Purpose of App Review

  • evaluation of the robustness of the ASCCP app for pap smear result guidance
  • assessment of the interface for the ASCCP app

Introduction

Just before I started residency, the pap smear guidelines changed.

In my second year, they changed again and now in my third year, the joint guidelines from the American College of Obstetricians and Gynecologists (ACOG) and the American Society for Colposcopy and Cervical Pathology (ASCCP) have once again changed.

Even a recent editorial in the Green Journal acknowledges that mastering the guidelines for pap smear evaluation and followup is challenging. To this end, the ASCCP developed the ASCCP Mobile app that provides patient-specific guidelines for abnormal cervical cancer screening results.

User Interface

The home screen of the app brings you to the default “patient” setting, but also allows you to navigate to the other features of the app. The other features include Guidelines and Definitions.

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To use the patient feature, you need to enter some information into the app. This information includes the patient’s age, human papilloma virus (HPV) status, pregnancy status, and initial testing information.

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After hitting the Next radio button, the app brings you to a divided screen. The top portion of the screen lists the specific recommendation per ASCCP guidelines. The middle portion shows you the guideline algorithm with the same recommendation highlighted. The bottom screen adds to the robust user interaction of the app by allowing you to follow the patient after the Next Steps.

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After selecting the Next Steps and entering the results, you then navigate to a new results screen. It is also arranged in a similar three-portion fashion.

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You can easily undo your choices or startover at the home screen throughout the Patient section. You can also look at the algorithms individually. This is separate from a patient’s entered information. The algorithms for cytology as well as histology are available in a well-organized screen.

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Selecting an algorithm then takes you to the diagrammed algorithm, faithfully represented from ASCCP publications.

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The final feature of the app is the Definitions section, which defines 6 important terms. This section also includes a disclaimer and acknowledgements.

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Price

  • $9.99

Likes

  • provides guidelines and algorithms on the same app
  • allows for tracking and recommendations of multiple sequential results for patients
  • faithful representation of algorithms
  • easy to navigate between features of the app

Dislikes

  • no ability to save patients
  • does not discuss/reference when to begin screening
  • definition section limited

Healthcare providers that would benefit from the app

  • Healthcare providers performing or managing cervical cancer screening

Conclusion

  • The ASCCP Mobile App provides directed, as well as learner-initiated guidance for cervical cancer screening guidance.
  • The app is easy to navigate and provides a one-stop shop collection of all of the ASCCP guidelines algorithms.
  • The “choose-your-own” adventure aspect of the app is particularly helpful and dramatically simplifies the complexity of what to do about pap smear findings.
  • The ASCCP Mobile App is available for the iPad and iPhone. It is also available on Android as ASCCP Mobile App.

iMedicalApps recommended?

  • Yes

iTunes Link

Rating: 3.5/5
1. User Interface – 4. Easy to navigate between various sections of the app
2. Multimedia usage – 4.  Uses split-screen, PDF replicates of algorithm
3. Price – 3. On par with other recent medical apps at $9.99.
4. Real world applicability – 3.  Depends on how often you work with patients getting pap smears and/or colposcopies

App version: 1.02
Compatibility: Compatible with iPhone, iPod touch, and iPad
Requires: Requires iOS 4.3 or later
Tested on: iPhone 4S and iPad 4

Disclaimer:
This post does not establish, nor is it intended to establish, a patient physician relationship with anyone. It does not substitute for professional advice, and does not substitute for an in-person evaluation with your healthcare provider. It does not provide the definitive statement on the subject addressed. Before using these apps please consult with your own physician or healthcare provider as to the apps validity and accuracy as this post is not intended to affirm the validity or accuracy of the apps in question. The app(s) mentioned in this post should not be used without discussing the app first with your healthcare provider.