Avaliação dos indicadores de qualidade dos exames citopatológicos realizados no centro de análises clínicas Rômulo Rocha da Universidade Federal de Goiás
שמור ב:
| מחבר ראשי: | |
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| Publication Date: | 2016 |
| פורמט: | Master thesis |
| שפה: | por |
| Source: | Repositório Institucional da UFG |
| Download full: | http://repositorio.bc.ufg.br/tede/handle/tede/6538 |
סיכום: | Introduction: cervical cancer is the third cause of women’s death by cancer in the world and its incidence is linked to high-risk oncogenic human papillomavirus (HPV). The cytodiagnosis and tracking of the disease are made by the Papanicolaou technique. Quality control programs have been implemented in order to correct errors of diagnosis, particularly with regard to false-negative results. Objective: to evaluate the internal quality control indicators and quality management program in the section of cytopathology of a university laboratory in the years 2007-2014. Methods: All results of cervical smears tests (taken from the SISCAN – Sistema de Informação do Câncer – The Cancer Information System) of women aged ≥15 years at the time of Pap smear specimen collection during January 2007 to December 2014. The final results of the cytopathology examinations were classified in accordance with the Bethesda System. The variables included in the database were woman’s name, date of birth, and age at time of collection (15–30, 31–40 and >40 years). Results: In this period 50,286 tests were carried out, 44,386 (91.34%) being negative for malignancy and 4,209 (8.66%) abnormal. The positivity rate was 8.69%; the percentage of tests consistent with ASC (Atypical Squamous Cells), between satisfactory exams was 4.12%; the percentage of tests compatible with ASC among abnormal tests was 47.87%; the ASC/SIL (Squamous Intraepithelial Lesion) ratio was 0.97 and the percentage of HSIL (High Grade intraepithelial Lesion squamous high degree) between satisfactory tests was 2.21%, and false-negative results in 5-years retrospective review was 4.97%. Conclusion: The rates obtained were uniforms over the years and within the recommended values. This demonstrates the efficiency and linearity of the internal quality control, reflected in the commitment of the team involved in, through continuing education, whose goal is to detect and correct false-negative results. |
פריטים דומים: Avaliação dos indicadores de qualidade dos exames citopatológicos realizados no centro de análises clínicas Rômulo Rocha da Universidade Federal de Goiás
- Avaliação do impacto da implantação do método de revisão rápida de 100% na garantia da qualidade dos exames citopatológicos do colo do útero
- Adequabilidade dos esfregaços cervicais frente aos principais fatores pré-laboratoriais que podem interferir na análise do exame citopatológico.
- Análise do desempenho da revisão rápida de 100% na detecção de resultados falso-negativos dos exames citopatológicos cervicais
- Microbiota cervical anormal : diagnóstico e associação com fatores de risco, aspectos clínicos e citológicos
- Impacto da educação continuada realizada pelo laboratório de monitoramento externo da qualidade na acuidade dos resultados dos exames citopatológicos do colo do útero
- Avaliação da eficiência de três métodos utilizados como controle da qualidade dos exames citopatológi- cos cervicais classificados como negativos no escrutí- nio de rotina