Video colposcopy improves adherence to follow-up compared to regular colposcopy: a randomized trial.
OBJECTIVE
To assess and compare rates of adherence to follow-up in women undergoing video or regular colposcopy.


METHODS
Sixty patients with abnormal Pap smears were randomized to undergo video or regular colposcopy. All participants were given the same instructions and a follow-up appointment. If a patient did not keep her appointment and did not reschedule, this was considered a failure. Multivariate logistic regression was used for assessment of predictors of follow-up.


RESULTS
The follow-up rate was significantly higher in the video colposcopy group compared to the regular colposcopy group (80 vs. 50%, p=0.014). After adjusting for results of previous and referral Pap smears, and previous treatment, multivariate analyses indicated that women undergoing video colposcopy were almost five times more likely to return for follow-up than women undergoing regular colposcopy (odds ratio=4.9, 95% confidence interval=[1.24, 19.39]).


CONCLUSIONS
Colposcopy clinics with patient population similar to ours may consider the use of video colposcope.
Takacs
Peter
P
Department of Obstetrics, Jackson Memorial Hospital, University of Miami School of Medicine, P.O. Box 016960, Miami, FL 33010, USA. ptakacs@med.miami.edu
Chakhtoura
Nahida
N
De Santis
Timothy
T
D000328:Adult; D003127:Colposcopy / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D005431:Florida; D006801:Humans; D065006:Papanicolaou Test; D010349:Patient Compliance; D011446:Prospective Studies; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000473:pathology; D014626:Vaginal Smears; D014741:Video Recording; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis* / Q000473:pathology