Fostering Prevention of Cervical Cancer by a Correct Diagnosis of Precursors: A Structured Case-Based Colposcopy Course in Finland, Norway and UK

Cancers

Pyörälä Eeva¹  Moss Esther²  Kyrgiou Maria³  Halttunen-Nieminen Mervi⁴  Forsell Sabrina⁴  Kalliala Ilkka⁴  Nieminen Pekka⁴  Redman Charles⁵  Leeson Simon⁶  Tropé Ameli⁷ 

[1] Centre for University Teaching and Learning, University of Helsinki, 00290 Helsinki, Finland;Department of Gynaecological Oncology, University Hospitals of Leicester, Leicester LE2 7LX, UK;Department of Metabolism, Digestion and Reproduction & Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, Department of Surgery and Cancer, IRDB, Faculty of Medicine, Imperial College, London W12 0NN, UK;Department of Obstetrics and Gynaecology, Helsinki University Hospital and Helsinki University, 00290 Helsinki, Finland;Department of Obstetrics and Gynaecology, Royal Stoke University Hospital, Stoke-on-Trent ST4 6QG, UK;Department of Obstetrics and Gynaecology, Ysbyty Gwynedd, Bangor, Gwynedd LL57 2PW, UK;Norwegian Cervical Cancer Programme, Cancer Registry of Norway, NO-0304 Oslo, Norway;

关键词: colposcopy;    colposcopic diagnosis;    learning;    CIN;    HPV;    cervical intra-epithelial neoplasia;   

DOI  :  10.3390/cancers12113201

来源: DOAJ

【 摘 要 】

High-quality colposcopy is essential in cervical cancer prevention. We performed a multicentre prospective interventional pilot-study, evaluating the effect of a six-hour case-based colposcopy course on short- and long-term learning of colposcopy-related knowledge, diagnostic accuracy levels and confidence. We recruited 213 colposcopists participating in three European Federation of Colposcopy (EFC) basic colposcopy courses (Finland, Norway, UK). The study consisted of three tests with identical content performed before, after and 2 months after the course, including ten colposcopic images, ten patient cases and scales for marking confidence in the answers. Outcome measures where mean scores in correct case-management, diagnosis (including high-grade lesion recognition), transformation-zone recognition and confidence in answers. Results were compared between the three tests and stratified according to experience. Mean test scores improved after the course for all participants. The increase was highest for beginners. Confidence in answers improved and the number of colposcopists showing high confidence with low scores decreased. A structured case-based course improves skills and confidence especially for inexperienced colposcopists; however, trainers should be aware of the risk of overconfidence. To complement theoretical training, further hands-on training including high-quality feedback is recommended. Conclusions drawn from long-term learning are limited due to the low participation in the follow-up test.

【 授权许可】

Unknown