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.