{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T13:00:18Z","timestamp":1788872418682,"version":"build-2803163510"},"reference-count":23,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,12,4]],"date-time":"2014-12-04T00:00:00Z","timestamp":1417651200000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"QIAGEN INDIA"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      This population\u2010based study was conducted to evaluate the performance of colposcopy to assess women with positive visual inspection with acetic acid (\n                      <jats:styled-content style=\"fixed-case\">VIA<\/jats:styled-content>\n                      ) and\/or human papillomavirus (\n                      <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content>\n                      ) tests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      A total of 30\u00a0773 women were screened by\n                      <jats:styled-content style=\"fixed-case\">VIA<\/jats:styled-content>\n                      and oncogenic\n                      <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content>\n                      test. Hybrid capture 2 was used for oncogenic\n                      <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content>\n                      detection. All\n                      <jats:styled-content style=\"fixed-case\">VIA<\/jats:styled-content>\n                      \u2010 and\/or\n                      <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content>\n                      \u2010positive women and 8.7% test\u2010negative women had the colposcopy. International Federation of Cervical Pathology &amp; Colposcopy (\n                      <jats:styled-content style=\"fixed-case\">IFCPC<\/jats:styled-content>\n                      ) 2011 nomenclature was used for colposcopic classification of abnormalities. All women with grade 1 or worse lesions had punch biopsies. Biopsies were also obtained from\n                      <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content>\n                      \u2010positive women with normal colposcopy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Colposcopy and satisfactory biopsy reports were available for total 2466 women. The overall strength of agreement between colposcopy and histologic classification of cervical neoplasias was poor (kappa\u00a0=\u00a00.17). Agreement was better when colposcopy was performed on\n                      <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content>\n                      \u2010positive women compared to\n                      <jats:styled-content style=\"fixed-case\">VIA<\/jats:styled-content>\n                      \u2010positive women. Sensitivity of colposcopy to detect high\u2010grade squamous intraepithelial lesions (\n                      <jats:styled-content style=\"fixed-case\">HSIL<\/jats:styled-content>\n                      ) at referral threshold of grade 1 abnormality was 84.8% after correction of verification bias. Colposcopy was most inaccurate in identifying non\u2010neoplastic conditions often encountered in\n                      <jats:styled-content style=\"fixed-case\">VIA<\/jats:styled-content>\n                      \u2010 and\/or\n                      <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content>\n                      \u2010positive women. In 68.8% women with normal histology, colposcopic impression was grade 1 and above. Overestimation of disease severity on colposcopy was more common in\n                      <jats:styled-content style=\"fixed-case\">VIA<\/jats:styled-content>\n                      \u2010positive women. Colposcopy also underestimated severity of disease in 52.6% of women with\n                      <jats:styled-content style=\"fixed-case\">HSIL<\/jats:styled-content>\n                      diagnosis on biopsy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Colposcopy performed well in the overall detection of cervical neoplasias, though its capability for accurate categorisation of degree of abnormality was poor.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.12282","type":"journal-article","created":{"date-parts":[[2014,12,5]],"date-time":"2014-12-05T23:36:00Z","timestamp":1417822560000},"page":"570-575","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Study of accuracy of colposcopy in VIA and HPV detection\u2010based cervical cancer screening program"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3928-3290","authenticated-orcid":false,"given":"Ishita","family":"Ghosh","sequence":"first","affiliation":[{"name":"Chittaranjan National Cancer Institute Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srabani","family":"Mittal","sequence":"additional","affiliation":[{"name":"Chittaranjan National Cancer Institute Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dipanwita","family":"Banerjee","sequence":"additional","affiliation":[{"name":"Chittaranjan National Cancer Institute Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyanka","family":"Singh","sequence":"additional","affiliation":[{"name":"Chittaranjan National Cancer Institute Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujoy","family":"Dasgupta","sequence":"additional","affiliation":[{"name":"Chittaranjan National Cancer Institute Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simi","family":"Chatterjee","sequence":"additional","affiliation":[{"name":"Chittaranjan National Cancer Institute Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaydip","family":"Biswas","sequence":"additional","affiliation":[{"name":"Chittaranjan National Cancer Institute Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chinmay","family":"Panda","sequence":"additional","affiliation":[{"name":"Chittaranjan National Cancer Institute Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Partha","family":"Basu","sequence":"additional","affiliation":[{"name":"Chittaranjan National Cancer Institute Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,12,4]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"World Health Organization.WHO guidance note: comprehensive cervical cancer prevention and control: a healthier future for girls and women. 2013. 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