Patient distress and satisfaction with optical spectroscopy in cervical dysplasia detection.
OBJECTIVE
The aim of this investigation was to evaluate the impact of optical spectroscopy, a new approach for the detection of cervical dysplasia, on patient well-being and satisfaction.


METHODS
Patient distress and satisfaction with optical spectroscopy compared with the Papanicolaou test and colposcopically directed biopsy were measured in a volunteer sample of 314 women with no history of abnormal Papanicolaou test findings.


RESULTS
Participants reported significantly less pain and anxiety (P<.001) during optical spectroscopy than during the Papanicolaou test or colposcopically directed biopsy. Generally, participants found spectroscopy equal to the Papanicolaou test and to biopsy on a variety of questions that measured satisfaction. There were statistically significant differences between spectroscopy and the Papanicolaou test or biopsy on issues such as the discomfort and fear caused by the test, the amount of time taken, the room lighting, and perceptions of accuracy.


CONCLUSIONS
That patients reported less distress during spectroscopy than during a Papanicolaou test, colposcopy, or biopsy suggests the possibility of improved adherence to cervical cancer screening and follow-up in settings in which it is used.
Department of Behavioral Science, The University of Texas M.D. Anderson Cancer Center, Houston 77030, USA.
Karen
K
Basen-Engquist
Eileen H
EH
Shinn
Carla
C
Warneke
Carl
C
de Moor
Tao
T
Le
Rebecca
R
Richards-Kortum
Michele
M
Follen
D000328:Adult; D001706:Biopsy; D003127:Colposcopy; D005260:Female; D006801:Humans; D065006:Papanicolaou Test; D017060:Patient Satisfaction; D010361:Patients / Q000523:psychology*; D013050:Spectrometry, Fluorescence; D013315:Stress, Psychological / Q000209:etiology*; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis*; D014626:Vaginal Smears