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https://hdl.handle.net/1822/7893
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Campo DC | Valor | Idioma |
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dc.contributor.author | Utagawa, Maria Lúcia | - |
dc.contributor.author | Shirata, Neuza Kasumi | - |
dc.contributor.author | Ferraz, Maria da Gloria Mattosinho de Castro | - |
dc.contributor.author | Loreto, Celso di | - |
dc.contributor.author | Dall’ Agnol, Miria | - |
dc.contributor.author | Longatto Filho, Adhemar | - |
dc.date.accessioned | 2008-06-02T21:51:50Z | - |
dc.date.available | 2008 | - |
dc.date.issued | 2008 | - |
dc.date.submitted | 2007-02-01 | - |
dc.identifier.issn | 0001-5547 | por |
dc.identifier.uri | https://hdl.handle.net/1822/7893 | - |
dc.description | Prova tipográfica (In Press) | - |
dc.description.abstract | ObjectiveTo evaluate performance and viability of internal quality control QC) strategies in a public health laboratory of the state of Sao Paulo.Study DesignA retrospective study was per formed with 3 QC strategies to improve internal cytologic diagnoses: morphologic guided-list criteria (MGLC), 100% rapid-rescreening (100% RR) of negative slides ("turret" method) and 10% rescreening (10% R) of negative slides. Cases were examined at Adolfo Lutz Institute, Sao Paulo, Brazil, from 2002 to 2004. Histopathologic results, when available, were considered gold standard; cytologic consensus diagnosis was by 2 pathologists when histologic results were unavailable.ResultsMGLC selected 20.7% samples with cytologic atypias, 10% R selected 0.6% and RR selected 2.5%. Cytologic/histologic initial concordance was 57.4%, low-grade squamous intraepithelial lesion false negative rate was 34.9% and high-grade squamous intraepithelial lesion false negative rate was 12.2%. After diagnosis, consensus concordance was 97.2%.ConclusionThe 100% RR and 10% R QC strategies detected more false negative cases in liquid-based cytology than in conventional Pap smears. The 100% RR strategy reduced the false negative results and allowed evaluation of individual staff performance. The 10% R strategy did not offer significant results. We concluded that association of MGLC and 100% RR strategies might improve cytologic diagnostic quality. | por |
dc.language.iso | eng | eng |
dc.publisher | Karger Publishers | por |
dc.rights | openAccess | eng |
dc.subject | Cytologic technique | eng |
dc.subject | Papanicolaou smear | eng |
dc.subject | Quality control | eng |
dc.title | Performance of 3 methods for quality control for gynecologic cytology diagnoses | eng |
dc.type | article | por |
dc.peerreviewed | yes | por |
sdum.publicationstatus | in publication | eng |
oaire.citationStartPage | 439 | por |
oaire.citationEndPage | 444 | por |
oaire.citationIssue | 4 | por |
oaire.citationVolume | 52 | por |
dc.identifier.doi | 10.1159/000325549 | por |
dc.subject.wos | Science & Technology | por |
sdum.journal | Acta Cytologica | por |
Aparece nas coleções: | ICVS - Artigos em revistas internacionais / Papers in international journals |
Ficheiros deste registo:
Ficheiro | Descrição | Tamanho | Formato | |
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AC-03414-07_PTA2.pdf | 487,66 kB | Adobe PDF | Ver/Abrir |