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Resource-Based Good Clinical Practice Recommendations for Colposcopy Standards and Quality Assurance in Colposcopy

Neerja Bhatla1, Saritha Shamsunder2, Vijay Zutshi3

  • 1Department of Obstetrics and Gynaecology, WHO CC AIIMS, New Delhi, India.

Journal of Lower Genital Tract Disease
|December 19, 2025
PubMed
Summary

Developing standardized colposcopy practices and quality assurance is crucial for accurate cervical cancer diagnosis and treatment, especially in low-resource settings. These guidelines aim to improve cervical cancer elimination efforts globally.

Keywords:
LMICauditcervical screeningcolposcopyquality assuranceresource-basedstandards

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Area of Science:

  • Gynecology
  • Oncology
  • Public Health

Background:

  • Colposcopy quality is vital for accurate cervical cancer diagnosis and treatment planning.
  • Low- and middle-income countries (LMICs) face varied resource settings for colposcopy services.
  • Standardized colposcopy is essential for cervical cancer elimination goals.

Purpose of the Study:

  • To develop defined standards for colposcopy services.
  • To integrate quality assurance mechanisms into colposcopy practices.
  • To create a framework applicable to LMICs for standardized colposcopy.

Main Methods:

  • Expert group consensus involving colposcopists, gynecologists, and gynecologic oncologists.
  • Literature review and collation of existing guidelines.
  • Development and refinement of a framework for basic and advanced colposcopy centers, incorporating expert and public feedback.

Main Results:

  • Defined standards for basic and advanced colposcopy centers, specifying essential and desirable components.
  • Established recommendations for quality assurance, evaluation, and audits.
  • Provided guidelines for advanced centers, including training recommendations.

Conclusions:

  • The developed recommendations provide a guide for colposcopy service provision and assessment.
  • These standards are widely applicable to LMICs aiming to improve cervical cancer screening and care.
  • Implementation can significantly contribute to cervical cancer elimination strategies.