What question did this study set out to answer?

The aim is to compare the diagnostic validity of the Reids Index and Swede Score against cervical histology.

January 20, 2026Open Access

A Comparative Diagnostic Validity of Two Colposcopic Indices-Reids Index and Swede Score with Cervical Histology

Key Points

The aim is to compare the diagnostic validity of the Reids Index and Swede Score against cervical histology.
Selected 167 patients aged 20 to 59 with abnormal screening tests.
Collected detailed histories and performed colposcopy for cervix visualization.
Assigned scores using Reids Index and Swede Score based on cervical findings.
Conducted colposcopy-directed biopsies from abnormal areas.
Utilized statistical methods to evaluate the results.
Swede score of 8 or more demonstrated good specificity compared to Reids Index.
Both indices effectively identified high-grade cervical lesions.
SWEDE score may reduce the number of visits for treatment, streamlining the management of high-grade CIN.

Abstract

Abstract Introduction: The cervical cancer is the third most common Cancer worldwide and the second most common in India. Since it has a long lag time from preinvasive stage to invasive stage, it is the duty to prevent by proper screening and treatment at the right time. Materials and Methods: All patients with age group 20 to 59 years with abnormal screening test are selected for the study with the sample size of 167. Relevant information, detailed history regarding past history regarding past history, marital history, obstetric history are recorded using preformed proforma. Oral and written consent are obtained. Colposcopy will be done for the patients of study and the visualization of cervix was done under magnification and findings were noted. The margins of the atypical cervical epithelium were graded accordingly and scores will be allotted as per both REIDS index and SWEDE score. Colposcopy directed biopsy from abnormal areas were taken. Patient will be explained about nature of study and informed consent is obtained. The results will be scored by statistical methods. Conclusion: Based on the study, it was concluded that both scores-REIDS COLPOSCOPIC INDEX and SWEDE SCORE performed well in this hospital based study on a selected population referred to colposcopic clinic. From the present study, it is evident that SWEDE score of 8 or more has good specificity when compared to the REIDS COLPOSCOPIC INDEX and can be used for performing direct excisional procedure as a “see and treat” method at this cutoff. Hence LESION SIZE parameter included in SWEDE SCORE act as a good predictor of high-grade lesions. This may be the preferred method for the management of high grade CIN because it reduces the number of visits and failure to receive treatment. The main strength of the study is that biopsies were taken for all subjects irrespective of the presence or absence of lesion in colposcopy, eliminating the verification bias.

KI fragen

Bookmark

View Full Paper