Accuracy of Colposcopically Directed Biopsy: Results from an Online Quality Assurance Programme for Colposcopy in a Population-Based Cervical Screening Setting in Italy
Purpose. To report the accuracy of colposcopically directed biopsy in an internet-based colposcopy quality assurance programme in northern Italy. Methods. A web application was made accessible on the website of the regional Administration. Fifty-nine colposcopists out of the registered 65 logged in,...
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| creator | Bucchi, Lauro Sassoli de Bianchi, Priscilla Schincaglia, Patrizia Cristiani, Paolo Costa, Silvano Garutti, Paola Sideri, Mario Naldoni, Carlo |
| description | Purpose. To report the accuracy of colposcopically directed biopsy in an internet-based colposcopy quality assurance programme in northern Italy. Methods. A web application was made accessible on the website of the regional Administration. Fifty-nine colposcopists out of the registered 65 logged in, viewed a posted set of 50 digital colpophotographs, classified them for colposcopic impression and need for biopsy, and indicated the most appropriate site for biopsy with a left-button mouse click on the image. Results. Total biopsy failure rate, comprising both nonbiopsy and incorrect selection of biopsy site, was 0.20 in CIN1, 0.11 in CIN2, 0.09 in CIN3, and 0.02 in carcinoma. Errors in the selection of biopsy site were stable between 0.08 and 0.09 in the three grades of CIN while decreasing to 0.01 in carcinoma. In multivariate analysis, the risk of incorrect selection of biopsy site was 1.97 for CIN2, 2.52 for CIN3, and 0.29 for carcinoma versus CIN1. Conclusions. Although total biopsy failure rate decreased regularly with increasing severity of histological diagnosis, the rate of incorrect selection of biopsy site was stable up to CIN3. In multivariate analysis, CIN2 and CIN3 had an independently increased risk of incorrect selection of biopsy site. |
| doi_str_mv | 10.1155/2015/614035 |
| format | Article |
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To report the accuracy of colposcopically directed biopsy in an internet-based colposcopy quality assurance programme in northern Italy. Methods. A web application was made accessible on the website of the regional Administration. Fifty-nine colposcopists out of the registered 65 logged in, viewed a posted set of 50 digital colpophotographs, classified them for colposcopic impression and need for biopsy, and indicated the most appropriate site for biopsy with a left-button mouse click on the image. Results. Total biopsy failure rate, comprising both nonbiopsy and incorrect selection of biopsy site, was 0.20 in CIN1, 0.11 in CIN2, 0.09 in CIN3, and 0.02 in carcinoma. Errors in the selection of biopsy site were stable between 0.08 and 0.09 in the three grades of CIN while decreasing to 0.01 in carcinoma. In multivariate analysis, the risk of incorrect selection of biopsy site was 1.97 for CIN2, 2.52 for CIN3, and 0.29 for carcinoma versus CIN1. Conclusions. Although total biopsy failure rate decreased regularly with increasing severity of histological diagnosis, the rate of incorrect selection of biopsy site was stable up to CIN3. In multivariate analysis, CIN2 and CIN3 had an independently increased risk of incorrect selection of biopsy site.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2015/614035</identifier><identifier>PMID: 26180805</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Accessibility ; Accuracy ; Adult ; Animals ; Applications programs ; Biopsy ; Cancer ; Cervical cancer ; Colposcopy - methods ; Committees ; Diagnosis ; Failure rates ; Female ; Gynecology ; Health promotion ; Humans ; Image Processing, Computer-Assisted ; Internet ; Italy - epidemiology ; Medical screening ; Methods ; Mice ; Middle Aged ; Multivariate analysis ; Obstetrics ; Pap smear ; Quality assurance ; Quality Assurance, Health Care ; Quality control ; Risk analysis ; Risk Factors ; Screening ; Uterine Cervical Neoplasms - epidemiology ; Uterine Cervical Neoplasms - pathology ; Womens health</subject><ispartof>BioMed research international, 2015-01, Vol.2015 (2015), p.1-6</ispartof><rights>Copyright © 2015 Mario Sideri et al.</rights><rights>COPYRIGHT 2015 John Wiley & Sons, Inc.</rights><rights>Copyright © 2015 Mario Sideri et al. Mario Sideri et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2015 Mario Sideri et al. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c561t-4cb91c1dc98281fb0db95c537817a6a3ac76b897708006855f5e15dd53236c23</citedby><cites>FETCH-LOGICAL-c561t-4cb91c1dc98281fb0db95c537817a6a3ac76b897708006855f5e15dd53236c23</cites><orcidid>0000-0002-6771-8119 ; 0000-0001-9025-5098</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4477187/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4477187/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26180805$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Prendiville, Walter</contributor><creatorcontrib>Bucchi, Lauro</creatorcontrib><creatorcontrib>Sassoli de Bianchi, Priscilla</creatorcontrib><creatorcontrib>Schincaglia, Patrizia</creatorcontrib><creatorcontrib>Cristiani, Paolo</creatorcontrib><creatorcontrib>Costa, Silvano</creatorcontrib><creatorcontrib>Garutti, Paola</creatorcontrib><creatorcontrib>Sideri, Mario</creatorcontrib><creatorcontrib>Naldoni, Carlo</creatorcontrib><title>Accuracy of Colposcopically Directed Biopsy: Results from an Online Quality Assurance Programme for Colposcopy in a Population-Based Cervical Screening Setting in Italy</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Purpose. To report the accuracy of colposcopically directed biopsy in an internet-based colposcopy quality assurance programme in northern Italy. Methods. A web application was made accessible on the website of the regional Administration. Fifty-nine colposcopists out of the registered 65 logged in, viewed a posted set of 50 digital colpophotographs, classified them for colposcopic impression and need for biopsy, and indicated the most appropriate site for biopsy with a left-button mouse click on the image. Results. Total biopsy failure rate, comprising both nonbiopsy and incorrect selection of biopsy site, was 0.20 in CIN1, 0.11 in CIN2, 0.09 in CIN3, and 0.02 in carcinoma. Errors in the selection of biopsy site were stable between 0.08 and 0.09 in the three grades of CIN while decreasing to 0.01 in carcinoma. In multivariate analysis, the risk of incorrect selection of biopsy site was 1.97 for CIN2, 2.52 for CIN3, and 0.29 for carcinoma versus CIN1. Conclusions. Although total biopsy failure rate decreased regularly with increasing severity of histological diagnosis, the rate of incorrect selection of biopsy site was stable up to CIN3. In multivariate analysis, CIN2 and CIN3 had an independently increased risk of incorrect selection of biopsy site.</description><subject>Accessibility</subject><subject>Accuracy</subject><subject>Adult</subject><subject>Animals</subject><subject>Applications programs</subject><subject>Biopsy</subject><subject>Cancer</subject><subject>Cervical cancer</subject><subject>Colposcopy - methods</subject><subject>Committees</subject><subject>Diagnosis</subject><subject>Failure rates</subject><subject>Female</subject><subject>Gynecology</subject><subject>Health promotion</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>Internet</subject><subject>Italy - epidemiology</subject><subject>Medical screening</subject><subject>Methods</subject><subject>Mice</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Obstetrics</subject><subject>Pap smear</subject><subject>Quality assurance</subject><subject>Quality Assurance, Health Care</subject><subject>Quality control</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Screening</subject><subject>Uterine Cervical Neoplasms - 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To report the accuracy of colposcopically directed biopsy in an internet-based colposcopy quality assurance programme in northern Italy. Methods. A web application was made accessible on the website of the regional Administration. Fifty-nine colposcopists out of the registered 65 logged in, viewed a posted set of 50 digital colpophotographs, classified them for colposcopic impression and need for biopsy, and indicated the most appropriate site for biopsy with a left-button mouse click on the image. Results. Total biopsy failure rate, comprising both nonbiopsy and incorrect selection of biopsy site, was 0.20 in CIN1, 0.11 in CIN2, 0.09 in CIN3, and 0.02 in carcinoma. Errors in the selection of biopsy site were stable between 0.08 and 0.09 in the three grades of CIN while decreasing to 0.01 in carcinoma. In multivariate analysis, the risk of incorrect selection of biopsy site was 1.97 for CIN2, 2.52 for CIN3, and 0.29 for carcinoma versus CIN1. Conclusions. Although total biopsy failure rate decreased regularly with increasing severity of histological diagnosis, the rate of incorrect selection of biopsy site was stable up to CIN3. In multivariate analysis, CIN2 and CIN3 had an independently increased risk of incorrect selection of biopsy site.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>26180805</pmid><doi>10.1155/2015/614035</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-6771-8119</orcidid><orcidid>https://orcid.org/0000-0001-9025-5098</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Accessibility Accuracy Adult Animals Applications programs Biopsy Cancer Cervical cancer Colposcopy - methods Committees Diagnosis Failure rates Female Gynecology Health promotion Humans Image Processing, Computer-Assisted Internet Italy - epidemiology Medical screening Methods Mice Middle Aged Multivariate analysis Obstetrics Pap smear Quality assurance Quality Assurance, Health Care Quality control Risk analysis Risk Factors Screening Uterine Cervical Neoplasms - epidemiology Uterine Cervical Neoplasms - pathology Womens health |
| title | Accuracy of Colposcopically Directed Biopsy: Results from an Online Quality Assurance Programme for Colposcopy in a Population-Based Cervical Screening Setting in Italy |
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