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O'Laughlin DJ, Strelow BA, Fellows NA, Stevens JN, Kelsey EA, Fink SR, Peters SM, Johnson JA, Houghton JP, Stolp AM, Fischer KM, Tweedy JM, DeJesus RS. Papanicolaou test collection with the Papette brush or the spatula with cytobrush: A pragmatic study. Womens Health (Lond) 2023; 19:17455057231170975. [PMID: 37119034 PMCID: PMC10154996 DOI: 10.1177/17455057231170975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
Abstract
BACKGROUND Cotesting with the Papanicolaou (Pap) and human papillomavirus tests detects most precancerous and cancerous lesions and increases the sensitivity for detecting high-grade precancerous and invasive cervical cancers compared with human papillomavirus testing alone. OBJECTIVE To compare the use of the Papette brush (hereafter Papette) to the traditional spatula with endocervical brush (cytobrush) for cervical cancer screening. DESIGN Pragmatic observational study. METHODS Adult women aged 21-64 years who were eligible for a Papanicolaou test at a Midwest Community Internal Medicine practice underwent cervical cancer screening using the Papette or spatula with cytobrush from 18 August 2021 through 1 February 2022. Cluster sampling was used across the practice. Pathology reports were then analyzed to compare the number of satisfactory versus unsatisfactory results between the two collection techniques. RESULTS We collected results for 756 Pap tests. The test results were satisfactory with the Papette 93.8% of the time compared with 93.0% for the spatula with cytobrush. CONCLUSION The Papette is not inferior to a spatula with cytobrush as a collection method for Pap tests.
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Affiliation(s)
| | - Brittany A Strelow
- Division of Community Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Nicole A Fellows
- Division of Community Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Joy N Stevens
- Division of Community Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Elizabeth A Kelsey
- Division of Community Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Stephanie R Fink
- Division of Community Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Sonya M Peters
- Division of Community Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Jennifer A Johnson
- Division of Community Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Jaclyn P Houghton
- Division of Community Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Anne M Stolp
- Division of Community Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Karen M Fischer
- Division of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, MN, USA
| | - Johanna M Tweedy
- Division of Community Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Ramona S DeJesus
- Division of Community Internal Medicine, Mayo Clinic, Rochester, MN, USA
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