title: Accuracy of physician and nurse practitioner colposcopy to effect improved surveillance of cervical cancer.
abstract: OBJECTIVE
  To compare physician and nurse practitioner accuracy in recognizing cervical dysplasia during colposcopy.
  
  
  METHODS
  A retrospective review was performed of cervical excisional biopsies from 2007 to 2009 performed by gynecologists and nurse practitioners in the same patient population. Cervical cone biopsy and loop electrosurgical excision procedure (LEEP) pathology were used as a gold standard compared to the previous colposcopy biopsies.
  
  
  RESULTS
  Four hundred fifty-five patients qualified for the study. Patients were stratified according to age: under 30 years, 30-39, and 40 and above. For physicians, 77% of high-grade colposcopy biopsy results agreed with high-grade pathology on cone biopsy or LEEP. This was statistically similar to nurse practitioner results (p = 0.12). Likewise, there was no significant difference between physician and nurse practitioner accuracy within the various patient age strata.
  
  
  CONCLUSIONS
  Colposcopy biopsy results compared to cone biopsy or LEEP results were statistically similar between gynecologists and nurse practitioners.
authors.affiliation: Department of Obstetrics & Gynecology, The University of Texas Medical Branch, Galveston, TX, USA. gokilic@utmb.edu
authors.forename: G
authors.initials: G
authors.lastname: Kilic
authors.forename: J
authors.initials: J
authors.lastname: England
authors.forename: M
authors.initials: M
authors.lastname: Borahay
authors.forename: D
authors.initials: D
authors.lastname: Pedraza
authors.forename: D
authors.initials: D
authors.lastname: Freeman
authors.forename: R
authors.initials: R
authors.lastname: Snyder
authors.forename: A K
authors.initials: AK
authors.lastname: Ertan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001706:Biopsy; D002584:Cervix Uteri / Q000473:pathology*; D002983:Clinical Competence; D003127:Colposcopy / Q000592:standards*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009722:Nurse Practitioners / Q000706:statistics & numerical data*; D010820:Physicians / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D013997:Time Factors; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis* / Q000473:pathology; D055815:Young Adult