Agreement Test of Documentation of Visual Inspection with Acetic Acid "DoVIA" and Colposcopy findings as a Screening Tool for Cervical Cancer

Abstract

Objective: To find out the suitability of Documentation of Visual Inspection with Acetic Acid (DoVIA) result compare to colposcopy result as a method of cervical cancer screening. Methods: This is a descriptive study using a cross-sectional design that took place from April 2017 until March 2019. One hundred eighty-two samples of documentation photographs taken by the researcher were included. The photographs were reviewed by the 3 selected reviewers: oncology and gynaecology consultant, obstetrics and gynaecology resident, and general practitioner that were trained about DoVIA and colposcopy. The review was based on the kappa test which assessed the sharpness, squamocolumnar junction and white epithelial visualization on the cervix. Results: Kappa score on DoVIA versus colposcopy was 0,717 (good). Inter-rater test was performed to assess consistency and the result was 0,764 (good) between consultant and resident, 0,703 (good) between consultant and general practitioner. Conclusions: Kappa test of VIA documentation "DoVIA" gives a good kappa value, so that it is expected to be an alternative screening for precancerous lesions.