SynthesisThe British journal of general practice : the journal of the Royal College of General Practitioners2006
A systematic review of postcoital bleeding and risk of cervical cancer.
Synthesis in The British journal of general practice : the journal of the Royal College of General Practitioners, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.
- Palliative interventions for controlling vaginal bleeding in advanced cervical cancer.The Cochrane database of systematic reviews · 2019Pooled it
- Palliative interventions for controlling vaginal bleeding in advanced cervical cancer.The Cochrane database of systematic reviews · 2015Pooled it
- Review
- Analysis of related factors for pathological upgrading of cervical biopsy from CIN3 to cancer after conical resection.BMC cancer · 2024Article
- Article
- Postcoital bleeding.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- The Diagnostic Value of Circulating Cell-Free HPV DNA in Plasma from Cervical Cancer Patients.Cells · 2022Article
- Colposcopic outcomes for symptomatic patients with a negative oncogenic human papillomavirus test.The Australian & New Zealand journal of obstetrics & gynaecology · 2021Article
- Urogenital and pelvic complications in the Ehlers-Danlos syndromes and associated hypermobility spectrum disorders: A scoping review.Clinical genetics · 2020Article
- Postcoital bleeding is a predictor for cervical dysplasia.PloS one · 2019Article
- Cytology in the diagnosis of cervical cancer in symptomatic young women: a retrospective review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Article
- Delays in diagnosis of young females with symptomatic cervical cancer in England: an interview-based study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
- Achieving earlier diagnosis of symptomatic cervical cancer.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
- Postcoital bleeding: a review on etiology, diagnosis, and management.Obstetrics and gynecology international · 2014Review
- Measuring the nature and duration of symptoms of cervical cancer in young women: developing an interview-based approach.BMC women's health · 2013Article
- Open-access transvaginal sonography in women of reproductive age with abnormal vaginal bleeding: a descriptive study in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Article
- Abnormal cervical appearance: what to do, when to worry?Mayo Clinic proceedings · 2011Article
- Article
- Abnormal vaginal bleeding in women of reproductive age: a descriptive study of initial management in general practice.BMC women's health · 2008Article
- Profile and retrospective analysis of the use of preventive strategies in patients with cervical cancer in South-South Nigeria.Nigerian medical journal : journal of the Nigeria Medical AssociationArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostcoital bleeding may be a symptom of cervical cancer. Guidance to aid a GP in determining whom to investigate or refer exists but recommendations vary. Women need to be involved in decisions about their care and this involves communicating risk and an exploration of the implications of the risk. Risk estimates of postcoital bleeding for cervical cancer are not available.
aimTo provide an estimate of the positive predictive values of postcoital bleeding for cervical cancer to aid decision making in primary care about whom to investigate for cervical cancer. DESIGN OF STUDY: A systematic review.
settingCommunity, primary and secondary care.
methodSix electronic databases were searched from the beginning of each of their time frames. Inclusion criteria were that the study was published in English and reported or contained enough data to calculate the prevalence or incidence of postcoital bleeding within the study population. No studies were excluded on issues of methodological quality.
resultsThe search strategy identified 910 unique articles. The point prevalence of postcoital bleeding in the community ranged from 0.7 to 9% among women. One study reported an annual cumulative incidence of 6% of menstruating women. The prevalence of postcoital bleeding in women with cervical cancer ranged from 0.7 to 39%. Calculation of risk that a woman in the community developing postcoital bleeding has cervical cancer ranges from 1 in 44,000 at age 20-24 years to 1 in 2 400 aged 45-54 years. There was no information allowing the direct calculation of risk in women presenting to primary care.
conclusionThe evidence base for management strategies of postcoital bleeding and calculations of risk for cervical cancer in women with postcoital bleeding are poor. Recommendations for clinical practice are made on the current evidence.
Indexed as
Identifiers
16762128PMC1839021W1925716101What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.