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Regitnig, P; Nader, A; Wiener, H.
Quality of conventional PAP smears. Quality assessment and motivation for improvement].
Pathologe. 2012; 33(4):293-300
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Autor/innen der Med Uni Graz:
Regitnig Peter

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The success of cytology in screening programs for cervical cancer is highly dependent on the smear quality. Interdisciplinary projects which evaluate the smear quality and the results of collection devices could be helpful for an improvement and a successful example for quality improvement is presented here. An average of 83% technically adequate and representative smears was documented for 12 million conventional PAP smears; however only an average of 68% technically adequate and representative smears was found for the group of least successful smear takers of all laboratories. This indicates a potential for improvement. Following an interdisciplinary project on smear quality improvement the average rate of representative smears increased from 69 to 83% and in another project this rate remained stable at 86%. Based on 158,411 conventional smears, representative smears were achieved in 92% using Cervex-Brush®, 86% using Szalay Spatula and 82% Cytobrush methods. The combinations of Cytobrush with the Ayre wooden spatula, cotton wool swab or Szalay Spatula achieved 97%, 94% and 92% representative smears, respectively.
Find related publications in this database (using NLM MeSH Indexing)
Cervical Intraepithelial Neoplasia - pathology
Early Detection of Cancer - standards
Equipment Design -
Female -
Guideline Adherence -
Humans -
Motivation -
Papanicolaou Test -
Predictive Value of Tests -
Quality Assurance, Health Care - standards
Quality Control -
Quality Improvement - standards
Uterine Cervical Neoplasms - pathology
Vaginal Smears - instrumentation

Find related publications in this database (Keywords)
Cervical intraepithelial neoplasia
Cervical smears
Quality control
Collection devices
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