Standardized Procedures for Patients with Dysplasia and Other Diseases of the Cervix, Vulva, and Vagina at a Certified Dysplasia Unit Prior to the Introduction of the Organized Cervical Cancer Screening Program.

Schulmeyer C, Koch MC, Dietl A, Stübs F, Behrens A, Renner SK, Mehlhorn G, Geppert CI, Hartmann A, Beckmann M, Gaß P (2023)

Publication Type: Journal article

Publication year: 2023

Journal

Geburtshilfe und Frauenheilkunde Georg Thieme Verlag

Book Volume: 83

Pages Range: 1031-1042

Journal Issue: 8

DOI: 10.1055/a-1934-1686

Abstract

Introduction Gynecologic dysplasia units and dysplasia consultations are obliged to offer diagnosis and treatment in accordance with the guidelines. The organization of the consultation process, management of patient appointments, diagnosis, and treatment algorithms are heterogeneous. The legislation arising from the new Federal Joint Committee decision, dated 22 November 2018, concerning the organized cervical cancer screening program has been in force since 1 January 2020. In this article we provide an overview of the existing structures and interdisciplinary cooperation of specialized dysplasia units incorporated in certified gynecologic cancer center. Materials and Methods We carried out a retrospective database search of data collected prospectively from 1 July 2014 to 31 December 2019 at the dysplasia unit at the Department of Gynecology and Obstetrics, Erlangen University Hospital, which was the first dysplasia unit to be certified in 2014. Results A total of 5594 patients presented at the unit, and 16061 colposcopic, vulvoscopic, and anoscopic examinations were performed. Approximately 4100 examinations of the cervix, vagina, vulva, and anus are carried out each year, 1600 of these were exclusively cervix colposcopies. A total of 12197 cytology results were assessed, as well as 4850 histology results, and 8193 high-risk HPV tests. The quality indicators required by the dysplasia unit for annual recertification were met each year. Conclusion Certified dysplasia units and consultations form the central component in the algorithm for further investigating abnormal screening results; but they are also the first point of contact for a large number of patients with acute or chronic complaints in the genital region.

Authors with CRIS profile

Carla Schulmeyer Department of Obstetrics and Gynaecology Anna Dietl Department of Obstetrics and Gynaecology Frederik Stübs Department of Obstetrics and Gynaecology Annika Behrens Department of Obstetrics and Gynaecology Carol-Immanuel Geppert Institute of Pathology Arndt Hartmann Lehrstuhl für Allgemeine Pathologie und Pathologische Anatomie Matthias Beckmann Lehrstuhl für Geburtshilfe und Frauenheilkunde Paul Gaß Department of Obstetrics and Gynaecology

Involved external institutions

Klinikum Ansbach DE Germany (DE) Klinikverbund Südwest (Sindelfingen-Böblingen, Calw, Nagold, Leonberg, Herrenberg) DE Germany (DE)

How to cite

APA:

Schulmeyer, C., Koch, M.C., Dietl, A., Stübs, F., Behrens, A., Renner, S.K.,... Gaß, P. (2023). Standardized Procedures for Patients with Dysplasia and Other Diseases of the Cervix, Vulva, and Vagina at a Certified Dysplasia Unit Prior to the Introduction of the Organized Cervical Cancer Screening Program. Geburtshilfe und Frauenheilkunde, 83(8), 1031-1042. https://doi.org/10.1055/a-1934-1686

MLA:

Schulmeyer, Carla, et al. "Standardized Procedures for Patients with Dysplasia and Other Diseases of the Cervix, Vulva, and Vagina at a Certified Dysplasia Unit Prior to the Introduction of the Organized Cervical Cancer Screening Program." Geburtshilfe und Frauenheilkunde 83.8 (2023): 1031-1042.

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