Surveillance patterns of cervical cancer patients treated with conization alone Journal Article
| Authors: | Pedra Nobre, S.; Mazina, V.; Iasonos, A.; Zhou, Q. C.; Sonoda, Y.; Gardner, G.; Long-Roche, K.; Leitao, M. M.; Abu-Rustum, N. R.; Mueller, J. J. |
| Article Title: | Surveillance patterns of cervical cancer patients treated with conization alone |
| Abstract: | Objectives To determine surveillance patterns of stage I cervical cancer after cervical conization. Methods A 25-question electronic survey was sent to members of the Society of Gynecologic Oncology. Provider demographics, surveillance during year 1, years 1-3, and >3 years after cervical conization, use of pelvic examination, cytology, Human papillomavirus testing, colposcopy, and endocervical curettage were queried. Data were analyzed. Results 239/1175 (20.1%) responses were collected over a 5-week study period. All providers identified as gynecologic oncologists. During year 1, 66.7% of providers perform pelvic examination and 37.1% perform cytology every 3 months. During years 1-3, 61.6% perform pelvic examination and 46% perform cytology every 6 months. At >3 years, 54.4% perform pelvic examination every 6 months and 43% perform annual pelvic examination. 66.7% of respondents perform cytology annually, and 51.9% perform annual Human papilloma virus testing. 85% of providers do not offer routine colposcopy and 60% do not offer endocervical curettage at any point during 5-year follow-up. 76.3% of respondents screen patients for Human papilloma virus vaccination. Conclusions To date, there are no specific surveillance guidelines for patients with stage I cervical cancer treated with cervical conization. The most common surveillance practice reported is pelvic examination with or without cytology every 3 months in year 1 and every 6 months thereafter. However, wide variation exists in visit frequency, cytology, and Human papillomavirus testing, and there is a clear trend away from using colposcopy and endocervical curettage. These disparate surveillance practices indicate a need for well-defined, uniform surveillance guidelines. © IGCS and ESGO 2020. No commercial re-use. See rights and permissions. Published by BMJ. |
| Keywords: | surgical procedures, operative; cervical cancer; surgical oncology |
| Journal Title: | International Journal of Gynecological Cancer |
| Volume: | 30 |
| Issue: | 8 |
| ISSN: | 1048-891X |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 2020-08-01 |
| Start Page: | 1129 |
| End Page: | 1135 |
| Language: | English |
| DOI: | 10.1136/ijgc-2020-001338 |
| PUBMED: | 32499392 |
| PROVIDER: | scopus |
| PMCID: | PMC8336762 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 2 November 2020 -- Source: Scopus |
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270Gardner -
472Sonoda -
575Leitao -
888Abu-Rustum -
253Zhou -
362Iasonos -
247Long Roche -
186Mueller -
24Pedra Nobre
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