Improvement in the routine screening performance of cytotechnologists over time
作者： Fadi Brimo , Andrew A. Renshaw , Majorie Deschenes , Michele Charbonneau , Manon Auger
DOI: 10.1002/CNCY.20042
关键词: Laboratory Sensitivity 、 Internal medicine 、 Actual practice 、 Overall performance 、 Medicine 、 Atypical Squamous Cells 、 Time frame 、 Improved performance 、 Professional competence 、 Routine screening 、 Surgery
摘要: BACKGROUND: Documenting the performance of gynecologic screening in actual practice settings is difficult to achieve. In current study, 11 individual cytotechnologists as well that overall laboratory over 2 consecutive time periods was examined using rapid prescreening (RPS) method. METHODS: RPS performed by all a single separate 8-month periods. The sensitivity for and groups examined. For purposes comparison, were divided into groups: screeners with an routine ≥95% <95%. RESULTS: Atypical squamous cells (ASC) used threshold, found vary from 68.3% 96.8%. RPS 43.6% 88.4%, respectively. Over time, improved 85.3% 91.3% (P = .01). During this same frame, <95% 79.3% 91.2% < .001), whereas remained (96.1% 96.4%; P .6). CONCLUSIONS: In addition detecting correcting errors, results study indicate consistently might play role leading but not ≥95%. Cancer (Cancer Cytopathol) 2009. © 2009 American Society.
sci-hub.se 参考文章(32)
Y. T. Van Der Schouw, H. Doornewaard, A. B. Bos, J. G. Van Den Tweel, J. D. F. Habbema, Y. Van Der Graaf, The diagnostic value of computer-assisted primary cervical smear screening: a longitudinal cohort study. Modern Pathology. ,vol. 12, pp. 995- 1000 ,(1999)
Andrew A. Renshaw, Janet A. Cronin, Lori J. Minter, Dorothy Nappi, Terry Whitman, Michael Jiroutek, Edmund S. Cibas, Performance characteristics of rapid (30-second) prescreening. Implications for calculating the false-negative rate and comparison with other quality assurance techniques. American Journal of Clinical Pathology. ,vol. 111, pp. 517- 522 ,(1999) , 10.1093/AJCP/111.4.517
Jennifer A. Halford, Gordon Wright, Edwin J. Ditchmen, Quality assurance in cervical cytology screening : comparison of rapid rescreening and the PAPNET Testing System Acta Cytologica. ,vol. 41, pp. 79- 81 ,(1997) , 10.1159/000332309
Majorie Deschenes, Andrew A. Renshaw, Manon Auger, Measuring the significance of workload on performance of cytotechnologists in gynecologic cytology: a study using rapid prescreening. Cancer. ,vol. 114, pp. 149- 154 ,(2008) , 10.1002/CNCR.23497
Andrew A. Renshaw, Analysis of error in calculating the false-negative rate in the interpretation of cervicovaginal smears: the need to review abnormal cases. Cancer. ,vol. 81, pp. 264- 271 ,(1997) , 10.1002/(SICI)1097-0142(19971025)81:5<264::AID-CNCR2>3.0.CO;2-N
Amina Djemli, Karim Khetani, Manon Auger, Rapid prescreening of Papanicolaou smears: a practical and efficient quality control strategy. Cancer. ,vol. 108, pp. 21- 26 ,(2005) , 10.1002/CNCR.21424
John W. Bishop, Raymond H. Kaufman, Dugald A. Taylor, Multicenter Comparison of Manual and Automated Screening of AutoCyte Gynecologic Preparations Acta Cytologica. ,vol. 43, pp. 34- 38 ,(1999) , 10.1159/000330866
Dorothy L. Rosenthal, Deborah Acosta, Ruth K. Peters, Computer-Assisted rescreening of clinically important false negative cervical smears using the papnet testing system Acta Cytologica. ,vol. 40, pp. 120- 126 ,(1996) , 10.1159/000333592
Andrew A. Renshaw, Choosing battles or excuses in gynecologic cytology Cancer. ,vol. 114, pp. 141- 143 ,(2008) , 10.1002/CNCR.23510
Andrew A. Renshaw, Sheryl A. DiNisco, Lori J. Minter, Edmund S. Cibas, A more accurate measure of the false-negative rate of papanicolaou smear screening is obtained by determining the false-negative rate of the rescreening process Cancer. ,vol. 81, pp. 272- 276 ,(1997) , 10.1002/(SICI)1097-0142(19971025)81:5<272::AID-CNCR3>3.0.CO;2-P