What does the data of 354,725 patients from Turkey tell us about cervical smear epithelial cell abnormalities? - The epithelial cell abnormality rate is increasing - Quality control studies and corrective activity are musts
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info:eu-repo/semantics/openAccessTarih
2017Yazar
Çetinaslan Türkmen, İlknurUsubütün, Alp
Çakır, Aslı
Aydın, Özlem
Aka Bolat, Filiz
Akbulut, Metin
Altınay, Serdar
Arıcı, sema
Aslan, Figen
Astarcı, Müzeyyen
Kılıç Bağır, Emine
Baş, Yılmaz
Başsüllü, Nuray
Çelik, Betül
Çetiner, Handan
Çobanoğlu, Bengü
Aydın, Abdullah
Demir, Hale
Tatlı Doğan, Hayriye
Eken, Kamile Gülçin
Şengiz Erhan, Selma
Erdoğan, Gülgün
Eren Erdoğan, Kıvılcım
Eren, Funda
Ersöz, Şafak
Fırat, Pınar
Gürses, İclal
Haberal, Nihan
Solakoğlu Kahraman, Dudu
Harman Kemali, Gülçin
Yuyucu Karabulut, Yasemin
Kefeli, Mehmet
Koyuncuoğlu, Meral
Köseoğlu, R. Doğan
Müezzinoğlu, Bahar
Önal, Binnur
Önder, Sevgen
Özcan, Zuhal
Kımıloğlu, Elife
Özer, Hatice
Sönmez, F. Cavide
Şahin, Sevinç
Şahin, Nurhan
Yalta, Tülin
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Çetinaslan Türkmen, İ., Usubütün, A., Çakır, A., Aydın, Ö., Aka Bolat, F., Akbulut, M. ... Yalta, T. (2017). What does the data of 354,725 patients from Turkey tell us about cervical smear epithelial cell abnormalities? - The epithelial cell abnormality rate is increasing - Quality control studies and corrective activity are musts. Turkish Journal of Pathology, 33(2), 134-143. https://dx.doi.org/10.5146/tjpath.2016.01380Özet
Objective: There is no other screening program close to the success rate of PAP test. Cervical cytology constitutes a large workload so that quality control in cervical cytology is important for the quality assurance of pathology laboratories. Material and Method: In this study, we collected the cervical cytology results from all over Turkey and discussed the parameters influencing the quality of the PAP test. The study was conducted with Turkish gynaecopathology working group and 38 centers (totally 45 hospitals) agreed to contribute from 24 different cities. The study was designed to cover the cervical cytology results during 2013. The results were evaluated from the data based on an online questionnaire. Results: The total number of Epithelial Cell Abnormality was 18,020 and the global Epithelial Cell Abnormality rate was 5.08% in the total 354,725 smears and ranging between 0.3% to 16.64% among centers. The Atypical squamous cells/Squamous intraepithelial lesion ratios changed within the range of 0.21-13.94 with an average of 2.61. When the centers were asked whether they performed quality assurance studies, only 14 out of 28 centers, which shared the information, had such a control study and some quality parameters were better in these centers. Conclusion: There is an increase in the global Epithelial Cell Abnormality rate and there are great differences among centers. Quality control studies including the Atypical squamous cells/Squamous intraepithelial lesion ratio are important. Corrective and preventive action according to quality control parameters is a must. A cervical cytology subspecialist in every center can be utopic but a dedicated pathologist in the center is certainly needed.
Kaynak
Turkish Journal of PathologyCilt
33Sayı
2Koleksiyonlar
- Makale Koleksiyonu [3801]
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