Análise do desempenho da revisão rápida de 100% na detecção de resultados falso-negativos dos exames citopatológicos cervicais
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Data
2009-06-30
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Universidade Federal de Goiás
Resumo
Objectives: analyze the performance of the 100% rapid re-screening in detecting falsenegative results of cervical screening cervical, in quality control, after routine screening,
using the average time of one and two minutes, according to final diagnosis.
Methodology: a total 5,235 smears, classified as negative and unsatisfactory by routine screening, were submitted to 100% rapid re-screening method, using the time average
of one and two minutes. In these reviews, the smears classified as unsatisfactory or suspects were subjected to detailed review. The concordant results were considered
final diagnosis; the differences were meeting for a consensus that defined the final diagnosis. Results: of 5,235 smears submitted rapid re-screening method, of using the time of one minute and two minutes there was sensitivity and specificity of the final method of 64.3% and 99.2% for the time of one minute and two minutes was 63.8% and 99.5%. In smears, with satisfy adequacy for analysis, the sensitivity and specificity of this method, using the time of one and two minutes, were 64.2%, 98.9%, 61.5% and 99.4% respectively. The smears, with the adequacy of the smears presented for
analysis limits, the sensitivity and specificity, using the time of one minute, was 64.7%, 99.9% and for two minutes were 70.6% and 99.8%. Of the total of 5,121 cervical smears, had 958 (18.7%) clinical information, after being submitted to rapid rescreening, using the time of one minute, 18 of those were suspects, of which ten were confirmed by final diagnosis as abnormal. When submitted to rapid re-screening using
the time of two minutes, 13 were suspects, nine of these were confirmed by final diagnosis as abnormal. A total 4,163 (81.3%) smears had no clinical information, after being submitted to rapid re-screening, using the time of one minute were 70 suspects, of which 35 were classified as abnormal. When submitted to rapid re-screening using the time of two minutes were 54 suspects, of which 35 were confirmed by final diagnosis as abnormal. A rapid re-screening showed a sensitivity to smear with clinical information, using the time of one minute of 83.3% and for two minutes of 75%. Conclusions: the rapid re-screening method of 100% showed no difference in the detection of falsenegative results using the time of a minute or two. The adequacy of the sample does not influence the detection of false-negative results, using both a time as two minutes, and there was no difference in the detection of false-negative smears with and without clinical information using a time-two minutes and finally, in smears with clinical information
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Citação
MANRIQUE, Edna Joana Cláudio. Performance analysis of a rapid review of 100% in detecting
false-negative cervical smear results. 2009. 93 f. Tese (Doutorado em Ciencias da Saude) - Universidade Federal de Goiás, Goiânia, 2009.