JAMA & ARCHIVES
Arch Fam Med
SEARCH
GO TO ADVANCED SEARCH
HOME  PAST ISSUES  TOPIC COLLECTIONS  CME  PHYSICIAN JOBS  CONTACT US  HELP
Institution: STANFORD Univ Med Center  | My Account | E-mail Alerts | Access Rights | Sign In
  Vol. 2 No. 2, February 1993 TABLE OF CONTENTS
  Archives
  •  Online Features
  Original Contributions
 This Article
 •References
 •Full text PDF
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citation map
 •Citing articles on HighWire
 •Contact me when this article is cited
 Related Content
 •Similar articles in this journal

Clinical Follow-up of Cervical Sampling With the Ayre Spatula and Zelsmyr Cytobrush

Byron J. Crouse, MD; Barbara A. Elliott, PhD; Noah Nesin, MD

Arch Fam Med. 1993;2(2):145-148.


Abstract

Objective
To determine if cervical smears obtained with an Ayre spatula and a cytobrush are better detectors of atypia and dysplasia than the modified Ayre spatula alone, as determined by a 2-year clinical follow-up study.

Method
Paired cervical samples were obtained, one using a modified Ayre spatula and the other a cytobrush. In those smears with any abnormality, follow-up after 2 years documented subsequent cytologic and/or histologic diagnosis. The statistical relationship between the screening tests and follow-up cytologic diagnosis was investigated.

Setting
Seven hundred ninety-two women, aged 18 years and older, who presented to a family practice residency clinic for Papanicolaou tests.

Results
The correlation coefficient for the diagnoses obtained using the modified Ayre spatula and the clinical follow-up was .40 (P=.0008), while the correlation coefficient between the cytobrush samples and the clinical follow-up diagnoses was.25 (P=.04). The K statistics indicate statistically significant concordance only between the spatula and the follow-up diagnoses.

Conclusions
Cervical smears obtained with a modified Ayre spatula correlated significantly with the follow-up diagnoses. As cervical sampling tools emerge, they need to be evaluated on the basis of accurate identification of significant clinical disease, not only on the basis of obtaining endocervical cells to avoid unnecessary repetition of screening tests and diagnostic workups.



Author Affiliations

From the Duluth (Minn) Family Practice Residency Program (Drs Crouse and Elliott), and the Department of Family Practice and Community Health, University of Minnesota, Minneapolis (Dr Crouse). Dr Nesin is in private practice in Mattawameag, Me.



THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Quality Papanicolaou Smears
Bowman
Arch Fam Med 1999;8:413-413.
FULL TEXT  

DON'T THROW AWAY THE AYRE SPATULA
JWatch General 1993;1993:3-3.
FULL TEXT  

Cervical Cancer Screening: Issues of Collection Tools and Reporting
Arch Fam Med 1993;2:261-263.
ABSTRACT  




HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 1993 American Medical Association. All Rights Reserved.