comparison of pap smear quality with anatomical spatula method and the common method (spatula-cytobrush): a single blind clinical trial

نویسندگان

marzieh soleimani dept. of midwifery, fatemeh college of nursing and midwifery, shiraz university of medical sciences, shiraz, iran

khadijeh abdali dept. of midwifery, fatemeh college of nursing and midwifery, shiraz university of medical sciences, shiraz, iran

marjan khajehei dept. of sexology, school of public health, curtin university, western australia

hamid reza tabatabaee dept. of epidemiology, health and nutrition faculty, shiraz university of medical sciences, shiraz, iran

چکیده

background: cervical cancer is the third most common cancer in women in the world. papanicolaou smear is known as a standard test for cervical cancer screening; however, the most important challenge is high rates of false negative results. the aim of this study was to compare the quality of smears obtained by anatomical spatula and spatula-cytobrush. the most important factor in false negative result is inappropriate tool of sampling. methods: one hundred married women participated in this single blind clinical trial. all participants were interviewed; two samples were obtained from every participant: one with spatula-cytobrush and another one with anatomical spatula. all slides were encoded and were assessed by two pathologists. then, data were analyzed by means of kappa coefficient. results: cell adequacy was 96.1 % in anatomical spatula method and 91.2 % in spatula-cytobrush method (p= 0.016). the rates for endocervical cells and metaplasia cells in anatomical spatula method were 70.6% and 24.5% respectively and these amounts were 69.6% and 24.5% respectively in the spatula-cytobrush method (p <0.001). no one reported any pain and the amount of bleeding was 38.2% in both methods (p>0.05). regarding infection and inflammatory reactions there was no statistically significant difference between two methods (p>0.05). conclusion: based on our findings in this study, results of sampling with anatomical spatula method were more acceptable and better than those with spatula-cytobrush sampling.

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Comparison of Pap Smear Quality With Anatomical Spatula Method and the Common Method (Spatula-Cytobrush): A Single Blind Clinical Trial

BACKGROUND Cervical cancer is the third most common cancer in women in the world. Papanicolaou smear is known as a standard test for cervical cancer screening; however, the most important challenge is high rates of false negative results. The aim of this study was to compare the quality of smears obtained by anatomical spatula and spatula-cytobrush. The most important factor in false negative r...

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Comparison of Pap smear quality with anatomical spatula and convenience (spatula-cytobrush) methods: a single blind clinical trial.

OBJECTIVES The Papanicolaou smear is a standard test for cervical cancer screening; however, the most important challenge is high false negative results. Several factors contribute to this problem and one the most important is inappropriate sampling. The aim of this study was to compare the quality of smears obtained by either an anatomical spatula or a spatula-cyto brush. METHODS One hundred...

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عنوان ژورنال:
iranian journal of cancer prevention

جلد ۵، شماره ۱، صفحات ۳۳-۳۸

کلمات کلیدی
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