Comparison of referral and repeat schedules before and after 1996 in the Netherlands
| Before 1996 | 1996 onwards | |||||
|---|---|---|---|---|---|---|
| Descriptive diagnosis | Pap | Advice | Description with CISOE-A score | Pap | Advice | Equivalent |
| *Moderate dyskaryosis had no separate advice before 1996. | ||||||
| BMD, borderline or mild dyskaryosis; ColpoBx, colposcopy and/or colposcopically directed biopsies. | ||||||
| Normal | Pap 1 | Default screening advice: | Normal | Pap 1 | Default screening advice: | Normal |
| repeat after 3 years | Squamous (S1), | repeat after 5 years | ||||
| Endocervical cells (E1), | ||||||
| Other cells (O1), | ||||||
| Atrophy (O2), | ||||||
| No endocervical cells (E2) | ||||||
| Borderline | Pap 2 | Repeat at 12 and 24 months | Atypical cells | Pap 2 | Repeat at 6 and 18 months | BMD |
| Atypical squamous (S2), | ||||||
| Endocervical cells (E3), | ||||||
| Squamous metaplasia (S3) | ||||||
| Atypical repair (O3) | ||||||
| Mild/moderate dyskaryosis | Pap 3a | Repeat at 3 and 12 months | Mild dyskaryosis | Pap 3a1 | ||
| Squamous (S4), | ||||||
| Endometrial cells (O4), | ||||||
| Endocervical cells (E4), | ||||||
| Moderate dyskaryosis of endocervical cells (E5) | ||||||
| Moderate dyskaryosis* | Pap 3a2 | ColpoBx | >BMD | |||
| Squamous cells (S5), | ||||||
| Endometrial cells (O5) | ||||||
| Severe dyskaryosis, carcinoma in situ, carcinoma | ⩾Pap 3b | ColpoBx | Severe dyskaryosis, (adeno)carcinoma in situ, carcinoma | ⩾Pap 3b | ||
| Squamous (>S5), | ||||||
| Endometrial cells (>O5), | ||||||
| Endocervical cells (>E5) | ||||||