. Selo-Ojeme DO, Dayoub N, Patel A, Metha M. A clinico-pathological study of postcoital bleeding. Arch Gynecol Obstet 2004;270:34-6.
17. Rosenthal AN, Panoskaltsis T, Smith T, Soutter WP. The frequency of significant pathology in women attending a general gynaecological service for postcoital bleeding. BJOG 2001;108:103-6.
18. Shalini R, Amita S, Neera MA. How alarming is postcoital bleeding - a cytologic, colposcopic and histopathologic evaluation. Gynecol Obstet Invest 1998;45:205-8.
19. Jha S, Sabharwal S. Outcome of colposcopy in women presenting with postcoital bleeding and negative or no cytology - results of a 1-year audit. J Obstet Gynaecol 2002;22:299-301.
20. Critchley HO, Warner P, Lee AJ, Brechin S, Guise J, Graham B. Evaluation of abnormal uterine bleeding: comparison of three outpatient procedures within cohorts defined by age and menopausal status. Health Technol Assess 2004;8:1-139. iii, iv.