Cytology Report High-grade squamous abnormality or any glandular abnormality
Low-grade squamous abnormality
Subsequent Biopsy or Colposcopy Other Circumstances Yes – No
–
Yes
–
No
Previous smear also abnormal or fluctuating low-grade abnormality
Woman aged 30+ years and no negative cytology in preceding 36 mths
All other women
Negative
–
Previous smear abnormal or past history of biopsy proven CIN 2 or CIN 3 without HPV ‘test of cure’ All other women
Unsatisfactory
Yes
–
No
–
Time 12 mths 21 mths 4 mths 5.5 mths 6 mths 12 mths 21 mths 15 mths 24 mths 4 mths 6 mths 12 mths 21 mths 7 mths 8.5 mths 15 mths 24 mths 13.5 mths 15 mths 24 mths 15 mths 24 mths 27 mths 36 mths 12 mths 21 mths 6 mths 9 mths 18 mths
Action by Registry 1st Reminder to woman 2nd Reminder to woman Questionnaire to practitioner Telephone call to practitioner Letter to woman 1st Reminder to woman 2nd Reminder to woman 1st Reminder to woman 2nd Reminder to woman Questionnaire to practitioner Letter to woman 1st Reminder to woman 2nd Reminder to woman Questionnaire to practitioner Letter to woman 1st Reminder to woman 2nd Reminder to woman Reminder to practitioner 1st Reminder to woman 2nd Reminder to woman 1st Reminder to woman 2nd Reminder to woman 1st Reminder to woman 2nd Reminder to woman 1st Reminder to woman 2nd Reminder to woman Reminder to practitioner 1st Reminder to woman 2nd Reminder to woman
This protocol is adjusted in some unusual clinical circumstances (e.g. post-hysterectomy, after a diagnosis of cervical or endometrial malignancy, women aged 70+ years). Victorian Cervical Cytology Registry PO Box 161, Carlton South, Victoria 3053 Phone (03) 9250 0399 Fax: (03) 9349 1818 Email: registry@vccr.org Website: www.vccr.org
Victorian Cervical Cytology Registry acknowledges the support of the Victorian Government
May 2013 VCCR-Pub-19 V10
victorian cervical cytology registry summary of follow-up and reminder protocol