Is LEEP a feasible addition to the family physician's office?

Journal Name: 
Fam Pract Res J
Authors: 
Eilers,G.M.
Swanson,T.
Kitowski,J.
Smith,M.
Abstract: 
BACKGROUND: Seven thousand women die annually from cervical cancer in the US. This disease is preventable if cervical dysplasia is treated. Loop Electrosurgical Excision of the Cervix (LEEP) is a new treatment for dysplasia. This study evaluates the acceptability and feasibility of having LEEP available in a family physician's office. METHOD: We performed a retrospective audit of colposcopy patients at 2 family practice clinics over a 2-year period. We determined the patients who met criteria for LEEP, surveyed the patients and calculated the cost benefit to the clinic. RESULT: Out of 288 patients undergoing colposcopy, 40 (14%) were candidates for LEEP. Few complications, minimal discomfort, and performance of the procedure at their primary clinic were important to patients. Patient cost for LEEP in the office is $700 compared to $1450 in the hospital. Nine LEEP procedures per year provides a break-even point for the clinic. CONCLUSION: LEEP offers the advantage over laser treatment of lower cost, use of local anesthesia, and provision of a pathology specimen. Performing LEEP in the family physician's office is cost effective and meets patient needs
3
1994
Volume: 
14
Pages: 
87-95
Keywords: 
40, Adult, Aged, Ambulatory Surgical Procedures, Cervical Intraepithelial Neoplasia, Cervix Dysplasia, Cervix Neoplasms, Colposcopes, Colposcopy, complications, cost, Cost-Benefit Analysis, criteria, Cross-Sectional Studies, Disease, economics, Electrocoagulation, epidemiology, Family, Family Practice, Feasibility Studies, Female, hospital, Human, Incidence, instrumentation, Medical Audit, Medicine, Middle Aged, pathology, patient, Patient Satisfaction, Patients, Retrospective Studies, Support,Non-U.S.Gov't, surgery, Universities, Wisconsin, women, WReN