Desempenho da metodologia de revisão rápida de 100% em esfregaços citopatológicos do colo do útero com e sem informações clínicas
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Data
2012
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Resumo
This study evaluated the performance of the methodology of 100% rapid review on the cervix Pap smears
with and without information on clinical risk criteria by using the average time of one and two minutes
assays. A total of 5,395 smears were analyzed, and of these 274 were classified as altered and 5,121 as
negative after routine examinations. Of negative smears, 958 had clinical risk criteria information, and they
were analyzed by rapid review, which identified ten (1.04 %) as altered by the one minute-revision, and
nine (0.93) by using a time of two minutes. Analyzing 4,163 negative smears without clinical risk criteria
information by rapid review using the times of one and two minutes, 35 (0.84%) were identified as altered
in both procedures. The technique of rapid review showed sensitivity of 83% and 75% for the review time
of one minute and two minutes, respectively, in smears with available clinical risk criteria information.
No difference was found in detecting false-negative smears with and without available clinical risk criteria
information. Also, no difference was found in the rapid review performance for detecting false-negative
results by employing one to two-minutes techniques.
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Palavras-chave
Controle de qualidade, Exame colpocitológico, Garantia da qualidade dos cuidados de saúde, Quality control, Vaginal smears, Quality assurance health care
Citação
MANRIQUE, Edna Joana Cláudio; SOUZA, Nadja Lindany Alves; TAVARES, Suelene Brito do Nascimento; ZEFERINO, Luiz Carlos; AMARAL, Rita Goret. Desempenho do método de revisão rápida de 100% em esfregaços citopatológicos do colo do útero com e sem informações clínicas. Revista do Instituto Adolfo Lutz, São Paulo, v. 71, n. 1, p. 172-177, 2012.