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32. A National Survey of Smoking Cessation Provision in all Colposcopy Clinics in Scotland and a model for best practice Alexis Rumbles Hospital Nurse Adviser Stop Smoking Services
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34. What is Colposcopy? A diagnostic procedure in which a specialist examines a magnified view of the cervix using a colposcope
38. Treatment of CIN Within NHS Lothian The most common form of treatment is loop excision. This removes the cells using a small heated wire loop. The removed cells go to the pathology laboratory for testing.
39. CIN 1 Szarewski et al (1996) demonstrated that stopping smoking lead to a reduction in size of the cervical lesion over a six month period.
40. CIN 3 Alcadious et al (2002) established that smoking is an independent risk factor for treatment failure of CIN.
41. There is clear evidence that stopping smoking reduces the risk of abnormal smears and decreases treatment failure
42. A literature review revealed there is no evidence that smoking cessation services are integrated into colposcopy clinics as part of treatment.
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50. New Leaflet Developed New leaflet developed outlining risks, benefits of stopping smoking and help available from specialist smoking cessation services. Marteau et al (2002), Boardman et al (2004) and Bishop et al (2005)
63. Acknowledgements Dr Simon Nicholson, NHS Lothian Consultant Gynaecologist Dr Sarah Court, NHS Lothian Associate Specialist, Gynaecology Helena Connelly, NHS Lothian Stop Smoking Services Manager
As the people working in and for NHSScotland, we want to do the very best for the people we care for – that’s why we chose to work in our NHS. But sometimes things just get in the way and we are unable to deliver the quality of care we would like to have ourselves, or for our families and friends.
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