{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T15:46:57Z","timestamp":1791388017370,"version":"4.3.3"},"reference-count":7,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"11","license":[{"start":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T00:00:00Z","timestamp":1701216000000},"content-version":"vor","delay-in-days":28,"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":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003To determine if the use of lubricating gel on the speculum during the cervicovaginal cytology examination interferes with the results obtained, as well as whether it reduces reported discomfort in patients.<\/jats:p><jats:p>\n          Data sources\u2003A systematic review was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations, with a search in the Pubmed\/Medline, Scielo, Cochrane Library, Embase databases of articles published between January 2011 and May 2022. The keywords used were cytology, speculum, lubricant, result, and pain.<\/jats:p><jats:p>\n          Selection of studies\u2003The initial search resulted in 306 articles, of which were excluded three because they were duplicates, 257 after reading the title and abstract and 41 after reading the full text. Thus, five articles were selected for the study: four randomized clinical trials and one metanalysis.<\/jats:p><jats:p>\n          Data collection\u2003The selection of articles was performed by two investigators. The 5 selected articles were read in full and submitted to a comparative analysis.<\/jats:p><jats:p>\n          Data synthesis\u2003Screening through cervicovaginal cytology allows for early diagnosis and reduction of associated mortality, but the procedure can be associated with pain. A small amount of aqueous lubricating gel in the speculum can be used to reduce the discomfort associated with performing cervicovaginal cytology.<\/jats:p><jats:p>\n          Conclusion\u2003The use of lubricating gel in the speculum does not seem to be associated with a change in the cytology result and reduces the discomfort associated with its insertion into the vagina.<\/jats:p>","DOI":"10.1055\/s-0043-1776025","type":"journal-article","created":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T23:48:05Z","timestamp":1701301685000},"page":"e724-e728","source":"Crossref","is-referenced-by-count":2,"title":["Effect of Lubricant Use on Cervicovaginal Cytology \u2013 What's the Evidence?"],"prefix":"10.61622","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5542-3954","authenticated-orcid":false,"given":"Diana Magalh\u00e3es dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Unidade de Cuidados de Sa\u00fade Personalizados Chaves I-B, Chaves, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9305-8890","authenticated-orcid":false,"given":"Maria Beatriz Freire Oliveira Coelho de","family":"Matos","sequence":"additional","affiliation":[{"name":"Unidade de Cuidados de Sa\u00fade Personalizados Chaves I-B, Chaves, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2620-0292","authenticated-orcid":false,"given":"Ana Raquel Borges","family":"Sousa","sequence":"additional","affiliation":[{"name":"Unidade de Cuidados de Sa\u00fade Personalizados Chaves I-B, Chaves, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4439-7567","authenticated-orcid":false,"given":"Francisco Correia de Almeida","family":"Fertusinhos","sequence":"additional","affiliation":[{"name":"Unidade de Sa\u00fade Familiar S\u00e3o Neutel, Chaves, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7655-4374","authenticated-orcid":false,"given":"Rosa Maria Couceiro","family":"Pend\u00e1s","sequence":"additional","affiliation":[{"name":"Unidade de Cuidados de Sa\u00fade Personalizados Chaves I-B, Chaves, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2023,11,29]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1007\/s00404-013-3047-x","article-title":"The role of gel application in decreasing pain during speculum examination and its effects on papanicolaou smear results","volume":"289","author":"S Simavli","year":"2014","journal-title":"Arch Gynecol Obstet"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"798","DOI":"10.3122\/jabfm.2012.06.120021","article-title":"Association of speculum lubrication with pain and Papanicolaou test accuracy","volume":"25","author":"D Uygur","year":"2012","journal-title":"J Am Board Fam Med"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1097\/AOG.0b013e3182426275","article-title":"Effect of lubricating gel on patient comfort during vaginal speculum examination: a randomized controlled trial","volume":"119","author":"D A Hill","year":"2012","journal-title":"Obstet Gynecol"},{"issue":"12","key":"ref4","doi-asserted-by":"crossref","first-page":"1040","DOI":"10.1002\/dc.24069","article-title":"Effects of using lubricant during the speculum examination for Pap smear collection","volume":"46","author":"R D Nunes","year":"2018","journal-title":"Diagn Cytopathol"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1097\/LGT.0000000000000037","article-title":"The effect of vaginal lubrication on unsatisfactory results of cervical smears","volume":"19","author":"V Pergialiotis","year":"2015","journal-title":"J Low Genit Tract Dis"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1093\/ptj\/89.9.873","article-title":"Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement (Reprinted from Annals of Internal Medicine)","volume":"89","author":"D Moher","year":"2009","journal-title":"Phys Ther"},{"issue":"03","key":"ref7","first-page":"548","article-title":"Strength of recommendation taxonomy (SORT): a patient-centered approach to grading evidence in the medical literature","volume":"69","author":"M H Ebell","year":"2004","journal-title":"Am Fam Physician"}],"container-title":["Revista Brasileira de Ginecologia e Obstetr\u00edcia \/ RBGO Gynecology and Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journalrbgo.org\/article\/effect-of-lubricant-use-on-cervicovaginal-cytology-whats-the-evidence\/","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1776025.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T20:56:58Z","timestamp":1721336218000},"score":1,"resource":{"primary":{"URL":"https:\/\/journalrbgo.org\/article\/effect-of-lubricant-use-on-cervicovaginal-cytology-whats-the-evidence\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11]]},"references-count":7,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2023,11,29]]},"published-print":{"date-parts":[[2023,11]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1776025","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0100-7203","1806-9339"],"issn-type":[{"value":"0100-7203","type":"print"},{"value":"1806-9339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11]]}}}