title: Quality of colposcopy and treatment: data from the national survey of Italian organised cervical screening programmes. 2008 activity.
abstract: We collected data from organised Italian cervical screening programmes on (a) the correlation between colposcopic findings (according to the 1990 international classification) and histology, and (b) the treatment/management of screen-detected histologically confirmed cervical intraepithelial neoplasia (CIN). Data routinely registered by organised programmes were obtained as aggregated tables. Of the 25,932 reported colposcopies 38.1% were classified as normal and 20.2% as unsatisfactory. CIN2 or more severe histology was detected in 64.0% of colposcopies classified as grade 2 or higher. Of all colposcopies, the outcome of which was CIN2 or more severe histology, 41.7% were classified as grade 2 or higher. Of the 4,923 women with CIN1, 78.1% had follow-up only. However 0.8% of them had cold-knife conisation, 4.7% were treated by diathermocoagulation and 0.1% had a hysterectomy. Of the 3,788 women with CIN2 or CIN3, 3.9% had not yet been treated when data were collected and no data were available for a further 9.9%. Excision by radio-frequency device was the most common treatment among these women (66.7% of those with known treatment). However 0.7% of all CIN2 and 4.0% of all CIN3 had a hysterectomy. Among the 163 women with invasive carcinoma, 17.2% plausibly with microinvasive disease had only excisional treatment reported.
authors.affiliation: OIRM S. Anna, Turin.
authors.forename: Renza
authors.initials: R
authors.lastname: Volante
authors.forename: Pamela
authors.initials: P
authors.lastname: Giubilato
authors.forename: Guglielmo
authors.initials: G
authors.lastname: Ronco
mesh_terms: D003127:Colposcopy / Q000592:standards*; D003625:Data Collection; D005260:Female; D006801:Humans; D007558:Italy; D008403:Mass Screening / Q000592:standards* / Q000706:statistics & numerical data*; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D002583:Uterine Cervical Neoplasms / Q000473:pathology* / Q000601:surgery*; D002578:Uterine Cervical Dysplasia / Q000473:pathology / Q000601:surgery