A quality control study on cytotechnologist-cytopathologist concordance and its relationship to the number of dots on the slide.

Details

Serval ID
serval:BIB_14461314E2C6
Type
Article: article from journal or magazin.
Collection
Publications
Title
A quality control study on cytotechnologist-cytopathologist concordance and its relationship to the number of dots on the slide.
Journal
Acta Cytologica
Author(s)
Bongiovanni M., De Saussure B., Kumar N., Pache J.C., Cibas E.S.
ISSN
0001-5547 (Print)
ISSN-L
0001-5547
Publication state
Published
Issued date
2009
Volume
53
Number
6
Pages
653-658
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
OBJECTIVE: To study cytotechnologist (CT)-cytopathologist (CP) concordance for evaluating individual CTs' performance and for quality assurance and educational feedback.
STUDY DESIGN: The interpretations of individual CTs were compared with the final interpretations (according to the 2001 Bethesda System) of the CP. Concordance percentages and kappa values were calculated for each CT and correlated with the numbers of dots on each slide, years of experience and percentage of work hours devoted to cytology.
RESULTS: A total of 10,453 Pap tests were screened by 9 CTs during one year, out of which 993 (9.5%) were referred to one CP for a final interpretation. Mean concordance between the aggregate CT interpretations and those of the CP was 65.5%. Five CTs had good concordance, 3 had moderately good concordance, and one had surprisingly poor concordance that contrasted with good subjective impressions. No correlation was found between concordance and the average number of dots per slide, screening experience in cervicovaginal cytology or percentage of work hours devoted to cytology.
CONCLUSION: Monitoring CT-CP concordance rates can unveil performance issues not detected by subjective impressions. An excessive number of dots per slide may not reflect poor diagnostic precision so much as a lack of confidence in interpretation.
Keywords
Cytological Techniques/instrumentation, Cytological Techniques/standards, Female, Humans, Quality Control, Vaginal Smears/standards
Pubmed
Web of science
Create date
05/02/2015 10:53
Last modification date
20/08/2019 12:42
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