Comparative study on the adequacy of cervical smears using wooden Ayre’s spatula, VS Papcone® sampling device

•This study was conducted in two tertiary health institutions in Anambra state of southeastern Nigeria.•It compared the adequacy of Pap smears obtained with two sampling devices- the wooden Ayre’s spatula and the Papcone®.•The adequacy of smears obtained with Papcone® was significantly better than t...

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Published in:	Gynecologic oncology reports Vol. 38; p. 100860
Main Authors:	Enechukwu, Chukwunonso Isaiah, Adinma, Joseph Ifeanyi Brian-D, Ikechebelu, Joseph Ifeanyichukwu, Onyiaorah, Igwebuike Victor, Onwusulu, Daniel Nnaemeka, Chiemeka, Michael Emeka, Eleje, George Uchenna, Ugboaja, Joseph Odirichukwu, Ezebialu, Ifeanyichukwu Uzoma, Ezenwa, Onochie Bruno, Nwosu, Betrand Obi, Eke, Nkemakolam Obinna, Osakwe, Chukwudi Richmond
Format:	Journal Article
Language:	English
Published:	Netherlands Elsevier Inc 01-11-2021 Elsevier
Subjects:	Adequacy Ayre’s spatula Cervical smears Papcone Cervical smears Papcone Adequacy Ayre’s spatula
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Summary:	•This study was conducted in two tertiary health institutions in Anambra state of southeastern Nigeria.•It compared the adequacy of Pap smears obtained with two sampling devices- the wooden Ayre’s spatula and the Papcone®.•The adequacy of smears obtained with Papcone® was significantly better than those of wooden Ayre’s spatula.•Papcone® should always be preferred, especially in developing countries where liquid-based cytology is not yet routine. This is a comparative study on the adequacy of cervical smears obtained using the Papcone® sampling device or wooden Ayre’s spatula conducted from two tertiary health facilities –– Nnamdi Azikiwe University Teaching Hospital Nnewi and Chukwuemeka Odumegwu Ojukwu University Teaching Hospital Awka, in Anambra State, Nigeria. Slides from smears obtained using both devices were read by a cytopathologist blinded for the study. The primary outcome was the proportion of smears with an adequate endocervical component. Significantly higher adequate cervical smears were obtained in 177/192 (92.2%) women using the Papcone® sampling device, compared to 152/192 (79.2%) using wooden Ayre’s spatula (p < 0.001). Kappa analysis showed moderate inter-rater agreement between the two devices. We recommend the use of the Papcone device when it is available, as the adequacy of cervical smears obtained with the Papcone® was better than that obtained using wooden Ayre’s spatula.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2352-5789 2352-5789
DOI:	10.1016/j.gore.2021.100860