Colposcopy Accuracy and Diagnostic Performance: A Quality Control and Quality Assurance Survey in Italian Tertiary-Level Teaching and Academic Institutions—The Italian Society of Colposcopy and Cervico-Vaginal Pathology (SICPCV)
Rattachement africain : it, ch. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Quality Control (QC) and Quality Assurance (QA) principles are essential for effective cervical cancer prevention. Being a crucial diagnostic step, colposcopy's sensitivity and specificity improvements are strongly advocated worldwide since inter- and intra-observer differences are the main limiting factors. The objective of the present study was the evaluation of colposcopy accuracy through the results of a QC/QA assessment from a survey in Italian tertiary-level academic and teaching hospitals. A web-based, user-friendly platform based on 100 colposcopic digital images was forwarded to colposcopists with different levels of experience. Seventy-three participants were asked to identify colposcopic patterns, provide personal impressions, and indicate the correct clinical practice. The data were correlated with a panel of experts' evaluation and with the clinical/pathological data of the cases. Overall sensitivity and specificity with the threshold of CIN2+ accounted for 73.7% and 87.7%, respectively, with minor differences between senior and junior candidates. Identification and interpretation of colposcopic patterns showed full agreement with the experts' panel, ranging from 50% to 82%, in some instances with better results from junior colposcopists. Colposcopic impressions correlated with a 20% underestimation of CIN2+ lesions, with no differences linked to level of experience. Our results demonstrate the good diagnostic performance of colposcopy and the need for improving accuracy through QC assessments and adhesion to standard requirements and recommendations.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Colposcopy Accuracy and Diagnostic Performance: A Quality Control and Quality Assurance Survey in Italian Tertiary-Level Teaching and Academic Institutions—The Italian Society of Colposcopy and Cervico-Vaginal Pathology (SICPCV)
- Date Crossref
- 29/05/2023
- Éditeur
- MDPI AG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Vita-Salute San Raffaele University Department of Obstetrics & Gynecology pays non établi dans la noticeUniversité ou école supérieure
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IRCCS Ospedale San Raffaele pays non établi dans la noticeÉtablissement de santé
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Centro di Riferimento Oncologico pays non établi dans la noticeÉtablissement de santé
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University of Pavia Department of Obstetrics & Gynecology pays non établi dans la noticeUniversité ou école supérieure
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Istituti di Ricovero e Cura a Carattere Scientifico pays non établi dans la noticeÉtablissement de santé
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Università Cattolica del Sacro Cuore pays non établi dans la noticeUniversité ou école supérieure
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Agostino Gemelli University Polyclinic pays non établi dans la noticeÉtablissement de santé
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University of Milano-Bicocca Department of Medicine and Surgery pays non établi dans la noticeUniversité ou école supérieure
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Marche Polytechnic University Department of Odontostomatological and Specialized Clinical Sciences pays non établi dans la noticeUniversité ou école supérieure
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European Institute of Oncology Preventive Gynecology Unit pays non établi dans la noticeÉtablissement de santé
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University of Sassari Department of Biomedical Sciences pays non établi dans la noticeUniversité ou école supérieure
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University of Bari Aldo Moro Interdisciplinary Department of Medicine pays non établi dans la noticeUniversité ou école supérieure
Department of Obstetrics & Gynecology — Vita-Salute San Raffaele University, IRCCS Ospedale San Raffaele et Centro di Riferimento Oncologico, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.