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Cost is a barrier to widespread use of liquid-based cytology for cervical cancer screening in Korea.

Chung HH, Kim JW, Kang SB - J. Korean Med. Sci. (2006)

Bottom Line: Over 65% of respondents preferred conventional cytologic screening to liquid-based cytology.Fifty-three percent used the human papillomavirus DNA test as a triage for atypical squamous cells of undetermined significance.Our findings suggest that majority of Korean obstetricians and gynecologists in hospital prefer annual conventional cytologic testing to liquid-based cytology for financial reason.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Seoul National University College of Medicine, 28 Yongon-Dong, Chongno-Gu, Seoul, Korea.

ABSTRACT
This study aimed to document current cervical cancer screening practices of physicians in Korea. Questionnaires were distributed to 852 Korean obstetricians and gynecologists, who attended the 91st Conference of the Korean Society of Obstetrics and Gynecology held during May, 2005. Questionnaires were returned by 30.6% (260/852) of the recipients and 254 of these were eligible for analysis. Sixty-seven percent started cervical cancer screening women at age 20, and 65% replied that they would continue annual screening in a 35-yr-old woman with three consecutive normal cytologic tests. Over 65% of respondents preferred conventional cytologic screening to liquid-based cytology. The cost was a major determinant for selecting screening method. Fifty-three percent used the human papillomavirus DNA test as a triage for atypical squamous cells of undetermined significance. Our findings suggest that majority of Korean obstetricians and gynecologists in hospital prefer annual conventional cytologic testing to liquid-based cytology for financial reason.

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Related in: MedlinePlus

Characteristics of respondents. The majority of the respondents worked in university hospitals (A) located in Seoul and metropolitan cities (B).
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Figure 1: Characteristics of respondents. The majority of the respondents worked in university hospitals (A) located in Seoul and metropolitan cities (B).

Mentions: Table 1 and Fig. 1 show the characteristics of respondents. Their mean (standard deviation) age was 40.3 (10.8) yr. The majority of were male, and performed 1-15 Pap tests per week. Table 2 summarizes patient's age when respondents began screening. The majority of respondents would screen a 20-yr-old patient regardless of sexual activity (68.1% for sexually active and 66.9% for not active respectively), and 79.9% of respondents would screen a 20-yr-old patient at her first visit for antenatal care. Most respondents were reluctant to perform cervical cancer screening in woman without history of sexual intercourse, however, 27.2% of respondents replied that they would screen 35-yr-old woman despite absence of sexual intercourse.


Cost is a barrier to widespread use of liquid-based cytology for cervical cancer screening in Korea.

Chung HH, Kim JW, Kang SB - J. Korean Med. Sci. (2006)

Characteristics of respondents. The majority of the respondents worked in university hospitals (A) located in Seoul and metropolitan cities (B).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2721928&req=5

Figure 1: Characteristics of respondents. The majority of the respondents worked in university hospitals (A) located in Seoul and metropolitan cities (B).
Mentions: Table 1 and Fig. 1 show the characteristics of respondents. Their mean (standard deviation) age was 40.3 (10.8) yr. The majority of were male, and performed 1-15 Pap tests per week. Table 2 summarizes patient's age when respondents began screening. The majority of respondents would screen a 20-yr-old patient regardless of sexual activity (68.1% for sexually active and 66.9% for not active respectively), and 79.9% of respondents would screen a 20-yr-old patient at her first visit for antenatal care. Most respondents were reluctant to perform cervical cancer screening in woman without history of sexual intercourse, however, 27.2% of respondents replied that they would screen 35-yr-old woman despite absence of sexual intercourse.

Bottom Line: Over 65% of respondents preferred conventional cytologic screening to liquid-based cytology.Fifty-three percent used the human papillomavirus DNA test as a triage for atypical squamous cells of undetermined significance.Our findings suggest that majority of Korean obstetricians and gynecologists in hospital prefer annual conventional cytologic testing to liquid-based cytology for financial reason.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Seoul National University College of Medicine, 28 Yongon-Dong, Chongno-Gu, Seoul, Korea.

ABSTRACT
This study aimed to document current cervical cancer screening practices of physicians in Korea. Questionnaires were distributed to 852 Korean obstetricians and gynecologists, who attended the 91st Conference of the Korean Society of Obstetrics and Gynecology held during May, 2005. Questionnaires were returned by 30.6% (260/852) of the recipients and 254 of these were eligible for analysis. Sixty-seven percent started cervical cancer screening women at age 20, and 65% replied that they would continue annual screening in a 35-yr-old woman with three consecutive normal cytologic tests. Over 65% of respondents preferred conventional cytologic screening to liquid-based cytology. The cost was a major determinant for selecting screening method. Fifty-three percent used the human papillomavirus DNA test as a triage for atypical squamous cells of undetermined significance. Our findings suggest that majority of Korean obstetricians and gynecologists in hospital prefer annual conventional cytologic testing to liquid-based cytology for financial reason.

Show MeSH
Related in: MedlinePlus