{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:27:38Z","timestamp":1792715258822,"version":"4.5.0"},"reference-count":17,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"10","license":[{"start":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T00:00:00Z","timestamp":1669680000000},"content-version":"vor","delay-in-days":59,"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":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003To assess the association between two colposcopic indices, the Swede score and the 2011 International Federation of Cervical Pathology and Colposcopy (IFCPC) Nomenclature as well as to determine the efficacy of the Swede score with cutoffs of 7 and 8.<\/jats:p><jats:p>\n          Methods\u2003In the present cross-sectional pilot study, 34 women who had at least 1 colposcopy-directed biopsy due to abnormal cytology were enrolled. The colposcopic findings were scored by both the Swede score and the 2011 IFCPC Nomenclature and were compared with each other. The Kappa coefficient and the McNemar test were used. Accuracy, sensitivity, specificity, and positive and negative predictive values (NPV and PPV, respectively) were calculated, as well as the effectiveness with cutoffs of 7 and 8 in identifying cervical intraepithelial neoplasm (CIN) 2+ when using the Swede score.<\/jats:p><jats:p>\n          Results\u2003The correlation between the 2 colposcopic indices was 79.41%. The Kappa coefficient and the McNemar p-value were 0.55 and 0.37, respectively. The IFCPC Nomenclature had sensitivity, specificity, accuracy, PPV, and NPV of 85.71, 55.00, 67.64, 57.14, and 84.61%, respectively. The Swede score had sensitivity, specificity, accuracy, PPV, and NPV of 100, 63.15, 79.41, 68.18, and 100%, respectively. A Swede score cutoff of 7 for CIN 2+ detection had a specificity of 94.73%, while with a cutoff of 8 it increased to 100%. The sensitivity for both values was 60%. The PPV and NPV for cutoffs of 7 and 8 were 90 and 75 and 100 and 76%, respectively.<\/jats:p><jats:p>\n          Conclusion\u2003Although both colposcopic indices have good reproducibility, the Swede score showed greater accuracy, sensitivity, and specificity in identifying CIN 2\u2009+\u2009, especially when using a cutoff of 8.<\/jats:p>","DOI":"10.1055\/s-0042-1751074","type":"journal-article","created":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T02:04:32Z","timestamp":1669773872000},"page":"938-944","source":"Crossref","is-referenced-by-count":6,"title":["Association of Swede Score and 2011 IFCPC Nomenclature in Women with Abnormal Cytology"],"prefix":"10.61622","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9011-4428","authenticated-orcid":false,"given":"Priscila Loyola","family":"Campos","sequence":"additional","affiliation":[{"name":"Universidade Federal Fluminense, Maternal \u2013 Infant Department Niter\u00f3i, RJ, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9885-2724","authenticated-orcid":false,"given":"Isabel Cristina Chulvis do Val","family":"Guimar\u00e3es","sequence":"additional","affiliation":[{"name":"Universidade Federal Fluminense, Maternal \u2013 Infant Department Niter\u00f3i, RJ, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4212-0022","authenticated-orcid":false,"given":"Susana Cristina Aid\u00e9 Viviani","family":"Fialho","sequence":"additional","affiliation":[{"name":"Universidade Federal Fluminense, Maternal \u2013 Infant Department Niter\u00f3i, RJ, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7207-7969","authenticated-orcid":false,"given":"Caroline Alves Oliveira","family":"Martins","sequence":"additional","affiliation":[{"name":"Universidade Federal Fluminense, Maternal \u2013 Infant Department Niter\u00f3i, RJ, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5062-1065","authenticated-orcid":false,"given":"Fabiana Resende","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Universidade Federal Fluminense, Maternal \u2013 Infant Department Niter\u00f3i, RJ, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3110-5270","authenticated-orcid":false,"given":"Luiz Guilhermo Coca","family":"Velarde","sequence":"additional","affiliation":[{"name":"Universidade Federal Fluminense, Maternal \u2013 Infant Department Niter\u00f3i, RJ, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5511-285X","authenticated-orcid":false,"given":"Daniela da Silva Alves","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Universidade Federal Fluminense, Maternal \u2013 Infant Department Niter\u00f3i, RJ, 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