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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

Authors: Giuseppe F. Vercellino, Evrim Erdemoglu

Published in: Archives of Gynecology and Obstetrics | Issue 4/2015

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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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

Title: What should be the goal for future development of colposcopy? Cons and pros of sensitivity and specificity
Authors: Giuseppe F. Vercellino
Evrim Erdemoglu
Publication date: 01-04-2015
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 4/2015
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-015-3620-6

At a glance: The STEP trials

Springer Medicine

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

Abstract

Purpose

Result

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Result

Conclusion

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