{"id":"https://openalex.org/W104229395","doi":null,"title":"Use of speculoscopy in the evaluation of women with atypical Papanicolaou smears. Improved cost effectiveness by selective colposcopy.","display_name":"Use of speculoscopy in the evaluation of women with atypical Papanicolaou smears. Improved cost effectiveness by selective colposcopy.","publication_year":1993,"publication_date":"1993-03-01","ids":{"openalex":"https://openalex.org/W104229395","mag":"104229395","pmid":"https://pubmed.ncbi.nlm.nih.gov/8387595"},"language":"en","primary_location":{"id":"pmid:8387595","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8387595","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of reproductive medicine","raw_type":"Comparative Study"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5059226673","display_name":"Leslie Stewart Massad","orcid":"https://orcid.org/0000-0001-8486-9464","observed_orcids":["https://orcid.org/0000-0001-8486-9464"]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]},{"id":"https://openalex.org/I4210135078","display_name":"Washington University Medical Center","ror":"https://ror.org/036c27j91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210135078"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"L S Massad","raw_affiliation_strings":["Department of Gynecologic Oncology, Washington University School of Medicine, Washington University Medical Center, St. Louis, Missouri"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gynecologic Oncology, Washington University School of Medicine, Washington University Medical Center, St. Louis, Missouri","institution_ids":["https://openalex.org/I204465549","https://openalex.org/I4210135078"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006567449","display_name":"Neal M. Lonky","orcid":"https://orcid.org/0000-0002-3067-0609","observed_orcids":["https://orcid.org/0000-0002-3067-0609"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"N M Lonky","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076087889","display_name":"David Gardner Mutch","orcid":"https://orcid.org/0000-0002-6921-1581","observed_orcids":["https://orcid.org/0000-0002-6921-1581"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"D G Mutch","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108353825","display_name":"W. J. Mann","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"W J Mann","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051274387","display_name":"Jody S. Blanco","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J S Blanco","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064059522","display_name":"Steven A. Vasilev","orcid":"https://orcid.org/0009-0007-4250-787X","observed_orcids":["https://orcid.org/0009-0007-4250-787X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"S A Vasilev","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109994074","display_name":"Michael A. Finan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"M A Finan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5081623214","display_name":"Richard J. Scotti","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"R J Scotti","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.0269,"has_fulltext":false,"cited_by_count":35,"citation_normalized_percentile":{"value":0.7366298,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":94},"biblio":{"volume":"38","issue":"3","first_page":"163","last_page":"9"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10146","display_name":"Cervical Cancer and HPV Research","score":0.9901999831199646,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10146","display_name":"Cervical Cancer and HPV Research","score":0.9901999831199646,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13544","display_name":"Women's cancer prevention and management","score":0.007899999618530273,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10428","display_name":"Reproductive tract infections research","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2404","display_name":"Microbiology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/colposcopy","display_name":"colposcopy","score":0.7940000295639038},{"id":"https://openalex.org/keywords/cervical-cancer-screening","display_name":"cervical cancer screening","score":0.9210000038146973},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.8840000033378601},{"id":"https://openalex.org/keywords/diagnostic-biopsy","display_name":"biopsy diagnosis","score":0.6110000014305115},{"id":"https://openalex.org/keywords/cervical-cytology","display_name":"cervical cytology","score":0.4860000014305115}],"concepts":[{"id":"https://openalex.org/C2776117191","wikidata":"https://www.wikidata.org/wiki/Q912741","display_name":"Colposcopy","level":4,"score":0.9520199298858643},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9256153106689453},{"id":"https://openalex.org/C65051434","wikidata":"https://www.wikidata.org/wiki/Q3123079","display_name":"Papanicolaou stain","level":4,"score":0.868162989616394},{"id":"https://openalex.org/C2781283455","wikidata":"https://www.wikidata.org/wiki/Q1960558","display_name":"Atypia","level":2,"score":0.6392197608947754},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.6344676613807678},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.6341407299041748},{"id":"https://openalex.org/C2908603675","wikidata":"https://www.wikidata.org/wiki/Q942976","display_name":"Papanicolaou Test","level":5,"score":0.5817124843597412},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.5241063833236694},{"id":"https://openalex.org/C2775934546","wikidata":"https://www.wikidata.org/wiki/Q179991","display_name":"Biopsy","level":2,"score":0.43323785066604614},{"id":"https://openalex.org/C2778220009","wikidata":"https://www.wikidata.org/wiki/Q160105","display_name":"Cervical cancer","level":3,"score":0.169083833694458},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.16770917177200317},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.09812992811203003},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.09410256147384644},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0806586742401123},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.06423446536064148}],"mesh":[{"descriptor_ui":"D001706","descriptor_name":"Biopsy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002278","descriptor_name":"Carcinoma in Situ","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D002294","descriptor_name":"Carcinoma, Squamous Cell","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D002578","descriptor_name":"Uterine Cervical Dysplasia","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D002583","descriptor_name":"Uterine Cervical Neoplasms","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D002584","descriptor_name":"Cervix Uteri","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D003127","descriptor_name":"Colposcopy","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D003362","descriptor_name":"Cost-Benefit Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003475","descriptor_name":"Curettage","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005069","descriptor_name":"Evaluation Studies as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011237","descriptor_name":"Predictive Value of Tests","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014412","descriptor_name":"Tumor Virus Infections","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D014626","descriptor_name":"Vaginal Smears","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D027383","descriptor_name":"Papillomaviridae","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D065006","descriptor_name":"Papanicolaou Test","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:8387595","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8387595","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of reproductive medicine","raw_type":"Comparative Study"},{"id":"mag:104229395","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8387595","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.8560000061988831,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2387370203","https://openalex.org/W2418315201","https://openalex.org/W2051820675","https://openalex.org/W1996096972","https://openalex.org/W1974290950","https://openalex.org/W2078330408","https://openalex.org/W2056695992","https://openalex.org/W2411636530","https://openalex.org/W2399308915","https://openalex.org/W2091604733"],"abstract_inverted_index":{"Since":[0],"up":[1,151],"to":[2,13,89,105,118,152],"45%":[3],"of":[4,31,94,96,103,142,150,158,170],"patients":[5,57,83],"with":[6,18,41,60,77,84,108,128,177],"atypical":[7,42,85,109,178],"Papanicolaou":[8,43,62,110,179],"smears":[9,44,86,111,180],"have":[10,14],"been":[11],"shown":[12],"significant":[15,156],"pathology,":[16],"women":[17,40,76,107,124,136,176],"persistent":[19,129],"atypia":[20,130],"are":[21],"usually":[22],"referred":[23],"for":[24,51,112,184],"colposcopy.":[25,52,79],"This":[26],"study":[27,69],"evaluated":[28,59],"the":[29,61,101,140,168],"use":[30],"a":[32,91,115,147,188],"new":[33],"adjunctive":[34],"screening":[35,54,172],"test,":[36],"speculoscopy,":[37],"in":[38,82,187],"selecting":[39],"who":[45,181],"would":[46],"most":[47,75],"benefit":[48],"from":[49,74],"referral":[50,56],"Both":[53],"and":[55,65,154],"were":[58,72,87],"smear,":[63],"speculoscopy":[64,104,138,165],"colposcopy":[66,113,120,183],"at":[67,139,167],"10":[68],"centers.":[70],"Biopsies":[71],"obtained":[73],"positive":[78],"The":[80],"results":[81,102],"used":[88],"perform":[90],"cost-benefit":[92],"analysis":[93],"each":[95],"three":[97],"management":[98],"protocols.":[99],"Using":[100],"select":[106,175],"provided":[114],"cost-effective":[116,189],"alternative":[117],"performing":[119],"either":[121],"on":[122,126],"all":[123,135],"or":[125],"those":[127],"following":[131],"treatment.":[132],"Even":[133],"when":[134],"undergo":[137],"time":[141,169],"screening,":[143],"this":[144],"protocol":[145],"provides":[146],"cost":[148],"savings":[149],"24%":[153],"no":[155],"loss":[157],"diagnostic":[159,185],"accuracy.":[160],"These":[161],"data":[162],"suggest":[163],"that":[164],"performed":[166],"initial":[171],"can":[173],"accurately":[174],"require":[182],"biopsy":[186],"manner.":[190]},"counts_by_year":[{"year":2022,"cited_by_count":1},{"year":2017,"cited_by_count":1}],"updated_date":"2026-11-03T10:50:19.383937","created_date":"2016-06-24T00:00:00"}