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Comparison of standard and loupe colposcopy (part I)
T P Reed1, C J Dunton, K Olafson
1Union Memorial Hospital, Baltimore, MD, and* Thomas Jefferson University Hospital, Philadelphia, PA.
Background:
Our objective was to determine whether colposcopy can be performed with surgical-type loupes.
Methods:
Sixty-one patients with abnormal Papanicolaou (Pap) smear test reports were examined with 6× loupes supplied by Designs For Vision, Inc. (Ronkonkoma, NY) and with a standard Zeiss Colposcope (Model OM-1). Comparisons between the two instruments were made for colposcopic impression and final histological analysis. Statistical analysis was performed by using the Kappa test.
Results:
Comparison of the two methods of examination demonstrated excellent agreement (κ = .86) with Pap smear and biopsy results.
Conclusions:
We decided that surgical loupes are adequate for colposcopic examination.
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