Reproducibilidad en la lectura de un set de placas de citología cérvico-uterinas en cuatro centros especializados de Medellín, Antioquia / Reproducibility of reading a set of cervical cytology smears in four specialized centers in Medellin, Antioquia

Reproducibilidad en la lectura de un set de placas de citología cérvico-uterinas en cuatro centros especializados de Medellín, Antioquia / Reproducibility of reading a set of cervical cytology smears in four specialized centers in Medellin, Antioquia

Objetivo: evaluar el grado de reproducibilidad en la lectura de placas de citología cérvico-uterina entre cuatro centros de lectura especializados de la ciudad de Medellín, Colombia. Metodología: 181 placas de citología cérvico-uterina provenientes de un estudio de prevalencia de anormalidad...

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Bibliographic Details
Main Authors: Edwin Guevara, Armando Baena, Maribel Almonte, Jorge E. Salaza, Ángela Gaviria, Gloria I. Sánchez
Format: Article
Language:Spanish
Published: Universidad de Antioquia 2014-05-01
Series:Revista Facultad Nacional de Salud Pública
Subjects:
abused women
midmives
parto
mujeres violentadas
parteras
Jalisco
Colombia. Methodology: 181 cervical cytology smears from a study on the prevalence of cytological abnormalities in Pueblorrico
a town located in the southwestern region of the state of Antioquia in Colombia
were re-read by four specialized centers in Medellin. Each center was asked to conduct a blind routine reading of the smears to avoid disclosure of information between centers. The reproducibility was measured by percentage agreement and kappa. Results: of 181 smears only 55 matched across all 4 centers
with an overall concordance rate of 30% and an overall kappa of 0.31. According to Fleiss scale
poor reproducibility was observed. The concordance between pairs of centers ranged between 0.3 y 0.7. Discussion: there is a high variability in the interpretation of cytological results among centers in Medellin. It is necessary to implement training processes and to unify readings for cervical cytology criteria. -
cáncer cervical
citología cérvico
uterina
reproducibilidad.
cervical cancer
cervical cytology smear
reproducibility.
Online Access:http://aprendeenlinea.udea.edu.co/revistas/index.php/fnsp/article/view/15340/16419

Internet

http://aprendeenlinea.udea.edu.co/revistas/index.php/fnsp/article/view/15340/16419

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