A comparison of the evaluation and treatment of cervical dysplasia by gynecologists and nurse practitioners

Donna L. Morris, Cathy H. McLean, Sheryl L. Bishop, Kirk C. Harlow

    Research output: Contribution to journalArticle

    11 Scopus citations

    Abstract

    Cervical dysplasia, a precursor to cervical cancer, affects approximately 6% to 10% of women In the United States. Although cervical dysplasia traditionally Is diagnosed and treated by gynecologists, nurse practitioners with special education and expertise In the evaluation and treatment of the condition have begun providing care to many women in rural and other medically underserved areas where there Is limited access to specialized physicians. This study compared cervical dysplasia evaluation and treatment techniques of 11 gynecologists and 6 nurse practitioners using abstracted patient records. The MDs showed a greater variation In performance than nurse practitioner colposcoplsts (NPCs) when evaluated on 10 criteria. NPC practices fell within the range of MDs, and when they were statistically different, NPC practices were more consistent with generally accepted medical practice. These data suggest that NPCs were more likely to adhere to a consistent set of practices. It can be concluded that NPCs are viable alternative providers in the evaluation and treatment of cervical dysplasia.

    Original languageEnglish (US)
    Pages (from-to)101-116
    Number of pages16
    JournalNurse Practitioner
    Volume23
    Issue number4
    DOIs
    StatePublished - Apr 1998

    ASJC Scopus subject areas

    • Nursing(all)

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