The effect of continuous monitoring of cytologic-histologic correlation data on cervical cancer screening performance.

The effect of continuous monitoring of cytologic-histologic correlation data on cervical cancer screening performance. Research Abstract Details 

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The effect of continuous monitoring of cytologic-histologic correlation data on cervical cancer screening performance. Abstract Text:

Stephen S Raab,Bruce A Jones,Rhona Souers,Joseph A Tworek,Stephen S Raab,Bruce A Jones,Rhona Souers,Joseph A Tworek,

CONTEXT: The use of Papanicolaou (Pap) test cytologic-histologic correlation in quality improvement activities is not well studied. OBJECTIVE: To determine if continuous monitoring of correlation data improves performance. DESIGN: Participants in the College of American Pathologists Q-Tracks program (213 laboratories) self-reported the number of Pap test-histologic biopsy correlation discrepancies every quarter for up to 8 years. A mixed linear model determined if the length of participation in the Q-Tracks program was associated with improved performance. Main outcome measures were predictive value of a positive Pap test, Pap test sensitivity, sampling sensitivity, and proportion of positive histologic diagnoses following a Pap test diagnosis of atypical squamous cells or atypical glandular cells. RESULTS: Institutions evaluated 287,570 paired Pap test-histologic correlation specimens and found 98,424 (34.2%) true-positive Pap test correlations, 19,006 (6.6%) false-positive Pap test correlations, and 6575 (2.3%) false-negative Pap test correlations. The mean predictive value of a positive Pap test, sensitivity, screening and interpretive sensitivity, sampling sensitivity, and proportion of positive histologic diagnoses following a Pap test diagnosis of atypical squamous or glandular cells were 83.6%, 93.7%, 99.2%, 94.2%, 60.3%, and 38.8%, respectively. Longer participation was significantly associated with a higher predictive value of a positive Pap test (P = .01), higher Pap test sensitivity (P = .002), higher Pap test sampling sensitivity (P = .03), and higher proportion of positive histologic diagnoses for a Pap test diagnosis of atypical squamous cells (P < .001). CONCLUSIONS: Long-term monitoring of cytologic-histologic correlation is associated with improvement in cytologic-histologic correlation performance.

The effect of continuous monitoring of cytologic-histologic correlation data on cervical cancer screening performance. Publishing Authors By Initials

SS Raab,BA Jones,R Souers,JA Tworek,SS Raab,BA Jones,R Souers,JA Tworek,

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The effect of continuous monitoring of cytologic-histologic correlation data on cervical cancer screening performance. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Archives of pathology & laboratory medicine

VOLUME: 132

Page Numbers: 16-22

Journal Abbreviation: Arch. Pathol. Lab. Med.

ISSN: 1543-2165

DAY: 9

MONTH: Jan

YEAR: 2008

The effect of continuous monitoring of cytologic-histologic correlation data on cervical cancer screening performance. Information

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LANGUAGE: eng

NlmUniqueID: 7607091

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AFFILIATION: University of Pittsburgh School of Medicine, UPMC Shadyside Hospital, Department of Pathology, 5150 Centre Ave, Pittsburgh, PA 15232, USA. raabss@upmc.edu

Country: United States

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MEDLINETA: Arch Pathol Lab Med

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