Colposcopy in comparison with HPV-Pap test for the diagnosis of Cervical Intraepithelial Neoplasia 2
نویسندگان
1 Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Arak University of Medical Sciences, Arak, Iran
3 Department of Obstetrics and Gynecology, Tehran University of Medical Sciences, Tehran, Iran
4 Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5 Department of Obstetrics and Gynecology, Tehran University of Medical Sciences, Tehran, Iran
6 Department of Obstetrics and Gynecology, Tehran University of Medical Sciences, Tehran, Ir
doi
10.30491/ijmr.2021.253604.1153چکیده
Introduction: The effectiveness of cervical cancer screening programs is an issue of concern in developing countries. It is a goal of researchers to find another solution or screening method to solve this problem. The current study aimed to compare the cos teffectiveness of the colposcopy and HPV-Pap test approaches.Methods: This cross-sectional study examined 1944 asymptomatic women aged 30-70 years who had undergone colposcopy from 2013-2015. The cost of finding each CIN2 case was obtained and compared with the cost of the HPV-Pap test finding.Results: A pathology of CIN2 or greater cases were reported in 43 cases (2.2%). The cost of finding each case by colposcopy was 2,456 USD and by PCR-Pap was 2,966 USD (P<0.0001).Conclusion: The cost of finding each CIN2 or greater case by HPV-Pap test was 1.32 times that of a colposcopy. Colposcopy in this setting was more cost-effective and should be considered in similar settings.
