Do doctors follow the provincial and national guidelines for the management of low grade cervical smear abnormalities? A retrospective population-based cohort study.
Published: 2007
Language: eng
Number of pages: 84
ISBN-13: 9780494273425
Description: This paper addresses whether management of Ontario women with low grade cervical smear abnormalities, ASCUS and LSIL, is consistent with national and provincial guideline recommendations. Using an administrative laboratory database, Cytobase, compliance rates with guideline recommendations are calculated for this population for the year 1999. 29,384 women were diagnosed with a low grade cervical abnormality on a pap smear. 16% of women with a diagnosis of LSIL and 24% of women with a diagnosis of ASCUS were managed according to guideline recommendations. 48% of women with a diagnosis of LSIL and 42% of women with a diagnosis of ASCUS did not have any follow up as captured by Cytobase. A community based pilot project was also carried out utilizing a computer generated reminder placed on the pap smear report as a method of implementation of guideline recommendations to determine the feasibility of this strategy in a randomized controlled trial.
Notes: Source: Masters Abstracts International, Volume: 45-06, page: 3118.

Thesis (M.Sc.)--University of Toronto, 2007.

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