Impact of vaginal estrogenization in follow-up of oncotic cytology of undetermined significance in postmenopausal women

Detalhes bibliográficos
Autor(a) principal: Araújo , Natacha Machado de
Data de Publicação: 2020
Outros Autores: Silva , Jean Carl, Moreira, Larissa Maria, Monfredini , Nayme Hechem
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Saúde e Pesquisa (Online)
Texto Completo: https://periodicos.unicesumar.edu.br/index.php/saudpesq/article/view/8032
Resumo: Current paper evaluates topic vaginal estrogenization following oncotic cytology of undetermined significance, type ASC-H, in postmenopausal women. A case-control study evaluated menopausal women diagnosed with ASC-H, divided into two groups, with and without the use of topic vaginal estrogen (GE and GNE). Odds ratios were calculated from contingency tables built with robust variation. 128 medical records were analyzed, 27% of which were from the GNE and 72% from the GE. There was an increase in ASC-H diagnoses in GNE. In GE, approximately 68 times less inappropriate colposcopies and a decrease in the number of colposcopies and High Frequency Surgery (HFS), with a reduction of 21 and 12.5 times, respectively. Decrease in the number of colposcopies with better adaptation to the exam, unchanged number of biopsies and decrease in the number of high-frequency surgeries, in the group using topic vaginal estrogen during the follow-up.
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spelling Impact of vaginal estrogenization in follow-up of oncotic cytology of undetermined significance in postmenopausal womenImpacto da estrogenização vaginal no seguimento de citologia oncótica de significado indeterminado na pós-menopausaAtypical squamous cells of the cervixEstriolMenopauseSquamous intraepithelial lesions of the cervixgynecologyCervical PathologyPostmenopauseLower Genital Tract PathologyMedicineASC-HHealth SciencesWomen's HealthCélulas escamosas atípicas do colo uterinoEstriolLesões intraepiteliais escamosas cervicaisMenopausaGinecologiaPatologia do Colo UterinoPós-menopausaPatologia do Trato Genital InferiorASC-HMedicinaCiências da SaúdeSaúde da MulherCurrent paper evaluates topic vaginal estrogenization following oncotic cytology of undetermined significance, type ASC-H, in postmenopausal women. A case-control study evaluated menopausal women diagnosed with ASC-H, divided into two groups, with and without the use of topic vaginal estrogen (GE and GNE). Odds ratios were calculated from contingency tables built with robust variation. 128 medical records were analyzed, 27% of which were from the GNE and 72% from the GE. There was an increase in ASC-H diagnoses in GNE. In GE, approximately 68 times less inappropriate colposcopies and a decrease in the number of colposcopies and High Frequency Surgery (HFS), with a reduction of 21 and 12.5 times, respectively. Decrease in the number of colposcopies with better adaptation to the exam, unchanged number of biopsies and decrease in the number of high-frequency surgeries, in the group using topic vaginal estrogen during the follow-up. Avaliar a estrogenização tópica vaginal no seguimento de citologia oncótica de significado indeterminado, tipo ASC-H, na pós-menopausa. Estudo, tipo caso-controle, que avaliou mulheres menopausadas com diagnóstico de ASC-H, divididas em dois grupos, com e sem uso de estrogênio tópico vaginal (GE e GNE). Foi calculada razão de chance a partir de tabelas de contingência construídas com variação robusta. Foram analisados 128 prontuários, sendo 27% de pacientes do GNE e 72% do GE. Houve aumento de diagnósticos ASC-H no GNE. No GE, aproximadamente 68 vezes menos colposcopias inadequadas e diminuição do número de colposcopias e Cirurgia de Alta Frequência (CAF), com evidência na redução em 21 e 12,5 vezes, respectivamente. Diminuição do número de colposcopias com melhor adequação ao exame, número de biópsias inalterado e diminuição do número de cirurgias de alta frequência, no grupo com uso de estrogênio tópico vaginal durante o seguimento. Universidade Cesumar - UniCesumar2020-11-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado por ParesTexto application/pdfapplication/pdfhttps://periodicos.unicesumar.edu.br/index.php/saudpesq/article/view/803210.17765/2176-9206.2020v13n4p879-887Saúde e Pesquisa; Vol 13 No 4 (2020): out./dez.; 879-887Saúde e Pesquisa; v. 13 n. 4 (2020): out./dez.; 879-8872176-9206reponame:Saúde e Pesquisa (Online)instname:Cesumar Diretoria de Pesquisainstacron:CESUMARporenghttps://periodicos.unicesumar.edu.br/index.php/saudpesq/article/view/8032/6446https://periodicos.unicesumar.edu.br/index.php/saudpesq/article/view/8032/6469Trabalho realizado em um serviço de referência em Patologia do Trato genital Inferior (PTGI) em um hospital público do Sul do Brasil, com mulheres na pós-menopausa e diagnóstico de significado indeterminado tipo ASCH na colpocitologia oncótica . Araújo , Natacha Machado de Silva , Jean Carl Moreira, Larissa MariaMonfredini , Nayme Hechem info:eu-repo/semantics/openAccess2020-11-24T18:27:24Zoai:ojs.pkp.sfu.ca:article/8032Revistahttps://periodicos.unicesumar.edu.br/index.php/saudpesqPUBhttps://periodicos.unicesumar.edu.br/index.php/saudpesq/oainaep@cesumar.br2176-92061983-1870opendoar:2020-11-24T18:27:24Saúde e Pesquisa (Online) - Cesumar Diretoria de Pesquisafalse
dc.title.none.fl_str_mv Impact of vaginal estrogenization in follow-up of oncotic cytology of undetermined significance in postmenopausal women
Impacto da estrogenização vaginal no seguimento de citologia oncótica de significado indeterminado na pós-menopausa
title Impact of vaginal estrogenization in follow-up of oncotic cytology of undetermined significance in postmenopausal women
spellingShingle Impact of vaginal estrogenization in follow-up of oncotic cytology of undetermined significance in postmenopausal women
Araújo , Natacha Machado de
Atypical squamous cells of the cervix
Estriol
Menopause
Squamous intraepithelial lesions of the cervix
gynecology
Cervical Pathology
Postmenopause
Lower Genital Tract Pathology
Medicine
ASC-H
Health Sciences
Women's Health
Células escamosas atípicas do colo uterino
Estriol
Lesões intraepiteliais escamosas cervicais
Menopausa
Ginecologia
Patologia do Colo Uterino
Pós-menopausa
Patologia do Trato Genital Inferior
ASC-H
Medicina
Ciências da Saúde
Saúde da Mulher
title_short Impact of vaginal estrogenization in follow-up of oncotic cytology of undetermined significance in postmenopausal women
title_full Impact of vaginal estrogenization in follow-up of oncotic cytology of undetermined significance in postmenopausal women
title_fullStr Impact of vaginal estrogenization in follow-up of oncotic cytology of undetermined significance in postmenopausal women
title_full_unstemmed Impact of vaginal estrogenization in follow-up of oncotic cytology of undetermined significance in postmenopausal women
title_sort Impact of vaginal estrogenization in follow-up of oncotic cytology of undetermined significance in postmenopausal women
author Araújo , Natacha Machado de
author_facet Araújo , Natacha Machado de
Silva , Jean Carl
Moreira, Larissa Maria
Monfredini , Nayme Hechem
author_role author
author2 Silva , Jean Carl
Moreira, Larissa Maria
Monfredini , Nayme Hechem
author2_role author
author
author
dc.contributor.author.fl_str_mv Araújo , Natacha Machado de
Silva , Jean Carl
Moreira, Larissa Maria
Monfredini , Nayme Hechem
dc.subject.por.fl_str_mv Atypical squamous cells of the cervix
Estriol
Menopause
Squamous intraepithelial lesions of the cervix
gynecology
Cervical Pathology
Postmenopause
Lower Genital Tract Pathology
Medicine
ASC-H
Health Sciences
Women's Health
Células escamosas atípicas do colo uterino
Estriol
Lesões intraepiteliais escamosas cervicais
Menopausa
Ginecologia
Patologia do Colo Uterino
Pós-menopausa
Patologia do Trato Genital Inferior
ASC-H
Medicina
Ciências da Saúde
Saúde da Mulher
topic Atypical squamous cells of the cervix
Estriol
Menopause
Squamous intraepithelial lesions of the cervix
gynecology
Cervical Pathology
Postmenopause
Lower Genital Tract Pathology
Medicine
ASC-H
Health Sciences
Women's Health
Células escamosas atípicas do colo uterino
Estriol
Lesões intraepiteliais escamosas cervicais
Menopausa
Ginecologia
Patologia do Colo Uterino
Pós-menopausa
Patologia do Trato Genital Inferior
ASC-H
Medicina
Ciências da Saúde
Saúde da Mulher
description Current paper evaluates topic vaginal estrogenization following oncotic cytology of undetermined significance, type ASC-H, in postmenopausal women. A case-control study evaluated menopausal women diagnosed with ASC-H, divided into two groups, with and without the use of topic vaginal estrogen (GE and GNE). Odds ratios were calculated from contingency tables built with robust variation. 128 medical records were analyzed, 27% of which were from the GNE and 72% from the GE. There was an increase in ASC-H diagnoses in GNE. In GE, approximately 68 times less inappropriate colposcopies and a decrease in the number of colposcopies and High Frequency Surgery (HFS), with a reduction of 21 and 12.5 times, respectively. Decrease in the number of colposcopies with better adaptation to the exam, unchanged number of biopsies and decrease in the number of high-frequency surgeries, in the group using topic vaginal estrogen during the follow-up.
publishDate 2020
dc.date.none.fl_str_mv 2020-11-24
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Avaliado por Pares
Texto
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.unicesumar.edu.br/index.php/saudpesq/article/view/8032
10.17765/2176-9206.2020v13n4p879-887
url https://periodicos.unicesumar.edu.br/index.php/saudpesq/article/view/8032
identifier_str_mv 10.17765/2176-9206.2020v13n4p879-887
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://periodicos.unicesumar.edu.br/index.php/saudpesq/article/view/8032/6446
https://periodicos.unicesumar.edu.br/index.php/saudpesq/article/view/8032/6469
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.coverage.none.fl_str_mv Trabalho realizado em um serviço de referência em Patologia do Trato genital Inferior (PTGI) em um hospital público do Sul do Brasil, com mulheres na pós-menopausa e diagnóstico de significado indeterminado tipo ASCH na colpocitologia oncótica .
dc.publisher.none.fl_str_mv Universidade Cesumar - UniCesumar
publisher.none.fl_str_mv Universidade Cesumar - UniCesumar
dc.source.none.fl_str_mv Saúde e Pesquisa; Vol 13 No 4 (2020): out./dez.; 879-887
Saúde e Pesquisa; v. 13 n. 4 (2020): out./dez.; 879-887
2176-9206
reponame:Saúde e Pesquisa (Online)
instname:Cesumar Diretoria de Pesquisa
instacron:CESUMAR
instname_str Cesumar Diretoria de Pesquisa
instacron_str CESUMAR
institution CESUMAR
reponame_str Saúde e Pesquisa (Online)
collection Saúde e Pesquisa (Online)
repository.name.fl_str_mv Saúde e Pesquisa (Online) - Cesumar Diretoria de Pesquisa
repository.mail.fl_str_mv naep@cesumar.br
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