{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T08:30:30Z","timestamp":1745483430814,"version":"3.37.3"},"reference-count":15,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"03","license":[{"start":{"date-parts":[[2020,3,31]],"date-time":"2020-03-31T00:00:00Z","timestamp":1585612800000},"content-version":"vor","delay-in-days":30,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003To describe the referral for colposcopy in a Hospital in Brazil and the relative frequency of patients who benefited from it, considering the correct indications for the examination and its final diagnoses.<\/jats:p><jats:p>\n          Methods\u2003A retrospective study was performed in the colposcopy service database of the Hospital Universit\u00e1rio de Taubat\u00e9, Taubat\u00e9, state of S\u00e3o Paulo, Brazil. The frequency validated in the analysis of the medical records of women referred for clinical indication or cytological alteration, attended from March 2015 to March 2017. The population selected and analyzed included 256 results that were correlated to the cytological, clinical data and the result of the colposcopy.<\/jats:p><jats:p>\n          Results\u2003Of the women referred, 45% presented out of the age of screening according to the guidelines of cervical cancer screening, 8.6% being adolescents and young adults\u2009&lt;\u200925 years old, and 36.4% of the patients being \u2265 65 years old. A total of 50% of the patients had no indication of colposcopy, that is, normal cytologies, benign changes, ectopia, cervicitis, atypical squamous cells of indeterminate significance (ASC-US) and low-grade intraepithelial lesion (LSIL) without persistence and normal clinical appearance. A total of 39.84% who underwent colposcopy had high-grade lesion or cancer results, thus benefiting from the adequate referral.<\/jats:p><jats:p>\n          Conclusion\u2003Most (60.16%) of the patients referred to the colposcopy service did not benefit from the referral for results without changes, such as negative colposcopies, histologies with no cervical intraepithelial neoplasm (CIN) or only CIN 1, or were out of the age for screening. These findings therefore demonstrate a significant number of unnecessary and inadequate referrals.<\/jats:p>","DOI":"10.1055\/s-0040-1708886","type":"journal-article","created":{"date-parts":[[2020,3,31]],"date-time":"2020-03-31T23:05:35Z","timestamp":1585695935000},"page":"140-145","source":"Crossref","is-referenced-by-count":2,"title":["Description of Referrals for Colposcopy in a Hospital in Brazil"],"prefix":"10.61622","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3199-6280","authenticated-orcid":false,"given":"Stephanie Hein","family":"de Carvalho","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Universidade de Taubat\u00e9, Taubat\u00e9, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4863-2798","authenticated-orcid":false,"given":"Dayana Aparecida Nacimento","family":"Rosa","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Universidade de Taubat\u00e9, Taubat\u00e9, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2517-1861","authenticated-orcid":false,"given":"Andr\u00e9 Luis Ferreira","family":"Santos","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Universidade de Taubat\u00e9, Taubat\u00e9, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3808-824X","authenticated-orcid":false,"given":"Andr\u00e9a Paula Peneluppi","family":"de Medeiros","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Universidade de Taubat\u00e9, Taubat\u00e9, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"47794","published-online":{"date-parts":[[2020,3,31]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"116","DOI":"10.15253\/2175-6783.2014000100015","article-title":"Quality of life of women undergoing treatment for cervical 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care protocols: women's health]","year":"2016","key":"ref6"},{"issue":"10","key":"ref7","doi-asserted-by":"crossref","first-page":"810","DOI":"10.7326\/0003-4819-132-10-200005160-00009","article-title":"Accuracy of the Papanicolaou test in screening for and follow-up of cervical cytologic abnormalities: a systematic review","volume":"132","author":"K Nanda","year":"2000","journal-title":"Ann Intern Med"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"41","DOI":"10.3322\/canjclin.54.1.41","article-title":"American Cancer Society guidelines for the early detection of cancer, 2004","volume":"54","author":"R A Smith","year":"2004","journal-title":"CA Cancer J Clin"},{"issue":"04","key":"ref9","first-page":"602","article-title":"[Cytopathological alterations and risk factors for uterine cervical neoplasm]","volume":"30","author":"S C de Melo","year":"2009","journal-title":"Rev Ga\u00facha Enferm"},{"issue":"06","key":"ref10","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1111\/j.1365-2303.2008.00623.x","article-title":"European guidelines for quality assurance in cervical cancer screening: recommendations for clinical management of abnormal cervical cytology, part 1","volume":"19","author":"J Jordan","year":"2008","journal-title":"Cytopathology"},{"volume-title":"[Brazilian guidelines for cervical cancer screening]. 2nd ed","year":"2016","key":"ref11"},{"issue":"01","key":"ref12","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1097\/PGP.0b013e31826916c7","article-title":"The Lower Anogenital Squamous Terminology Standardization project for HPV-associated lesions: background and consensus recommendations from the College of American Pathologists and the American Society for Colposcopy and Cervical Pathology","volume":"32","author":"T M Darragh","year":"2013","journal-title":"Int J Gynecol Pathol"},{"issue":"05","key":"ref14","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1002\/dc.2840070508","article-title":"Cyto-histological correlates in a colposcopic clinic: a 1-year prospective study","volume":"7","author":"M G Joseph","year":"1991","journal-title":"Diagn Cytopathol"},{"issue":"02","key":"ref15","doi-asserted-by":"crossref","first-page":"155","DOI":"10.14450\/2318-9312.v29.e2.a2017.pp155-163","article-title":"Estudo epidemiol\u00f3gico e de concord\u00e2ncia diagn\u00f3stica entre a citologia, colposcopia e histopatologia, em pacientes com diagn\u00f3stico de Papilomav\u00edrus humano","volume":"29","author":"H C Lima","year":"2017","journal-title":"Infarma Ci\u00eanc Farm."},{"issue":"01","key":"ref16","first-page":"3","article-title":"Citologia e histopatologia de pacientes assistidas em um centro de sa\u00fade da mulher","volume":"18","author":"Y KP Carvalho","year":"2014","journal-title":"Arq Ci\u00eanc Sa\u00fade UNIPAR"}],"container-title":["Revista 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