Academic Journal
Revisão rápida de esfregaços cervicais como método de garantia interna de qualidade ; Rapid screening of cervical smears as a method of internal quality assurance
| العنوان: | Revisão rápida de esfregaços cervicais como método de garantia interna de qualidade ; Rapid screening of cervical smears as a method of internal quality assurance |
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| المؤلفون: | Amaral, Rita Goreti, Santos, Silvia Helena Rabelo dos, Catharino, Jamira Machado Ramos, Silva, Luiz Carlos Borges da, Westin, Maria Cristina Amaral, Cotta, Ana Cristina, Trevisan, Miriam Aparecida da Silva, Hardy, Ellen Elizabeth, Zeferino, Luiz Carlos |
| بيانات النشر: | Brasil Faculdade de Farmácia - FF (RG) |
| سنة النشر: | 2003 |
| المجموعة: | Repositório da Universidade Federal de Goiás (UFG) |
| مصطلحات موضوعية: | Câncer de colo uterino, Teste de papanicolaou, Revisão rápida, Garantia de qualidade, Controle de qualidade, Cervical cancer, Pap test, Rapid screening, Quality assurance, Quality control |
| الوصف: | Introduction: One of the most frequently cited disadvantages of cervical cancer screening is its high false negative rate. The most widely used quality assurance method is 10% random re-screening. Recent studies have shown that 100% rapid re-screening is an efficient method for reduction of the false negative rate. Objective: The aim of this study was to compare the performance of 100% rapid re-screening with that of 10% random re-screening as an internal quality assurance method. Methods: 2,750 first screening negative smears were submitted to 100% rapid re-screening by a senior cytotechnologist followed by 10% random re-screening by another senior cytotechnologist. After re-screening, all smears were analyzed by two independent cytopathologists. Whenever results were divergent the smears were analyzed by a third cytopathologist and the panel established a consensus gold standard diagnosis. Results: 98 suspect smears were selected by rapid re-screening, 62 of which were confirmed as abnormal by the gold standard: 45 Ascus, 11 LSIL and six HSIL (sensitivity 73.8%). Of the nine abnormal smears detected by the 10% random re-screening, six were confirmed by the gold standard, three Ascus, two LSIL and one HSIL (sensitivity 50%). The gold standard detected 57 Ascus, ten LSIL and five HSIL cases among the 2,489 smears that were not submitted to 10% re-screening. Conclusions: 100% rapid re-screening is an efficient alternative for reduction of cervical screening false negative rates. It also allowed to monitor the individual performance of members of the team. ; Introdução: Uma das críticas mais freqüentes ao exame citopatológico é a alta taxa de falsos negativos. O método de garantia de qualidade mais utilizado é a revisão de 10% dos esfregaços negativos. Segundo diversos autores, o método de revisão rápida de 100% é eficiente para detectar resultados falsos negativos. Objetivo: Comparar o desempenho dos métodos de revisão rápida de 100% e revisão de 10% dos esfregaços negativos como método de garantia interna de ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | Portuguese |
| تدمد: | 1676-2444 |
| Relation: | AMARAL, Rita Goreti et al. Revisão rápida de esfregaços cervicais como método de garantia interna de qualidade. Jornal Brasileiro de Patologia e Medicina Laboratorial, Rio de Janeiro, v. 39, n.2, p. 151-155, 2003.; e- 1678-4774; http://repositorio.bc.ufg.br/handle/ri/18234 |
| DOI: | 10.1590/S1676-24442003000200010 |
| الاتاحة: | http://repositorio.bc.ufg.br/handle/ri/18234 https://doi.org/10.1590/S1676-24442003000200010 |
| Rights: | Acesso Aberto |
| رقم الانضمام: | edsbas.50E8DE67 |
| قاعدة البيانات: | BASE |
| تدمد: | 16762444 |
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| DOI: | 10.1590/S1676-24442003000200010 |