Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/21133
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dc.contributor.authorParaskevaidis, E.en
dc.contributor.authorKoliopoulos, G.en
dc.contributor.authorAlamanos, Y.en
dc.contributor.authorMalamou-Mitsi, V.en
dc.contributor.authorLolis, E. D.en
dc.contributor.authorKitchener, H. C.en
dc.date.accessioned2015-11-24T19:12:56Z-
dc.date.available2015-11-24T19:12:56Z-
dc.identifier.issn0029-7844-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/21133-
dc.rightsDefault Licence-
dc.subjectAdulten
dc.subjectCase-Control Studiesen
dc.subjectCervical Intraepithelial Neoplasia/*surgery/virologyen
dc.subjectFemaleen
dc.subjectFollow-Up Studiesen
dc.subjectHumansen
dc.subjectLogistic Modelsen
dc.subjectPapillomaviridae/*isolation & purificationen
dc.subjectPredictive Value of Testsen
dc.subjectRetrospective Studiesen
dc.subjectRisk Assessmenten
dc.subjectSensitivity and Specificityen
dc.subjectTreatment Failureen
dc.subjectUterine Cervical Neoplasms/*surgery/virologyen
dc.subjectVaginal Smearsen
dc.titleHuman papillomavirus testing and the outcome of treatment for cervical intraepithelial neoplasiaen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/11704177-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2001-
heal.abstractOBJECTIVE: To investigate whether human papillomavirus (HPV) testing could be used in the follow-up after large loop excision of the transformation zone (LLETZ) for cervical intraepithelial neoplasia (CIN). METHODS: We performed a retrospective study of 41 women who developed subsequent CIN after LLETZ (group A) and 82 women without CIN for a minimum of 5 years after LLETZ (group B). The first post-treatment cervical smear was retrieved and examined for high-risk HPV deoxyribonucleic acid. The sensitivity, specificity, positive and negative likelihood ratio of HPV testing, first post-treatment Papanicolaou test, and excision margins for the detection of treatment failure were calculated. Multiple logistic regression analysis was also done. RESULTS: The HPV test was positive in 38 of 41 women in group A and 13 of 82 in group B (P <.001). An abnormal cytologic result in the first post-treatment smear was found in 20 of 41 in group A and 11 of 82 in group B (P <.001). Sixteen women in group A and 18 in group B had involved margins (P =.046). Values for the sensitivity, specificity, and positive and negative likelihood ratios of the HPV test were 93%, 84%, 5.8, 0.08; for the Papanicolaou test they were 49%, 87%, 3.9, 0.586; and for margin status they were 39%, 78%, 1.8, 0.782, respectively. Positive HPV test presents significantly high odds ratio for treatment failure (P <.001), independent of cytology and margin status. CONCLUSION: Women who postoperatively have positive HPV testing are at higher risk of treatment failure. This could be performed at the first post-treatment visit and further follow-up could be adjusted accordingly.en
heal.journalNameObstet Gynecolen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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