| Intralaboratory quality assurance in cervical/vaginal cytology: evaluation of intercytologist diagnostic reproducibility. | |
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MedLine Citation:
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PMID: 9034745 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Diagnostic reproducibility and accuracy in evaluating cervical/vaginal smears were the focus of this study concerning intralaboratory quality control. A set of 120 cytological samples was evaluated by 15 cytopathologists whose experience ranged from 3-29 yr. The study report form was based on the 1988 Bethesda System. Intercytologist reproducibility (with respect to sample adequacy, epithelial cell abnormalities, and presence of cellular changes associated with HPV, Human Papilloma virus) was evaluated using the Kappa statistic. Poor reproducibility in defining sample adequacy was observed (K = 0.24). The agreement on epithelial cell abnormality definition was good (K = 0.64); the lowest reproducibility was observed for High-grade squamous intraepithelial lesion/cervical intraepithelial neoplasia HSIL/CIN II (specific K = 0.37) and Atypical cells of undetermined significance ACUS (specific K = 0.44). The agreement in detecting cellular changes associated with HPV was fair (K = 0.49). Diagnostic accuracy for epithelial cell abnormalities, assessed by comparison with a consensus reference diagnosis, was good (K = 0.74). |
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Authors:
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V Cocchi; D Carretti; S Fanti; P Baldazzi; M T Casotti; R Piazzi; L Prosperi; A M Morselli-Labate |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Diagnostic cytopathology Volume: 16 ISSN: 8755-1039 ISO Abbreviation: Diagn. Cytopathol. Publication Date: 1997 Jan |
Date Detail:
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Created Date: 1997-06-20 Completed Date: 1997-06-20 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8506895 Medline TA: Diagn Cytopathol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 87-92 Citation Subset: IM |
Affiliation:
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F. Addarii Cancer Institute, S. Orsola Hospital, Bologna, Italy. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cervix Uteri
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pathology* Epithelial Cells Evaluation Studies as Topic Female Humans Laboratories Papillomaviridae Papillomavirus Infections / pathology Quality Control Reproducibility of Results Tumor Virus Infections / pathology Uterine Cervical Neoplasms / diagnosis, pathology* Vagina / pathology* Vaginal Neoplasms / diagnosis, pathology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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