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ACTA CYTOLOGICA GYNECOLOGIC CYTOPATHOLOGY The Journal of Clinical Cytology and Cytopathology Effects of Streamlining Cervical Cancer Screening the Dutch Way Consequences of Changes in the Dutch KOPAC-Based Follow-up Protocol and Consensus-Based Limitation of Equivocal Cytology Martijn C. Briët, Thomas H. D. Berger, M.Sc., Marjolein van Ballegooijen, M.D., Ph.D., Mathilde E. Boon, M.D., Ph.D., and Matejka Rebolj, Ph.D. Objective tology and histology follow-up. One dataset additionally in- To analyze the impact of the 1995 revision of the Dutch cluded data on other smears. For invited screenees, we ana- cervical screening program lyzed changes in cytoscores and guidelines (e.g., the introduc- histoscores between 1994, the tion of more stringent criteria last year before new screening Endocervical status is not for cytologic diagnosis of atypi- guidelines were implemented, predictive of the incidence of cal squamous cells of undeter- and 2003, the latest year for cervical cancer for several years mined significance [ASCUS]) which follow-up to screening on the negative side effects of abnormalities was available in after negative smears; thus it is an screening in Region West. the retrieved data. Addition- additional bonus that the new ally, we analyzed changes in Study Design the total number of primary follow-up protocol does not
Acta Cytologica – Karger
Published: Jan 1, 2011
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