Cervical screening in Africa : Discordant diagnosis in a double independent reading

摘要: Interobserver variation in the cytological diagnosis of cervical lesions poses a problem for public health screening programs. This study assessed frequency discordant diagnoses between two independent cytopathologists African women. In Abidjan, Cote d'Ivoire, 2157 women were recruited from three outpatient gynecology clinics and screened abnormalities genital human immunodeficiency virus (HIV) infections. The degree agreement was by kappa statistics. overall poor (kappa = 0.33); however, increased with severity fairly good 0.53) high-grade invasive requiring curative treatment. Discordance associated HIV infection but not For prevention program cancer this context, strategies must be developed to minimize errors screening. Particularly, HIV-infected require systematic rereading reduce false-negative results.