TY - JOUR AU - Shubham Bidhuri AU - Saritha Shamsunder AU - Harshitha K AU - Sunita Malik AU - Akriti Gautam AU - Priyanka Pangtey AU - Rashmi Arora AU - Charanjeet Ahluwalia PY - 2022/08/12 Y2 - 2024/03/29 TI - Predictive Value of Swede Colposcopy Score for Predicting Cervical Intra Epithelial Neoplasia in Cervical Cancer Screening with Visual Inspection with Acetic Acid JF - Asian Pacific Journal of Cancer Care JA - apjcc VL - 7 IS - 3 SE - Original Research DO - 10.31557/apjcc.2022.7.3.445-449 UR - http://waocp.com/journal/index.php/apjcc/article/view/857 AB - Objectives: To assess the predictive value of Swede score with VIA as the screening method and identify a cut-off score that predicts high grade CIN. Methods: Records of 324 women who were VIA positive and had acetowhite lesion on colposcopy graded according to Swede score followed by biopsy/excisional procedure were included in the analysis. Sensitivity, Specificity, PPV & NPV for each Swede score were calculated and area under the ROC curve (AUROC) for score predicting high grade histopathology (≥ CIN 2) was estimated. A p value less than 0.05 was considered statistically significant. Results: As the swede score increased from 0 to 10, the sensitivity decreased and specificity increased i.e. sensitivity of score < 6 was high whereas specificity of score > 6 was high. At a cut-off of Swede Score ≥6, it predicted high grade histology with a sensitivity of 51%, and a speci-ficity of 79%. The highest diagnostic accuracy was at swede score cut off >6 i.e. 64.6%. Conclusion: We recommend biopsy at a Swede score of 5 or less and treatment by excision at a Swede score of 6 or more. ER -