Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Regitnig, P; Dinges, HP; Ropp, E; Fladerer, H; Moinfar, F; Breitenecker, G.
Reevaluation of cytological smears in patients with cervical cancer. Regional quality assurance program with the cooperation of the Austrian Society for Cytology, the Carinthian Medical Association and the Carinthian Ministry of Health
Pathologe. 2007; 28(5): 339-345.
Doi: 10.1007/s00292-007-0931-9
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- Führende Autor*innen der Med Uni Graz
- Regitnig Peter
- Co-Autor*innen der Med Uni Graz
- Moinfar Farid
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- Abstract:
- BACKGROUND AND METHODS: To evaluate the reasons for the occurrence of invasive cervical cancer in Carinthia despite cytological screening, all 132 patients diagnosed with cervical cancer in the years 2000-2002 were recorded and all gynecological cytological smears made within the 5 years prior to the diagnosis of cancer were reevaluated. RESULTS: Within the 5 years prior to diagnosis, no gynaecological cytological smear was found for 50% of the patients diagnosed with cervical cancer in the years 2000-2002. In the year 2002, a total of 53 patients were reported to have cervical cancer and 78 smears were reevaluated. Of all the smears primarily diagnosed as negative, 49% were found to be positive (> or =Pap III) after reevaluation and 92% of all smears "correctly" diagnosed as negative showed quality deficiencies. The interobserver variability (kappa-statistics) showed a moderate value when the primary screening results were compared with the reevaluation. The interobserver variability within the group of reevaluators was also moderate.
- Find related publications in this database (using NLM MeSH Indexing)
- Austria -
- False Negative Reactions -
- Female -
- Humans -
- Neoplasm Invasiveness -
- Quality Assurance, Health Care -
- Reproducibility of Results -
- Societies, Medical -
- Uterine Cervical Neoplasms - pathology
- Vaginal Smears - standards
- Find related publications in this database (Keywords)
- gynecological cytology
- screening
- cervical cancer
- quality assurance
- smears