The Utility of Blind Pap Tests in Young Adults with Developmental Delay: A Pilot Study - 30/04/21
Abstract |
Study Objective |
There are no guidelines specific to women with developmental delay who may not be able to tolerate a Papanicolaou (Pap) test in the office setting. The purpose of this study was to assess the utility of a less invasive method, a blind Pap for women with developmental delay, compared to the traditional Pap test performed in pediatric and adolescent gynecology (PAG) patients.
Design |
Retrospective cohort pilot study.
Setting |
Outpatient PAG clinics and the inpatient PAG service at a single institution.
Participants |
PAG patients who underwent a traditional Pap test and developmentally delayed PAG patients who underwent a blind Pap test. Patients were 26 years of age or less between July 2007 and March 2019.
Interventions and Main Outcome Measures |
Charts were reviewed to identify those who underwent a traditional Pap test (with a speculum and direct visualization) versus a blind Pap test (with a vaginal swab without a speculum). Descriptive statistics and Wilcoxon rank and Fisher exact tests compared specimen adequacy, presence of the endocervical/transformation zone (EC/TZ), and cytology results.
Results |
Of 328 PAG patients identified, 314 patients had a traditional Pap test (control), and 14 patients had a blind Pap test (4.3%). The majority of Pap tests were satisfactory in both groups. The EC/TZ component was present in 279 (90%) specimens within the traditional Pap test group and 8 (57%) in the blind Pap test group (P = .002). The traditional Pap test group results varied, with most (81.9%) being negative for intraepithelial lesion or malignancy. All BP group pathology findings were negative for intraepithelial lesion or malignancy.
Conclusion |
Our study demonstrated an ability to perform a Pap test in a less invasive manner than a traditional Pap test. Although all blind Pap test specimens were adequate, only in 57% was the EC/TZ component reported to be present, compared to 90% of the traditional Pap test specimens.
El texto completo de este artículo está disponible en PDF.Key Words : Pap test, Blind Pap test, Cervical cancer, Mentally disabled population, Preventive services
Esquema
The authors report no conflict of interest. |
Vol 34 - N° 3
P. 400-403 - juin 2021 Regresar al númeroBienvenido a EM-consulte, la referencia de los profesionales de la salud.
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