{"product_id":"utilisation-of-vaginal-vault-cytology-tests-post-hysterectomy-von-helen-stokes-lampard","title":"Utilisation of vaginal vault cytology tests post-hysterectomy","description":"\u003cp\u003eHysterectomy is commonly performed but there is  scant evidence concerning appropriate subsequent  follow-up by vaginal vault cytology testing.  This  book outlines the literature then the process of  performing and results from an observational,  retrospective cohort study.  Routinely collected  data sets were used to link women''s entire cervical  screening histories with their operation details and  subsequent vault cytology tests, to establish:   Which women are having hysterectomies?  What was the  indication?  Which were followed-up?  How did they  differ from those who were not?  6,141 women  underwent hysterectomy; an incidence of 23\/10,000  women\/pa.  Post-operatively 1,016 (16.5%) had some  vault cytology testing.  Those having CIN at total  hysterectomy should have vault cytology but only 63%  had any, of these less than 10% had it performed  exactly according to protocol.  Efforts to identify  and eradicate inappropriate use of vault cytology  tests could swiftly lead to savings.  Although UK  national guidelines are targeting the right women,  this book recommends that all vaginal vault cytology  should be undertaken in secondary care hereafter.\u003c\/p\u003e\u003cdiv class=\"aw-variant-hidden-subtitle-div\" id=\"aw-variant-subtitle-9783838390079\"\u003e\u003ch3\u003eAn exploration of the factors influencing variability in NHS utilisation of vaginal vault cytology tests\u003c\/h3\u003e\u003c\/div\u003e","brand":"Autorenwelt Shop","offers":[{"title":"Softcover - 9783838390079","offer_id":39469184483421,"sku":"9783838390079","price":79.0,"currency_code":"EUR","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0940\/0622\/files\/32028aa3-1b1f-4dba-bf95-c0dffbac9c90.jpg?v=1768891913","url":"https:\/\/shop.autorenwelt.de\/products\/utilisation-of-vaginal-vault-cytology-tests-post-hysterectomy-von-helen-stokes-lampard","provider":"Autorenwelt Shop","version":"1.0","type":"link"}