Monitoring the activities of Italian colposcopy clinics before and during the COVID-19 pandemic

Giovanni Delli Carpini, Paolo Giorgi Rossi, Luca Giannella, Jacopo Di Giuseppe, Nicolò Clemente, Francesco Sopracordevole, Maggiorino Barbero, Giorgio Bogani, Rosa De Vincenzo, Massimo Origoni, Francesco Cantatore, Barbara Gardella, Mattia Dominoni, Ermelinda Monti, Carlo Antonio Liverani, Anna Viscardi, Alessio Pagan, Andrea Amadori, Chiara Alessi, Matteo AndolfattoPaolo Cattani, Annalisa Pieralli, Guido Stevenazzi, Andrea Ciavattini

Research output: Contribution to journalArticlepeer-review


Objective: To evaluate the impact of healthcare reorganization during the severe acute respiratory syndrome coronavirus 2 pandemic on Italian colposcopy clinic activities, focusing on cervical excision procedures, follow-ups for conservative management of low-grade lesions, and follow-ups post cervical excision. Methods: Retrospective study conducted in 14 Italian colposcopy clinics. The number and clinical characteristics of cervical excisions, follow-ups for conservative management of low-grade lesions, and follow-ups after cervical excision were compared between the period March 1, 2019 to February 29, 2020 (pre-pandemic) and March 1, 2020 to February 28, 2021 (pandemic) with a Poisson regression analysis. Results: In the pandemic period, the number of cervical excisions was reduced by 8.8% (95% confidence interval [CI]=−15.6% to −2%; p=0.011). Excisions were less frequently performed in the operating room (−35.1%; 95% CI=−47.6% to −22.6%; p<0.001), the number of patients from spontaneous screening was reduced by −14.0% (95% CI=−23.4% to −4.6%; p=0.003), and the CO2-laser technique was used less frequently (−30%; 95% CI=−45.1% to −15.0%; p<0.001). As compared to the pre-pandemic period, the number of follow-ups for conservative management of low-grade lesions was reduced by −26.7% (95% CI=−39.0% to −14.4%; p<0.001), and the follow-up appointments after cervical excision were reduced by −51.0% (95% CI=−58.1% to −43.9%; p<0.001). Conclusion: The most significant impact of the healthcare reorganization during the coronavirus disease 2019 pandemic was on follow-ups after cervical excision. The resumption of disrupted activities should follow a risk-based prioritization, starting from women in follow-up after cervical excision. It is advisable that the trend of performing cervical excision as an outpatient procedure is maintained in the post-pandemic period.

Original languageEnglish
Article numbere7
JournalJournal of Gynecologic Oncology
Issue number1
Publication statusPublished - Jan 2023


  • Cervical Cancer
  • Colposcopy
  • Conization
  • COVID-19 Pandemic
  • Screening

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynaecology


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