[Adjunctive colposcopy technologies (videocolposcopy) for cervical conditions]

Larrea Bonavento N, Ciapponi A, Colaci C, Alfie V, Garcia Martí S, Bardach A, Augustovski F, Alcaraz A, Pichon-Riviere A
Record ID 32018004413
Original Title: Tecnologías complementarias a la colposcopía (videocolposcopía) en patología cervical
Authors' recommendations: No studies reporting clinical outcomes associated to the use of this technology have been found.  Low‐quality evidence suggests that adding adjunctive technologies to colposcopy (videocolposcopy)  in a cervical condition may result in a marginal net benefit derived from a higher sensitivity, although  lower specificity, of fluorescence and reflectance spectroscopy, as well as dynamic spectral images,  when  compared  to  standard  colposcopy  alone.  Likewise,  it  suggests  that  the  addition  of  optical  coherence  tomography  results  in  lower  sensitivity  and  specificity  when  compared  to  traditional  colposcopy.  A  British  health  technology  assessment  concluded  that  adding  dynamic  spectral  imaging  to  traditional colposcopy increases the sensitivity in detecting high‐grade intraepithelial lesions while  it reduces specificity.  Only one of the clinical practice guidelines consulted recommends the use of videocolposcopy.  The rest of the guidelines do not mention it.  Just one United Kingdom state health funder covering the addition of dynamic spectral imaging to  the colposcopy was found. The rest of the policies consulted do not mention or expressly exclude it  from coverage.  No local economic evaluations assessing the use of these technologies have been found. One British  economic evaluation concludes that adding spectral dynamic imaging such as electrical impedance  spectroscopy, would be cost‐effective versus traditional colposcopy in screening scenarios and the  payment threshold used in the United Kingdom. 
Project Status: Completed
Year Published: 2022
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Argentina
MeSH Terms
  • Cervical Intraepithelial Neoplasia
  • Uterine Cervical Diseases
  • Uterine Cervical Dysplasia
  • Uterine Cervical Neoplasms
  • Colposcopy
  • Video-Assisted Techniques and Procedures
Organisation Name: Institute for Clinical Effectiveness and Health Policy
Contact Address: Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name: info@iecs.org.ar
Contact Email: info@iecs.org.ar
Copyright: Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.