{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T06:48:51Z","timestamp":1785653331849,"version":"3.56.0"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"08","license":[{"start":{"date-parts":[[2023,8,15]],"date-time":"2023-08-15T00:00:00Z","timestamp":1692057600000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geburtshilfe Frauenheilkd"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction Gynecologic dysplasia units and dysplasia consultations are obliged to offer diagnosis and treatment in accordance with the guidelines. The organization of the\n          consultation process, management of patient appointments, diagnosis, and treatment algorithms are heterogeneous. The legislation arising from the new Federal Joint Committee decision, dated\n          22 November 2018, concerning the organized cervical cancer screening program has been in force since 1 January 2020. In this article we provide an overview of the existing structures and\n          interdisciplinary cooperation of specialized dysplasia units incorporated in certified gynecologic cancer center.<\/jats:p><jats:p>\n          Materials and Methods We carried out a retrospective database search of data collected prospectively from 1 July 2014 to 31 December 2019 at the dysplasia unit at the Department of\n          Gynecology and Obstetrics, Erlangen University Hospital, which was the first dysplasia unit to be certified in 2014.<\/jats:p><jats:p>\n          Results A total of 5594 patients presented at the unit, and 16061 colposcopic, vulvoscopic, and anoscopic examinations were performed. Approximately 4100 examinations of the cervix,\n          vagina, vulva, and anus are carried out each year, 1600 of these were exclusively cervix colposcopies. A total of 12197 cytology results were assessed, as well as 4850 histology results, and\n          8193 high-risk HPV tests. The quality indicators required by the dysplasia unit for annual recertification were met each year.<\/jats:p><jats:p>\n          Conclusion Certified dysplasia units and consultations form the central component in the algorithm for further investigating abnormal screening results; but they are also the first\n          point of contact for a large number of patients with acute or chronic complaints in the genital region.<\/jats:p>","DOI":"10.1055\/a-1934-1686","type":"journal-article","created":{"date-parts":[[2023,8,15]],"date-time":"2023-08-15T22:32:17Z","timestamp":1692138737000},"page":"1031-1042","source":"Crossref","is-referenced-by-count":11,"title":["Standardized Procedures for Patients with Dysplasia and Other Diseases of the Cervix, Vulva, and Vagina at a Certified Dysplasia Unit Prior to the Introduction of the\n          Organized Cervical Cancer Screening Program"],"prefix":"10.1055","volume":"83","author":[{"given":"Carla E.","family":"Schulmeyer","sequence":"additional","affiliation":[{"name":"Frauenklinik des Universit\u00e4tsklinikums Erlangen, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg (FAU), Comprehensive Cancer Center Erlangen\/Europ\u00e4ische Metropolregion N\u00fcrnberg\n          (CCC ER-EMN), Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin C.","family":"Koch","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Gyn\u00e4kologie und Geburtshilfe, ANregiomed Klinikum Ansbach, Ansbach, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna K.","family":"Dietl","sequence":"additional","affiliation":[{"name":"Frauenklinik des Universit\u00e4tsklinikums Erlangen, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg (FAU), Comprehensive Cancer Center Erlangen\/Europ\u00e4ische Metropolregion N\u00fcrnberg\n          (CCC ER-EMN), Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0729-2064","authenticated-orcid":false,"given":"Frederik A.","family":"Stuebs","sequence":"additional","affiliation":[{"name":"Frauenklinik des Universit\u00e4tsklinikums Erlangen, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg (FAU), Comprehensive Cancer Center Erlangen\/Europ\u00e4ische Metropolregion N\u00fcrnberg\n          (CCC ER-EMN), Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annika","family":"Behrens","sequence":"additional","affiliation":[{"name":"Frauenklinik des Universit\u00e4tsklinikums Erlangen, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg (FAU), Comprehensive Cancer Center Erlangen\/Europ\u00e4ische Metropolregion N\u00fcrnberg\n          (CCC ER-EMN), Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone K.","family":"Renner","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe, Klinikum Sindelfingen-B\u00f6blingen, B\u00f6blingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grit","family":"Mehlhorn","sequence":"additional","affiliation":[{"name":"Frauenarztpraxis, DKG und AGCPC zertifizierte Dysplasiesprechstunde, Frauenarztpraxis Erlangen, Erlangen, Germany"},{"name":"Pathologisches Institut Erlagen, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg (FAU), Universit\u00e4tsklinikum Erlangen, Comprehensive Cancer Center, European\n          Metropolitan Area Erlangen-Nuremberg (CCC ER-EMN), Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol C.","family":"Geppert","sequence":"additional","affiliation":[{"name":"Pathologisches Institut Erlagen, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg (FAU), Universit\u00e4tsklinikum Erlangen, Comprehensive Cancer Center, European\n          Metropolitan Area Erlangen-Nuremberg (CCC ER-EMN), Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arndt","family":"Hartmann","sequence":"additional","affiliation":[{"name":"Pathologisches Institut Erlagen, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg (FAU), Universit\u00e4tsklinikum Erlangen, Comprehensive Cancer Center, European\n          Metropolitan Area Erlangen-Nuremberg (CCC ER-EMN), Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias W.","family":"Beckmann","sequence":"additional","affiliation":[{"name":"Frauenklinik des Universit\u00e4tsklinikums Erlangen, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg (FAU), Comprehensive Cancer Center Erlangen\/Europ\u00e4ische Metropolregion N\u00fcrnberg\n          (CCC ER-EMN), Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Gass","sequence":"additional","affiliation":[{"name":"Frauenklinik des Universit\u00e4tsklinikums Erlangen, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg (FAU), Comprehensive Cancer Center Erlangen\/Europ\u00e4ische Metropolregion N\u00fcrnberg\n          (CCC ER-EMN), Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,8,15]]},"reference":[{"key":"ref3","doi-asserted-by":"publisher","first-page":"860","DOI":"10.1055\/s-0034-1383042","article-title":"Establishment of the Certification System \u201cGynaecological Dysplasia\u201d in Germany","volume":"74","author":"MW Beckmann","year":"2014","journal-title":"Geburtshilfe Frauenheilkd"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1055\/a-1671-2158","article-title":"Diagnosis, Therapy and Follow-up of Cervical Cancer. 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