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Systematic Review of International Colposcopy Quality Improvement Guidelines
Edward J Mayeaux1, Akiva P Novetsky, David Chelmow
11USC Department of Family and Preventive Medicine, Professor of Obstetrics and Gynecology University of South Carolina School of Medicine, Columbia, SC; 2Division of Gynecologic Oncology, Department of Obstetrics & Gynecology and Women's Health, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY; 3Department of Obstetrics and Gynecology, Virginia Commonwealth University School of Medicine, Richmond, VA; 4Women's Health Nurse Practitioner, Gyn Cancer and Pelvic Surgery, West Orange, NJ; 5Pima County Health Department, Tucson, AZ; 6Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD; 7Palmetto Health/University of South Carolina School of Medicine Preventive Medicine Residency Program, Columbia, SC; and 8Department of Obstetrics, Gynecology, & Women's Health, Rutgers New Jersey Medical School, Newark, NJ.
Objectives:
The American Society for Colposcopy and Cervical Pathology Colposcopy Standards Committee organized multiple working groups to draft colposcopy standards for the United States. As part of this project, international quality assurance and improvement measures were examined.
Materials And Methods:
The quality improvement working group performed a systematic review of the literature to collate international guidelines related to quality improvement. Source guidelines were collected using searches in Medline, Google Scholar, the International Federation of Cervical Pathology and Colposcopy Web site, other regional colposcopy group's Web sites, and communications with International Federation of Cervical Pathology and Colposcopy board of directors' members and other expert members of various national groups. Once identified, the sources were reviewed by multiple workgroup members for potential guideline materials.
Results:
Fifty-six unique documents were identified, of which 18 met inclusion criteria and contributed data to the analysis. Information was abstracted and grouped by related subject.
Conclusions:
Wide variation exists in colposcopy guidance and quality indicators from regional and national colposcopy societies. Abstracted international guidelines are presented.
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