Cervical Papanicolaou Smear Test Screening among Patients Visiting the Outpatient Department of Gynaecology of a Tertiary Care Centre
Introduction: Carcinoma cervix is the second most common cause of death in women worldwide and the most common cause in developing countries. Cervical cancer is considered a preventable gynaecological problem as it has a long premalignant stage which can be detected by exfoliative cytology like pap...
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Nepal Medical Association
2023-09-01
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| Series: | Journal of Nepal Medical Association |
| Subjects: | |
| Online Access: | https://www.jnma.com.np/jnma/index.php/jnma/article/view/8256 |
| _version_ | 1797689892618108928 |
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| author | Ram Prashad Sapkota Sunilmani Pokhrel Anita Bhandari Pradeep Adhikari Mabindra Shrestha |
| author_facet | Ram Prashad Sapkota Sunilmani Pokhrel Anita Bhandari Pradeep Adhikari Mabindra Shrestha |
| author_sort | Ram Prashad Sapkota |
| collection | DOAJ |
| description |
Introduction: Carcinoma cervix is the second most common cause of death in women worldwide and the most common cause in developing countries. Cervical cancer is considered a preventable gynaecological problem as it has a long premalignant stage which can be detected by exfoliative cytology like papanicolaou smear test. The papanicolaou smear test is a simple, safe, non-invasive, and low-cost effective method for screening cervical cancer in developing countries like Nepal. The aim of the study was to find out the prevalence of cervical papanicolaou smear test screening among patients visiting the Outpatient Department of Gynaecology of a tertiary care centre.
Methods: A descriptive cross-sectional study was conducted among patients visiting the Department of Gynaecology of a tertiary care centre after obtaining ethical approval from the Institutional Review Committee. Data from 14 April 2021 to 22 October 2022 were collected between 11 May 2023 to 26 May 2023 from the hospital records. Papanicolaou smear tests among the age group of 21 years up to 70 years were included in the study. Convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.
Results: Among 11,173 patients, papanicolaou smear test was done in 572 (5.12%) (4.71-5.53, 95% Confidence Interval). Negative for intraepithelial lesion was the most common cytological pattern seen in 518 (90.55%) patients. The low-grade squamous intraepithelial lesion was the most common among abnormal epithelial cells seen in 29 (5.07%).
Conclusions: The prevalence of cervical papanicolaou smear test among patients visiting the Outpatient Department of Gynaecology was found to be similar to other studies done in similar settings.
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| first_indexed | 2024-03-12T01:52:41Z |
| format | Article |
| id | doaj.art-d42f1c6ced284eca9a0abdf7f5800869 |
| institution | Directory Open Access Journal |
| issn | 0028-2715 1815-672X |
| language | English |
| last_indexed | 2024-03-12T01:52:41Z |
| publishDate | 2023-09-01 |
| publisher | Nepal Medical Association |
| record_format | Article |
| series | Journal of Nepal Medical Association |
| spelling | doaj.art-d42f1c6ced284eca9a0abdf7f58008692023-09-08T11:48:35ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2023-09-016126510.31729/jnma.8256Cervical Papanicolaou Smear Test Screening among Patients Visiting the Outpatient Department of Gynaecology of a Tertiary Care CentreRam Prashad Sapkota0Sunilmani Pokhrel1Anita Bhandari2Pradeep Adhikari3Mabindra Shrestha4Department of Obstetrics and Gynaecology, Bharatpur Hospital, Bharatpur, Chitwan, NepalDepartment of Obstetrics and Gynaecology, Bharatpur Hospital, Bharatpur, Chitwan, NepalDepartment of Pathology, Bharatpur Hospital, Bharatpur, Bharatpur, Chitwan, NepalDepartment of Anaesthesia, Bharatpur Hospital, Bharatpur, Chitwan, NepalDepartment of Obstetrics and Gynaecology, Bharatpur Hospital, Bharatpur, Chitwan, Nepal Introduction: Carcinoma cervix is the second most common cause of death in women worldwide and the most common cause in developing countries. Cervical cancer is considered a preventable gynaecological problem as it has a long premalignant stage which can be detected by exfoliative cytology like papanicolaou smear test. The papanicolaou smear test is a simple, safe, non-invasive, and low-cost effective method for screening cervical cancer in developing countries like Nepal. The aim of the study was to find out the prevalence of cervical papanicolaou smear test screening among patients visiting the Outpatient Department of Gynaecology of a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among patients visiting the Department of Gynaecology of a tertiary care centre after obtaining ethical approval from the Institutional Review Committee. Data from 14 April 2021 to 22 October 2022 were collected between 11 May 2023 to 26 May 2023 from the hospital records. Papanicolaou smear tests among the age group of 21 years up to 70 years were included in the study. Convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Among 11,173 patients, papanicolaou smear test was done in 572 (5.12%) (4.71-5.53, 95% Confidence Interval). Negative for intraepithelial lesion was the most common cytological pattern seen in 518 (90.55%) patients. The low-grade squamous intraepithelial lesion was the most common among abnormal epithelial cells seen in 29 (5.07%). Conclusions: The prevalence of cervical papanicolaou smear test among patients visiting the Outpatient Department of Gynaecology was found to be similar to other studies done in similar settings. https://www.jnma.com.np/jnma/index.php/jnma/article/view/8256cervical cancer; cytology; papanicolaou smear. |
| spellingShingle | Ram Prashad Sapkota Sunilmani Pokhrel Anita Bhandari Pradeep Adhikari Mabindra Shrestha Cervical Papanicolaou Smear Test Screening among Patients Visiting the Outpatient Department of Gynaecology of a Tertiary Care Centre Journal of Nepal Medical Association cervical cancer; cytology; papanicolaou smear. |
| title | Cervical Papanicolaou Smear Test Screening among Patients Visiting the Outpatient Department of Gynaecology of a Tertiary Care Centre |
| title_full | Cervical Papanicolaou Smear Test Screening among Patients Visiting the Outpatient Department of Gynaecology of a Tertiary Care Centre |
| title_fullStr | Cervical Papanicolaou Smear Test Screening among Patients Visiting the Outpatient Department of Gynaecology of a Tertiary Care Centre |
| title_full_unstemmed | Cervical Papanicolaou Smear Test Screening among Patients Visiting the Outpatient Department of Gynaecology of a Tertiary Care Centre |
| title_short | Cervical Papanicolaou Smear Test Screening among Patients Visiting the Outpatient Department of Gynaecology of a Tertiary Care Centre |
| title_sort | cervical papanicolaou smear test screening among patients visiting the outpatient department of gynaecology of a tertiary care centre |
| topic | cervical cancer; cytology; papanicolaou smear. |
| url | https://www.jnma.com.np/jnma/index.php/jnma/article/view/8256 |
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