BMJ 1994;309:268-270 (23 July)

Letters

Management of cervical dyskaryosis National guidelines are not followed

EDITOR, - We hope that the work of G Flannelly and colleagues will help bring uniformity to the management of different grades of dyskaryosis in cervical smears.1 The management of mildly dyskaryotic smears is not uniform throughout Britain. Kitchener observed in 1991 that 37% of the 210 health districts investigated had a policy of referring patients for colposcopy if a single mildly dyskaryotic smear was obtained.2 The guidelines on cervical screening produced under the auspices of the national coordinating network provide a clear strategy for the management of different grades of dyskaryosis.3

Although the national guidelines on cervical screening were widely distributed among gynaecologists, the extent to which they are followed is unknown. To investigate compliance with the national guidelines among the consultants in gynaecology and obstetrics in the north west of England a postal questionnaire survey was carried out in October 1992 by a regional working party of the . . . [Full text of this article]


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Relevant Article

Management of women with mild and moderate cervical dyskaryosis
G Flannelly, D Anderson, H C Kitchener, E M F Mann, M Campbell, P Fisher, F Walker, and A A Templeton
BMJ 1994 308: 1399-1403. [Abstract] [Full Text]

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