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Cervical Cancer Screening for Women With Disabilities: Time for a New Approach?
Women with disabilities are underscreened for cervical cancer compared with the general population, likely because, in part, of both emotional and physical challenges associated with Pap testing. Women with certain disabilities often require an examination under anesthesia to undergo a speculum examination. However, anesthesia is not without risks and the perioperative experience can be burdensome to patients and caregivers. Either self-collected or provider-collected samples for human papillomavirus (HPV) testing might be better tolerated by patients, and recent evidence suggests that it is a suitable primary screening st...
Source: Journal of Lower Genital Tract Disease - October 1, 2018 Category: OBGYN Tags: Special Edition: Underserved Populations Source Type: research

Cervical Cancer Incidence Among Elderly Women in Massachusetts Compared With Younger Women
Importance Current cancer screening guidelines recommend cessation of cervical cancer screening at the age of 65 years for most women. To examine residual risk among elderly women, we compared cervical cancer incidence rates (IRs) in Massachusetts from 2004 to 2015 among women younger than 65 years versus 65 years and older. Materials and Methods The Massachusetts Cancer Registry was used to identify all women diagnosed with cervical cancer between January 01, 2004, to December 31, 2015. Cancer incidence was calculated based on age of diagnosis ( (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - October 1, 2018 Category: OBGYN Tags: Special Edition: Underserved Populations Source Type: research

Effect of Immediate Loop Electrode Excisional Procedure for High-Grade Cervical Cytology in an Urban Academic Clinic Setting
Conclusions Implementation of a standardized management of HSIL Pap with immediate LEEP did not statistically increase the amount of patients who received indicated LEEPs; however, implementation of this practice did not result in overtreatment. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - October 1, 2018 Category: OBGYN Tags: Special Edition: Underserved Populations Source Type: research

Preference for Human Papillomavirus Self-Collection and Papanicolaou: Survey of Underscreened Women in North Carolina
Conclusions Overall positive attitudes toward HPV self-collection compared with Pap testing among underscreened women suggest that self-collection is a promising option to increase cervical cancer screening in this high-risk population. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - October 1, 2018 Category: OBGYN Tags: Special Edition: Underserved Populations Source Type: research

Effect of Educational Intervention on Self-Sampling Acceptability and Follow-Up Paps in Border Dwelling Hispanic Females
Conclusions We found a high level of acceptability of self-sampling regardless of intensity of education in a largely Hispanic female population living on the US-Mexico border and a trend toward increased Pap smear follow-up in participants who tested positive. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - October 1, 2018 Category: OBGYN Tags: Special Edition: Underserved Populations Source Type: research

Effectiveness of an Educational Intervention to Increase Human Papillomavirus Knowledge in High-Risk Minority Women
Objectives The aims of the study were to evaluate human papillomavirus (HPV) and cervical cancer knowledge in a population at high risk for cervical cancer and to determine whether knowledge and attitudes toward HPV vaccination improve after educational intervention. Materials and Methods This pre-post survey design study was conducted at the John H. Stroger Hospital of Cook County colposcopy clinic. An HPV knowledge and awareness survey was given to participants before their clinical encounter. Afterward, participants watched an educational video and repeated the survey, which was administered again at the follow-up ...
Source: Journal of Lower Genital Tract Disease - October 1, 2018 Category: OBGYN Tags: Special Edition: Underserved Populations Source Type: research

Cervical Cancer Screening Among Women by Birthplace and Percent of Lifetime Living in the United States
Conclusions Using national survey, we found that where a woman is born and the percent of her lifetime spent residing in the US do impact whether she gets screened at least once in her lifetime. Impact These findings may inform cervical cancer screening efforts targeting foreign-born women. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - October 1, 2018 Category: OBGYN Tags: Special Edition: Underserved Populations Source Type: research

Cervical Cancer Screening Beliefs and Prevalence of LSIL/HSIL Among a University-Based Population in Cameroon
Conclusions Despite knowledge of cervical cancer screening benefits, the majority had not been screened or vaccinated. This study suggests a desire for additional screening services in this population and validates the utility of public-private partnerships in low-income regions. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - October 1, 2018 Category: OBGYN Tags: Special Edition: Underserved Populations Source Type: research

The Impact of Racial, Geographic, and Socioeconomic Risk Factors on the Development of Advanced-Stage Cervical Cancer
Conclusions Living further from a women's health provider or in a rural area was not associated with a higher risk of AS cervical cancer. Black women had a higher risk of AS than white women regardless of age, insurance status, and geography. Disparities in cervical cancer are multifactorial and necessitate further research into socioeconomic, biologic, and systems causes. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - October 1, 2018 Category: OBGYN Tags: Special Edition: Underserved Populations Source Type: research

Preventing Global Human Papillomavirus–Associated Lower Genital Disease
No abstract available (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - October 1, 2018 Category: OBGYN Tags: Special Edition: Underserved Populations Source Type: research

Vulvar Lichen Planus: A Risk Factor for Vulvar High-Grade Squamous Intraepithelial Lesion Recurrence?
No abstract available (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 26, 2018 Category: OBGYN Tags: Letter to the Editor Source Type: research

Vestibular Sclerosis: Is This a New, Distinct Clinicopathological Entity?
Conclusions Vestibular sclerosis may be a new distinct clinicopathologial entity, which is in the differential diagnosis of white plaques and patches in the vulvar vestibule. The characteristic siting in the anterior vestibule only, in the presence of an otherwise normal vulva and absence of inflammation on histology, is a reason to separate this condition from LS. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 26, 2018 Category: OBGYN Tags: Original Research Articles: Vagina and Vulva Source Type: research

Systematic Review of Treatment Outcome Measures for Vulvodynia
Conclusions Comparison of clinical trial results in vulvodynia is not possible because of a lack of standard treatment outcome measures. Vulvodynia researchers should apply the IMMPACT criteria to guide the development of a minimum core set of standard outcome measures that measure holistic health. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 26, 2018 Category: OBGYN Tags: Original Research Articles: Vagina and Vulva Source Type: research

Vulvovaginal Disease Education in Canadian and American Gynecology Residency Programs: A Survey of Program Directors
Conclusions While most residency programs provided formal education on vulvovaginal diseases, clinical exposure is extremely variable between sites. When it is not possible to increase clinical exposure to vulvovaginal disorders, traditional training methods (lectures, textbooks) should be supplemented with online modules and other means of learning to improve resident knowledge of vulvovaginal diseases. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 26, 2018 Category: OBGYN Tags: Original Research Articles: Vagina and Vulva Source Type: research

Equal Management of Equal Risks: What Should be Used as the Standard for Cervical Cancer Prevention?
No abstract available (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 26, 2018 Category: OBGYN Tags: Forum Source Type: research