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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1988-1-25
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pubmed:abstractText |
Two laboratories exchanged and rescreened a large sample of cases with cervicovaginal smears they had consecutively accessioned to examine the reproducibility of gynecologic cytodiagnosis under optimum conditions. At least a "working agreement" (diagnoses within +/- 1 category on a ten-category scale) was achieved in diagnoses of normal, benign reaction and squamous abnormality (from minimal dysplasia though invasive cancer) in 18,859 cases (96.8%), of endometrial abnormality in 21 cases (42%) and of "unsatisfactory" in 99 cases (20.7%). Larger differences occurred in greater than or equal to 30% of cases except in the categories of "normal" and "benign reaction," reaching a maximum of 82% for moderate dysplasia. Reexamining 382 cases decreased disagreement by category to the 20% to 65% range only in the five categories of dysplasia plus carcinoma in situ. Agreement was not predicated on the presence of endocervical cells or squamous metaplasia; the basis for "unsatisfactory" calls was not uniform. Comparison of the laboratories' diagnoses with referee diagnoses or, on 178 cases, with tissue diagnoses also demonstrated differences in diagnostic criteria.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0001-5547
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
31
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
900-10
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:3425152-Adult,
pubmed-meshheading:3425152-Cervix Uteri,
pubmed-meshheading:3425152-Cytodiagnosis,
pubmed-meshheading:3425152-Evaluation Studies as Topic,
pubmed-meshheading:3425152-Female,
pubmed-meshheading:3425152-Gynecology,
pubmed-meshheading:3425152-Humans,
pubmed-meshheading:3425152-Mass Screening,
pubmed-meshheading:3425152-Retrospective Studies,
pubmed-meshheading:3425152-Vaginal Smears
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pubmed:articleTitle |
Retrospective evaluation of gynecologic cytodiagnosis. II. Interlaboratory reproducibility as shown in rescreening large consecutive samples of reported cases.
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pubmed:affiliation |
Centers for Disease Control, Public Health Service, Atlanta, GA 30333.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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