Skip to main content
. Author manuscript; available in PMC: 2011 Nov 1.
Published in final edited form as: Am J Obstet Gynecol. 2010 Aug 30;203(5):481.e1–481.e9. doi: 10.1016/j.ajog.2010.06.048

Table 2.

Diagnostic yield among 13,115 colposcopically-guided biopsy examinations processed at Alberta Hospital 2003–2007: Percent of exams where endocervical curettage (ECC) detected CIN2* or worse that would have been missed by cervical biopsy alone (cbiopsy diagnosis less than CIN2), stratified by patient and colposcopy characteristics

Total Age 16–45 Age 46–96
N Column
percent
Percent
diagnostic
yield
N Percent
diagnostic
yield
N Percent
diagnostic
yield
TOTAL 13115 100.0 1.0 10567 0.9 2548 1.4

Age at admission (mean=35.6, median=33 years)
   17–25 2203 16.8 0.6
   26–35 5461 41.6 1.0
   36–45 2903 22.1 1.0
   46–55 1905 14.5 1.4
   56–94 643 4.9 1.2
p-valueα .023
Method of contraception
   None 2216 16.1 1.3 1423 1.2 693 1.4
   Pill 4734 36.1 0.7 4543 0.6 191 1.1
   Other 4112 31.4 1.2 3028 1.1 1084 1.5
   Missing 2153 16.4 1.2 1573 1.2 580 1.2
p-valueβ .013 .055 .898
Number of live births
   0 5909 45.1 0.9 5618 0.8 291 1.4
   1–3 4825 36.8 1.1 3219 1.0 1606 1.3
   4–11 304 2.3 2.0 157 0.6 147 3.4
   Missing 2077 15.8 1.1 1573 1.1 504 1.0
p-valueαβ .048 .521 .211
Colposcopy exam satisfactory
   Yes 8933 68.1 0.8 7512 0.7 1421 1.3
   No 1685 12.9 1.5 1152 1.7 533 1.1
   Missing 2497 19.0 1.3 1903 1.2 594 1.7
p-valueβ .005 .001 .711
Colposcopic impression
   Normal 724 5.5 0.7 453 0.2 271 1.5
   Atypia 1089 8.3 0.7 675 0.9 414 0.5
   Low Grade 7590 57.9 0.9 6376 0.8 1214 1.2
   High Grade/Cancer 1892 14.4 1.6 1725 1.3 167 4.8
   Missing 1820 13.9 1.2 1338 1.2 482 1.2
p-valueαβ .015 .035 .037
Referral cytology
   ASC-US 1471 11.2 0.8 1028 0.9 443 0.5
   AGUS 145 1.1 1.4 89 1.1 56 1.8
   LSIL 2940 22.4 1.0 2528 1.0 412 1.5
   HSIL 2177 16.6 2.4 1873 1.9 304 5.3
   Cancer 21 0.2 4.8 15 0.0 6 16.7
   Unsatisfactoryγ 15 0.1 0.0 11 0.0 4 0.0
   Follow-up visit 6346 48.4 0.6 5023 0.5 1323 0.7
p-valueδ <.001 .003 <.001
*

Cervical intraepithelial neoplasia grade 2

α

Chi-square test for trend

β

Missing values excluded from statistical calculation of significance.

γ

No CIN2+ was detected among women with an unsatisfactory referral cytology.

δ

Chi-square test for trend excludes unsatisfactory and follow-up test results.