Descriptive Statistics
Descriptive statistics which are included in table one indicate that out
of the 430 patients included in the study sample, there were 355
(82.56%) concordant referrals and 75 (17.44%) discordant referrals.
The referrals resulted in recommendations by the VCU physician for 340
(79.07%) colposcopies, 57 (13.02%) re-screen tests, and 35 (7.91%)
LEEP procedures. The cervical cytology with the most discordant
referrals included pap results for ASCUS (29%), LSIL (48%), and NILM
(20%). The VCU attending physician reviewing the referrals had a 95%
adherence rate to the 2012 ASCCP guidelines. The VCU reviewing attending
was able to identify 72% of the discordant referrals as non-adherent to
the 2012 ASCCP guidelines. There were 18 (4.17%) patients that
following colposcopies did not receive a recommendation for follow-up
testing from the VCU physician that was concordant with the 2012 ASCCP
guidelines. Six (33%) of these 18 patients had already discordant
referrals for a colposcopy and then were given follow-up testing
recommendations by VCU physicians that were not concordant with the 2012
ASCCP guidelines. Family medicine providers and health departments
comprised 40% and 28% of the discordant referrals respectively.
Approximately 51% of the study population was African American, whites
comprised approximately 31%, and 11% of the study population was
Hispanic. All variables had statistically significant differences
between concordant and discordant referrals.