Abstract:
STUDY OBJECTIVE:Adolescent compliance with cytologic and histologic cervical abnormalities is poor. Recent changes in abnormal cytology follow-up and colposcopy indications in young women may delay the diagnosis of cervical dysplasia. The objective of our study was to determine the compliance with follow up. We also wanted to summarize regression or progression of disease, and to determine if the new guidelines could affect severity and time of diagnosis. DESIGN:Retrospective review of medical records from adolescent patients (defined as women aged 12 to 21) who had a colposcopy between January 2004 and December 2006. Patients were excluded if they were 22 or older or if they had a previously abnormal cytologic evaluation. MAIN OUTCOME MEASURES:Colposcopy records between January 2004 and December 2006 were identified by CPT code from a computerized database. Cytology and histology results, follow-up compliance rates, and demographic data were collected. Data were analyzed with a power>85% and a P value = .05 for significance. RESULTS:Of the 210 records reviewed, 61.9% had atypical squamous cells of undetermined significance high-risk HPV, 33.7% had low-grade squamous intraepithelial lesion, and 4.5% had high-grade squamous intraepithelial lesions. Colposcopy was performed in 55.9%, and 15.2% required surgical intervention. Loop electrosurgical excision procedure (LEEP) was used in 87.5% of patients, and 12.5% had a cold knife cone. Mean time to follow in patients with a surgical intervention was 12.72 months and 11.02 months for those without (P=.371). CONCLUSION:There appears to be no difference in compliance with follow-up, regardless of severity of disease or surgical intervention. There was no significant progression of disease and a high regression rate of abnormalities. This information supports the current American College of Obstetricians and Gynecologists and American Society for Colposcopy and Cervical Pathology guidelines to delay aggressive intervention in adolescents.
journal_name
J Pediatr Adolesc Gynecoljournal_title
Journal of pediatric and adolescent gynecologyauthors
Campbell FN,Lara-Torre Edoi
10.1016/j.jpag.2008.08.003subject
Has Abstractpub_date
2009-06-01 00:00:00pages
151-5issue
3eissn
1083-3188issn
1873-4332pii
S1083-3188(08)00274-Xjournal_volume
22pub_type
杂志文章abstract::Tattoo rates in the United States have been rising in recent years, with an expected concomitant rise in tattoo-associated complications. Tattoo complications range from cutaneous localized and generalized inflammatory eruptions, to local bacterial or viral infections, and finally to infectious endocarditis and hepati...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2012.08.005
更新日期:2013-04-01 00:00:00
abstract:STUDY OBJECTIVES:Most pediatric education materials are designed for a parent audience. Social marketing techniques rely on the principles called the "4 P's": product, price, place, and promotion. The objective of this study was to test the design, readability, likelihood to read, and overall opinion of a pediatric fer...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2011.10.007
更新日期:2012-04-01 00:00:00
abstract:STUDY OBJECTIVE:Racial/ethnic differences in prevalence and patterns of oral and anal sex were analyzed among girls participating in a microbicide acceptability study. DESIGN:Cross-sectional analysis SETTING:Recruitment to participate in a 6-month study examining microbicide acceptability was conducted at a school-ba...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2008.01.075
更新日期:2009-02-01 00:00:00
abstract:STUDY OBJECTIVE:To document physical and symptomatic changes in adolescent females using depot medroxyprogesterone acetate (DMPA) for contraception. DESIGN:A 30-month prospective experimental study using a convenience sample of subjects. SETTING:A pediatric primary care clinic in Milwaukee, Wisconsin that serves an u...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(97)70039-1
更新日期:1997-02-01 00:00:00
abstract::Acquired and inherited platelet disorders can present with bleeding symptoms during adolescence. Platelet disorders include disorders of platelet number and disorders of platelet function. In adolescent females with platelet disorders, menorrhagia is a common presenting bleeding symptom. Other associated bleeding symp...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2010.08.012
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVES:To review the etiologies, diagnosis, and treatment options of adolescent endometriosis. METHODS:Review of publications relating to adolescent endometriosis. RESULTS:Endometriosis occurs in adolescents as young as 8 years of age; furthermore, there have been documented cases of endometriosis occurring prior...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/s1083-3188(03)00066-4
更新日期:2003-06-01 00:00:00
abstract::Receiving the diagnosis of Primary Ovarian Insufficiency (POI) can be emotionally difficult and confusing for young girls and their families. Parents need assistance in knowing how to help their daughters understand and live with the diagnosis in a way that allows for healthy growth and development. This paper provide...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,病人教育讲义
doi:10.1016/j.jpag.2010.12.004
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVE:To establish a set of normal values for breast size in children up to two years of age, and to assess the effects of gender, gestational age, and type of feeding and growth parameters on breast size. DESIGN:Prospective cohort study over 20 months SETTING:The Mayo Clinic Rochester, MN, neonatal nursery and C...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2010.03.002
更新日期:2010-10-01 00:00:00
abstract:STUDY OBJECTIVE:To determine the suitability and efficacy of methotrexate (MTX) therapy for adolescent patients with ectopic pregnancy. MATERIALS:Patients with ectopic pregnancy were treated with methotrexate, 50 mg/m2 intramuscularly. Follow-up determinations of quantitative beta hCG levels were done on days 1, 4, an...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(96)70013-x
更新日期:1996-04-01 00:00:00
abstract:BACKGROUND:Prenatal ovarian torsion is a rare but significant gynecologic abnormality. Current literature has yet to establish standard management in the case of auto-amputated adnexa secondary to ovarian torsion in the neonate. CASES:We report 2 cases of abdominal masses that were diagnosed in the antenatal period an...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2013.06.019
更新日期:2014-04-01 00:00:00
abstract:STUDY OBJECTIVE:To describe an unusual, premenarchal presentation of an obstructive vaginal anomaly. DESIGN:Case Report. SETTING:University Medical Center. PARTICIPANTS:Premenarchal subject INTERVENTIONS:Vaginogram, vaginal septum resection. RESULTS:Vaginal septum resection with resolution of vaginal discharge. C...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2005.09.008
更新日期:2005-12-01 00:00:00
abstract:BACKGROUND:Fibroepithelial polyps (FEPs) are benign tumors, of possibly hormone-dependent nature, found in the vulvovaginal region of women of reproductive age. CASE:A 15-year-old adolescent girl, receiving hormonal contraceptive therapy, who presented with multiple vulvar masses with histopathology consistent with FE...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2017.04.004
更新日期:2017-10-01 00:00:00
abstract::Background: To determine if adolescent pregnancies are at increased risk of poor obstetrical outcome compared with a general obstetrical population.Methods: A five-year retrospective review of the Toronto Hospital for Sick Children's Teenage Pregnancy Unit was carried out. Information was available on 209 patients < 1...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(00)00033-4
更新日期:2000-05-01 00:00:00
abstract:BACKGROUND:A rare disorder of sex development is 45,X/46,XY mosaicism, which is phenotypically very heterogenous, ranging from normal male (or female) to that of genital ambiguity of varying degrees. CASE:We report a case of a neonate with 45,X/46,XY mosaicism and hydrocolpos, and we point out the dilemma and the diff...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2018.09.001
更新日期:2019-02-01 00:00:00
abstract::The low rates of actual contraceptive failure and high rates of contraceptive use among young women highlights that choice of contraceptive method and patterns of contraceptive use greatly influence unintended pregnancy risk. Promoting contraceptive use among adolescent and young adult women requires supportive health...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/j.jpag.2020.12.008
更新日期:2020-12-14 00:00:00
abstract:STUDY OBJECTIVE:The purpose of the study was to determine if barriers in rural areas might decrease an adolescent's likelihood of obtaining effective contraception. Previous studies have reported mixed results in comparisons of rural and urban contraception use. DESIGN:Electronic survey. SETTING:Midwestern Public Uni...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2015.06.002
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to evaluate the efficacy of topical estrogen therapy for the treatment of prepubertal girls with labial adhesions. METHODS:This was a retrospective chart review at a pediatric and adolescent gynecology clinic in Memphis, Tennessee. Participants included 289 prepubertal girls wh...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(00)86629-2
更新日期:1999-05-01 00:00:00
abstract:STUDY OBJECTIVE:To evaluate the association between maternal body mass index and neonatal outcomes in adolescents and to compare neonatal outcomes between overweight and obese adolescents and obstetric low-risk adult women. DESIGN:Retrospective cohort study using data from the Swedish Medical Birth Register. SETTING:...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2018.11.003
更新日期:2019-04-01 00:00:00
abstract:STUDY OBJECTIVE:Evidence suggests that vaccine-type human papillomavirus (HPV) prevalence may decrease in unvaccinated women after HPV vaccine introduction, indicating herd protection. The aim of this study was to determine factors associated with vaccine-type HPV (i.e. absence of herd protection) after vaccine introdu...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2017.09.008
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Medical child abuse is a challenging diagnosis to make, particularly in older children with unusual presenting symptoms. CASE:A 7-year-old child with complex medical history presented with anogenital bleeding of unknown origin. Extensive laboratory testing, imaging studies, and diagnostic procedures were ne...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2018.06.011
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:To evaluate presenting and long-term clinical consequences in females with obstructing vaginal anomalies. DESIGN:A retrospective study. SETTING:A university hospital in southern Finland. PARTICIPANTS:Twenty-six females with obstructing vaginal malformations. The conditions were classified into transverse v...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(03)00157-8
更新日期:2003-10-01 00:00:00
abstract:STUDY OBJECTIVE:To examine how adolescent-parent dyads describe decision-making regarding initiation of the human papillomavirus (HPV) vaccine series, specifically who they viewed as making the final decision. DESIGN:Semistructured interviews with adolescent-parent dyads were audio-recorded and transcribed. Responses ...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2017.10.003
更新日期:2018-02-01 00:00:00
abstract::Acne vulgaris, a multifactorial condition often conferring significant psychosocial morbidity, affects an estimated 40 million people in the United States. The majority of these individuals are adolescents and young adults. The pathophysiology of the condition is still not fully known, but it is believed to be related...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/j.jpag.2007.07.004
更新日期:2008-08-01 00:00:00
abstract:BACKGROUND:Endometriosis-ectopic implantation of endometrial-like tissue-affects 10% of female adolescents and adults. First-line treatment includes progesterone only (such as norethindrone acetate [NET-A]) or combined estrogen/progestin oral contraceptive pills. Estrogen-containing contraceptives confer increased risk...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2016.12.002
更新日期:2017-06-01 00:00:00
abstract:UNLABELLED:PAPER OBJECTIVE: This paper is designed to help clinicians understand the relationship between hormonal contraceptive side effects and the potential development of general and reproductive health concerns that can impact on adherence to hormonal contraception. By understanding the concerns raised by young wo...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/s1083-3188(01)00123-1
更新日期:2001-11-01 00:00:00
abstract:STUDY OBJECTIVE:The aim of this study was to review the efficacy of different medical modalities for menstrual suppression in the cohort of patients with disabilities who presented to the Queensland Paediatric and Adolescent Gynaecology (PAG) Service between January 2005 and December 2015. Menstrual suppression in adol...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2019.05.005
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVE:Female childhood cancer survivors are at an increased risk of reproductive health impairment. We compared reproductive health outcomes with the recommended standard in a cohort of childhood cancer survivors. STUDY DESIGN AND PARTICIPANTS:A retrospective chart review of 222 female childhood cancer survivors a...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2014.05.012
更新日期:2015-04-01 00:00:00
abstract:STUDY OBJECTIVE:To evaluate the incidence of hemostatic disorders in a population of adolescents with various patterns of abnormal uterine bleeding (AUB). DESIGN:Retrospective observational study. SETTING:University hospital. PARTICIPANTS:One hundred thirteen adolescents with AUB; mean age at menarche and mean age a...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2013.06.003
更新日期:2013-10-01 00:00:00
abstract:STUDY OBJECTIVES:Many pediatric providers serving adolescents are not trained to offer comprehensive contraceptive services, including intrauterine devices (IUDs) and implants, despite high safety and satisfaction among adolescents. This study assessed an initiative to train providers at school-based health centers (SB...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2020.07.010
更新日期:2021-02-01 00:00:00
abstract:STUDY OBJECTIVE:To understand adolescent girls' use of "I don't know" within the context of discussing information related to sexual attitudes and behaviors. DESIGN:Qualitative analysis of seven focus groups with adolescent girls. SETTING:Urban primary care clinic. PARTICIPANTS:Adolescent girls (n = 23) with a mean ...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2006.05.001
更新日期:2006-08-01 00:00:00