ClinicalTrials.gg
Not yet recruitingNCT07897786Updated Oct 27, 2026

Clinical Audit of Cervical Cytology Services in an Early Cancer Detection Unit

An observational study in Cervical Intraepithelial Neoplasia, Uterine Cervical Neoplasms and Cervical Precancerous Lesions, sponsored by Assiut University. Not yet recruiting. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by Assiut University · Observational

Updated Oct 27, 2026Newly registeredGo to Updates ↓

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
500
Ages
18 Years and older
Sex
Female
01

Study summary

Cervical cancer is largely preventable when precancerous changes are detected and treated early. However, an effective screening program requires not only collecting a screening test, but also ensuring seamless continuity across the entire care pathway, including adequate specimen collection, accurate laboratory reporting, prompt referral, timely colposcopy, biopsy confirmation, treatment, and follow-up. Delays or breakdowns at any stage can increase the risk of disease progression.

This prospective observational clinical audit aims to evaluate the quality, timeliness, and continuity of cervical cytology services at the Early Cancer Detection Unit, Women's Health Hospital, Assiut University.

Women attending the unit who are eligible for cervical screening will be invited to participate. Because this is an observational audit of standard healthcare services, all examinations, tests, and treatments (such as Pap smears, colposcopies, cervical biopsies, and excisional or ablative therapies) are performed strictly according to routine clinical indications and standard management guidelines. No experimental interventions or tests will be administered.

The study will prospectively monitor participants along the clinical pathway to evaluate:

  • The rate of adequate Pap smear specimens and distribution of cytological findings.
  • Time intervals between screening, cytology results, specialty referral, colposcopy examination, histopathological diagnosis, and definitive treatment.
  • Rates of completed referrals, colposcopy appointments, biopsy confirmations, and definitive treatments.
  • Reasons for delayed appointments, missed visits, or loss to follow-up through clinical record reviews and routine patient contact.

The findings will help identify patient, provider, and health-system factors contributing to care gaps, providing evidence-based quality indicators to enhance the efficiency and clinical performance of cervical screening services.

02

Conditions studied

  • Cervical Intraepithelial Neoplasia
  • Uterine Cervical Neoplasms
  • Cervical Precancerous Lesions
  • Cervical Dysplasia

Keywords

  • Pap smear
  • Cervical cytology
  • Clinical audit
  • Colposcopy
  • Screening pathway
  • Quality improvement
  • Bethesda system
03

In context

Uterine Cervical Dysplasia

409 studies on the registry are indexed under Uterine Cervical Dysplasia; 76 are open to participants now.

This study's planned enrollment of 500 is above the median of 435 across 110 observational studies indexed under Uterine Cervical Dysplasia.

Browse Uterine Cervical Dysplasia studies →

Lead sponsor

Assiut University is the lead sponsor of 5,079 studies on the registry; 2,177 are open to participants now.

Of its 14 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Sampling method
Non-probability sample

Study population

The study population comprises women attending the Early Cancer Detection Unit at Women's Health Hospital, Assiut University, who are eligible for cervical cytology (Pap smear) screening according to the unit's clinical guidelines during the one-year study period. Participants include women presenting for routine cervical screening or clinical evaluation who consent to prospective follow-up across the screening, referral, diagnostic (colposcopy and biopsy), and definitive management pathway.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Women attending the Early Cancer Detection Unit who are eligible for cervical cytology (Pap smear) according to institutional screening policy.
  • Willingness and ability to provide written to participate.
  • Feasibility of prospective documentation of screening, referral, diagnostic, treatment, and follow-up data.
  • Women with abnormal cytology who require further clinical assessment and agree to be followed through the clinical pathway until definitive management or study completion.

Exclusion criteria

Exclusion Criteria:

  • Refusal to participate in the study.
  • Prior history or confirmed diagnosis of invasive cervical cancer at the time of enrollment.
  • Previous total hysterectomy with complete removal of the cervix where cervical cancer screening is not clinically indicated.
  • Transfer of clinical care to another healthcare facility where sufficient outcome and follow-up information cannot be obtained.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
500 participants (estimated)
Patient registry
No

Groups and cohorts

  • Cervical Cytology Screening and Follow-up Cohort

    Eligible women attending the Early Cancer Detection Unit who undergo routine cervical cytology (Pap smear) screening. Participants are prospectively evaluated across the screening and clinical management pathway. Women with abnormal cytological results are followed through subsequent referral, colposcopic evaluation, cervical biopsy/histopathological assessment (when clinically indicated), definitive therapeutic management (excisional or ablative procedures), and follow-up according to standard clinical protocols and ASCCP guidelines.

06

What researchers measure

Primary outcomes

  1. Rate of Cervical Cytology Specimen Adequacy

    The percentage of Pap smear specimens categorized as "satisfactory for evaluation" according to The Bethesda System for Reporting Cervical Cytology criteria (demonstrating adequate squamous cellularity and cellular preservation). Unsatisfactory specimens (e.g., due to insufficient cellularity, obscuring blood, or intense inflammation) will be documented.

    Time frame: Up to 4 weeks

07

Study locations

No study locations are listed for this record.

08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2026; primary completion for Nov 2027, 12 months later.

Of 44 observational studies under Uterine Cervical Dysplasia, half reached primary completion within 61 months of starting (the median), counting those still running; a quarter within 30. This study's planned 12 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 20, 2026
First posted
Oct 27, 2026
StartEst.
Nov 2026
Primary completionEst.
Nov 2027
CompletionEst.
Dec 2027
Last update
Oct 27, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07897786
Lead sponsor
Assiut University
Responsible party
Angelos Alkes Ghobrial Hakim (Resident, Assiut University) — Principal investigator
First posted
Oct 27, 2026
Start date
Nov 2026 (estimated)
Primary completion
Nov 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Oct 27, 2026
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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