Colposcopy Waiting Time for First-diagnosed Abnormal Cervical Cytology Patients: Experiences at Hatyai Hospital
Article Sidebar
Main Article Content
Abstract
Objective: To audit colposcopy waiting time of first-diagnosed abnormal cervical cytology patients in Hatyai Hospital by using standard requirements of the National Health Service Cervical Screening Program (NHSCSP) 2016.
Materials and Methods: Retrospective cross-sectional study of 123 first diagnosed abnormal cervical cytology patients who attended colposcopy clinic of Hatyai Hospital, Thailand between October 2017 to May 2018, were reviewed. Statistical analyses were performed.
Results: Median colposcopy waiting time of Hatyai Hospital was 11.87 days (IQR: 0 day, 14 days), achieved the minimum requirements of NHSCSP 2016. However, only 94.59% of patients with low grade lesion obtained colposcopy within 6 weeks (minimum requirement ≥ 99%) and 77.55% of patients with high grade lesion obtained colposcopy within 2 weeks (minimum requirement ≥ 93%). The significant factor associated with below standard requirement of waiting time to colposcopy was default rate.
Conclusion: The median colposcopy waiting time of Hatyai Hospital met the standard requirements of NHSCSP 2016, but the proportion of patients who obtained colposcopy within time failed to meet the standard requirements. Improving of colposcopy appointment system is essential.
Article Details
References
2. National Statistical Office Thailand. Population registers[internet] .2015.[cited 2018 Jun 3].Available from: https://service.nso.go.th/nso/web/statseries/statseries01.html
3. Luesley D, Bowring J, Brady J, Cruickshank M, Cruickshank D, Cullimore J, et al. The NHS Cervical Screening Programme. 3rd ed. London. Public Health England Publishers; 2016
4. Kietpeerakool C, Manopunya M, Phuprasertsak P, Jaijit T, Srisomboon J. An audit of colposcopy appointment processes in women with abnormal cervical cytology. Cytopathology 2011;22:184-8.
5. Sharp L, Cotton S, Thornton A, Gray N, Cruickshank M, Whynes D, et al. Who defaults from colposcopy? A multi-centre, population-based, prospective cohort study of predictors of non-attendance for follow-up among women with low-grade abnormal cervical cytology. Eur J Obstet Gynecol Reprod Biol 2012;165: 318-25.
6. Collins J, Santamaria N, Clayton L. Why outpatients fail to attend their scheduled appointments: a prospective comparison of differences between attenders and non-attenders. Aust Health Rev 2003; 26:52-63.
7. Usha Kiran TS, Jayawickrama NS. Who are the women who default from colposcopy clinics? J Obstet Gynaecol 2002;22:537-9.
8. Yassin AS, Howell RJ, Nysenbaum AM. Investigating non-attendance at colposcopy clinic. J Obstet Gynaecol 2002;22:79-80.
9. Sanders G, Craddock C, Wagstaff I. Factors influencing default at a hospital colposcopy clinic. Qual Health Care 1992;1:236-40.
10. Lukman H, Bevan JR, Greenwood E. Direct booking colposcopy clinic -- the Portsmouth experience. Cytopathology 2004;15:217-20.
11. Chan YM, Lee PW, Ng TY, Ngan HY. Could precolposcopy information and counseling reduce women’s anxiety and improve knowledge and compliance to follow-up? Gynecol Oncol 2004;95:341-6.
12. Oladipo A, Ogden S, Pugh S. Preclinic appointment telephone contact: an effective intervention for colposcopy clinic nonattendance. J Low Genit Tract Dis 2007;11:35-8.
13. Balasubramani L, Orbell S, Hagger M, Brown V, Tidy J. Can default rates in colposcopy really be reduced? BJOG 2008;115:403-8.