Document Detail

The ASC/SIL ratio for cytopathologists as a quality control measure: a follow-up study.
MedLine Citation:
PMID:  17875518     Owner:  NLM     Status:  MEDLINE    
Monitoring the relative frequency of the interpretations of atypical squamous cells (ASC) and squamous intraepithelial lesions (SIL) has been proposed as a quality control measure. To assess its value, an ASC/SIL ratio was calculated every 6 months for 3.5 years, and confidential feedback was provided to 10 cytopathologists (CPs). By using simple regression analysis, we analyzed the initial and final ASC/SIL ratios for individual CPs and for the entire group. The ratio was below the upper benchmark of 3:1 for all but 1 CP during every 6-month period. The ratio for all CPs combined showed a downward trend (from 2.05 to 1.73). The ratio for 6 CPs decreased, and for two of them the decrease was statistically significant. One CP showed a statistically significant increase in the ASC/SIL ratio. The decrease for some CPs likely reflects the salutary effect of confidential feedback and counseling.
Alessandra F Nascimento; Edmund S Cibas
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of clinical pathology     Volume:  128     ISSN:  0002-9173     ISO Abbreviation:  Am. J. Clin. Pathol.     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-09-18     Completed Date:  2007-10-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370470     Medline TA:  Am J Clin Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  653-6     Citation Subset:  AIM; IM    
Department of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA.
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MeSH Terms
Cervical Intraepithelial Neoplasia / classification,  diagnosis*
Follow-Up Studies
Quality Assurance, Health Care / methods*
Quality Control
Reproducibility of Results
Uterine Cervical Dysplasia / classification,  diagnosis*
Uterine Cervical Neoplasms / classification,  diagnosis*
Vaginal Smears / standards*

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