Continuous quality improvement program and its results of Korean Society for Cytopathology
| Autor: | Choi, Yoo-Duk, Oh, Hoon-Kyu, Kim, Su-Jin, Kim, Kyung-Hee, Lee, Yun-Kyung, Kim, Bo-Sung, Jang, Eun-Jeong, Choi, Yoon-Jung, Han, Eun-Kyung, Kim, Dong-Hoon, Choi, Younghee, Jung, Chan-Kwon, Kim, Sung-Nam, Min, Kyueng-Whan, Yoon, Seok-Jin, Lee, Hun-Kyung, Choi, Kyung Un, Yoon, Hye Kyoung |
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| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Histology Quality management Proficiency test Atypical Squamous Cells Pathology and Forensic Medicine 03 medical and health sciences 0302 clinical medicine Cytology lcsh:Pathology medicine Basal cell business.industry General surgery Statistics medicine.disease Quality Squamous intraepithelial lesion 030104 developmental biology Cytopathology 030220 oncology & carcinogenesis Proficiency Original Article business Quality assurance lcsh:RB1-214 |
| Zdroj: | Journal of Pathology and Translational Medicine Journal of Pathology and Translational Medicine, Vol 54, Iss 3, Pp 246-252 (2020) |
| ISSN: | 2383-7845 2383-7837 |
| DOI: | 10.4132/jptm.2020.02.22 |
| Popis: | Background Since 1995, the Korean Society for Cytopathology has overseen the Continuous Quality Improvement program for cytopathology laboratories. The Committee of Quality Improvement has carried out an annual survey of cytology data for each laboratory and set standards for proficiency tests. Methods Evaluations were conducted four times per year from 2008 to 2018 and comprised statistics regarding cytology diagnoses of previous years, proficiency tests using cytology slides provided by the committee, assessment of adequacy of gynecology (GYN) cytology slides, and submission of cytology slides for proficiency tests. Results A total of 206 institutes participated in 2017, and the results were as follows. The number of cytology tests increased from year to year. The ratio of liquid-based cytology in GYN gradually decreased, as most of the GYN cytology had been performed at commercial laboratories. The distribution of GYN diagnoses demonstrated nearly 3.0% as atypical squamous cells. The rate for squamous cell carcinoma was less than 0.02%. The atypical squamous cell/squamous intraepithelial lesion ratio was about 3:1 and showed an upward trend. The major discordant rate of cytology-histology in GYN cytology was less than 1%. The proficiency test maintained a major discordant rate less than 2%. The rate of inappropriate specimens for GYN cytology slides gradually decreased. Conclusions The Continuous Quality Improvement program should be included in quality assurance programs. Moreover, these data can contribute to development of national cancer examination guidelines and facilitate cancer prevention and treatment. |
| Databáze: | OpenAIRE |
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