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Archives of Gynecology and Obstetrics

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01.04.2015 | Reply

What should be the goal for future development of colposcopy? Cons and pros of sensitivity and specificity

verfasst von: Giuseppe F. Vercellino, Evrim Erdemoglu

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 4/2015

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Abstract

Purpose

To discuss what features of colposcopy should be developed for the future in different settings.

Result

There are cons and pros of aiming sensitivity, negative predictive value and specificity and positive predictive value. In case of diagnosis and intervention, methods increasing the specificity and positive predictive value will help to decrease unnecessary interventions. Besides, HPV test is highly sensitive and has a good negative predictive value. It is usually available before colposcopy.

Conclusion

Colposcopy can be used in a screening or diagnostic/interventional scenario. Aims to improve sensitivity or specificity may change according to the aim of colposcopy. However, in the presence of highly sensitive tests which are performed before colposcopy, first goal to improve for colposcopy can be specificity and positive predictive value.

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Lui R (2013) Clinical utility of HPV testing. Clin Obstet Gynecol 56(1):17–24CrossRefPubMed

Leeson SC, Alibegashvili T, Arbyn M, Bergeron C, Carriero C, Mergui JL, Nieminen P, Prendiville W, Redman CW, Rieck GC, Quaas J, Petry KU (2014) The future role for colposcopy in Europe. J Low Genit Tract Dis. 18(1):70–78CrossRefPubMed

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Shastri SS, Dinshaw K, Amin G, Goswami S, Patil S, Chinoy R et al (2005) Concurrent evaluation of visual, cytological and HPV testing as screening methods for the early detection of cervical neoplasia in Mumbai, India. Bull World Health Organ 83(3):186–194PubMedCentralPubMed

Titel: What should be the goal for future development of colposcopy? Cons and pros of sensitivity and specificity
verfasst von: Giuseppe F. Vercellino
Evrim Erdemoglu
Publikationsdatum: 01.04.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 4/2015
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-015-3620-6

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Abstract

Purpose

Result

Conclusion

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