The Role of Rescreening in the Quality Control Program of Cervical Smear Reporting
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 2
Abstract
Introduction: The screening of cervical smears by a cytotechnician and a pathologist is a good way of avoiding false negatives. However, even in such cases, many cases may be missed. Rescreening helps in picking up the missed cases and improve the quality of reporting. Rescreening that is usually done is a rapid one and on 10% random cases. With this background the present study aims to rescreen consecutive cervical smears which were already screened and reported, to assess the role of rescreening as a quality control measure and to evaluate the intra observer variation during rescreening. Material and Methods: 1000 consecutive cervical smears which were already screened by a cyto-technician and reported by a pathologist were rescreened by the same cyto-pathologist. Reporting format used was The Bethesda System 2001 (TBS 2001). Quality of reporting, that is, the number of new cases identified, was assessed and intra observer variation was calculated using k value. Results: Total number of positive cases, including atypical epithelial cells, reported initially was 20. Rescreening helped in picking up 6 new cases. The intra observer agreement was 99.4% and k value was 0.87. Conclusion: Rescreening indeed help bettering the quality of cervical smear reporting using TBS 2001. There was good intra observer concordance.
Authors and Affiliations
Sushma A
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