Patient distress and satisfaction with optical spectroscopy in cervical dysplasia detection - 28/08/11
Reprint requests: Karen Basen-Engquist, PhD, MPH, The University of Texas M.D. Anderson Cancer Center, Department of Behavioral Science, 243, 1515 Holcombe Blvd, Houston, TX 77030.Houston and Austin, Texas
Abstract |
Objective |
The aim of this investigation was to evaluate the impact of optical spectroscopy, a new approach for the detection of cervical dysplasia, on patient well-being and satisfaction.
Study design |
Patient distress and satisfaction with optical spectroscopy compared with the Papanicolaou test and colposcopically directed biopsy were measured in a volunteer sample of 314 women with no history of abnormal Papanicolaou test findings.
Results |
Participants reported significantly less pain and anxiety (P<.001) during optical spectroscopy than during the Papanicolaou test or colposcopically directed biopsy. Generally, participants found spectroscopy equal to the Papanicolaou test and to biopsy on a variety of questions that measured satisfaction. There were statistically significant differences between spectroscopy and the Papanicolaou test or biopsy on issues such as the discomfort and fear caused by the test, the amount of time taken, the room lighting, and perceptions of accuracy.
Conclusion |
That patients reported less distress during spectroscopy than during a Papanicolaou test, colposcopy, or biopsy suggests the possibility of improved adherence to cervical cancer screening and follow-up in settings in which it is used.
Le texte complet de cet article est disponible en PDF.Keywords : Cervical dysplasia, optical spectroscopy, patient satisfaction, pain, anxiety
Plan
 | Supported by a program project grant from the National Cancer Institute, P01-CA-82710. |
Vol 189 - N° 4
P. 1136-1142 - octobre 2003 Retour au numéro
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