{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T09:52:05Z","timestamp":1765619525242},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,8,26]],"date-time":"2012-08-26T00:00:00Z","timestamp":1345939200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim:\u2002<\/jats:bold> To evaluate the feasibility of the \u2018see and treat\u2019 protocol for the management of high\u2010grade cervical intraepithelial neoplasia (CIN) at a colposcopy clinic in Bangladesh.<\/jats:p><jats:p><jats:bold>Material and Methods:\u2002<\/jats:bold> A cross\u2010sectional and comparative study was carried out between two periods on 358 colposcopy\u2010diagnosed high\u2010grade CIN at the colposcopy clinic of Bangabandhu Sheikh Mujib Medical University (BSMMU). During the first period (January 2005 to June 2008), 181 colposcopy\u2010diagnosed high\u2010grade CIN patients had cervical biopsy by punch biopsy forceps and histology\u2010confirmed high\u2010grade CIN were treated by loop electrosurgical excision procedure (LEEP). During the second period (July 2008 to December 2009), 177 colposcopy\u2010diagnosed high\u2010grade CIN were treated by LEEP at their first visit.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> During the first and second periods, 48 of 87 and 55 of 73 histology\u2010proven high\u2010grade CIN cases, respectively, received treatment. Among the study population, 37.3% women who had normal or CIN\u2010I in histology were treated unnecessarily in the second period. The compliance of treatment improved by 20% and failure to receive treatment fell by 20%; these changes were statistically significant (<jats:italic>P<\/jats:italic>\u2003=\u20030.006).<\/jats:p><jats:p><jats:bold>Conclusion:\u2002<\/jats:bold> \u2018See and treat\u2019 protocol is a well\u2010accepted, feasible and useful option for management of high\u2010grade CIN in Bangladesh. It reduces the number of visits to the clinic and failure to receive treatment.<\/jats:p>","DOI":"10.1111\/j.1447-0756.2012.01998.x","type":"journal-article","created":{"date-parts":[[2012,8,27]],"date-time":"2012-08-27T19:34:20Z","timestamp":1346096060000},"page":"564-571","source":"Crossref","is-referenced-by-count":12,"title":["Screening for and management of high\u2010grade cervical intraepithelial neoplasia in Bangladesh: A cross\u2010sectional study comparing two protocols"],"prefix":"10.1111","volume":"39","author":[{"given":"Ashrafun","family":"Nessa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Harun Ur","family":"Rashid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noor","family":"E\u2010Ferdous","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Afroza","family":"Chowdhury","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,8,26]]},"reference":[{"key":"e_1_2_7_2_2","volume-title":"GLOBOCAN 2002. Cancer Incidence, Mortality and Prevalence Worldwide","author":"Bray F","year":"2004"},{"key":"e_1_2_7_3_2","first-page":"29","article-title":"Patterns of malignant neoplasm \u2013 a three years study","volume":"27","author":"Akhter PS","year":"1998","journal-title":"Bangladesh Med J"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(08)32419-7"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2010.06.004"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2004.09.018"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0036-36342003000900014"},{"key":"e_1_2_7_8_2","first-page":"106","article-title":"See and treat protocol for evaluation and management of cervical intraepithelial neoplasia","volume":"116","author":"Kattukaran A","year":"2002","journal-title":"Indian J Med Res"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(98)00042-3"},{"key":"e_1_2_7_10_2","volume-title":"Colposcopy and Treatment on Cervical Intraepithelial Neoplasia: A Beginners' Manual","author":"Sellors JW","year":"2003"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1783\/147118910791749218"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6603633"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.04.011"},{"key":"e_1_2_7_14_2","first-page":"865","article-title":"A \u2018See and Treat\u2019 approach for high grade squamous intraepithelial lesion on cervical cytology","volume":"87","author":"Charoenkwan K","year":"2004","journal-title":"J Med Assoc Thai"},{"key":"e_1_2_7_15_2","first-page":"143","article-title":"Loop electrosurgical excision for high grade squamous intraepithelial lesion on cervical cytology at Nakornping Hospital","volume":"43","author":"Suntornlimsiri W","year":"2004","journal-title":"Chiang Mai Med Bull"},{"key":"e_1_2_7_16_2","first-page":"119","article-title":"\u2018Look and Lletz\u2019\u2013 a Chris Hani Baragwanath Hospital experience","volume":"98","author":"Adam Y","year":"2008","journal-title":"S Afr Med J"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(08)70210-9"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1447-0756.2012.01998.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1447-0756.2012.01998.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T23:03:14Z","timestamp":1697324594000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/j.1447-0756.2012.01998.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,8,26]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013,2]]}},"alternative-id":["10.1111\/j.1447-0756.2012.01998.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1447-0756.2012.01998.x","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,8,26]]}}}