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1. What does the Data of 354,725 Patients from Turkey Tell Us About Cervical Smear Epithelial Cell Abnormalities? - The Epithelial Cell Abnormality Rate is Increasing - Quality Control Studies and Corrective Activity are Musts.

Author

Türkmen İÇ, Usubütün A, Çakir A, Aydin Ö, Bolat FA, Akbulut M, Altinay S, Arici S, Aslan F, Astarci M, Bağir EK, Baş Y, Başsüllü N, Çelik B, Çetiner H, Çobanoğlu B, Aydin A, Demir H, Doğan HT, Eken KG, Erhan SŞ, Erdoğan G, Erdoğan KE, Eren F, Ersöz Ş, Firat P, Gürses İ, Haberal N, Kahraman DS, Kamali GH, Karabulut YY, Kefeli M, Koyuncuoğlu M, Köseoğlu RD, Müezzinoğlu B, Onal B, Önder S, Özcan Z, Kimiloğlu E, Özer H, Sönmez FC, Şahin S, Şahin N, and Yalta T

Subjects
Female, Humans, Turkey epidemiology, Uterine Cervical Neoplasms diagnosis, Early Detection of Cancer standards, Medical Oncology standards, Quality Control, Uterine Cervical Neoplasms epidemiology, Vaginal Smears standards
Abstract

Objective: There is no other screening program close to the success rate of PAP test. Cervical cytology constitutes a large workload so that quality control in cervical cytology is important for the quality assurance of pathology laboratories., Material and Method: In this study, we collected the cervical cytology results from all over Turkey and discussed the parameters influencing the quality of the PAP test. The study was conducted with Turkish gynaecopathology working group and 38 centers (totally 45 hospitals) agreed to contribute from 24 different cities. The study was designed to cover the cervical cytology results during 2013. The results were evaluated from the data based on an online questionnaire., Results: The total number of Epithelial Cell Abnormality was 18,020 and the global Epithelial Cell Abnormality rate was 5.08% in the total 354,725 smears and ranging between 0.3% to 16.64% among centers. The Atypical squamous cells /Squamous intraepithelial lesion ratios changed within the range of 0.21-13.94 with an average of 2.61. When the centers were asked whether they performed quality assurance studies, only 14 out of 28 centers, which shared the information, had such a control study and some quality parameters were better in these centers., Conclusion: There is an increase in the global Epithelial Cell Abnormality rate and there are great differences among centers. Quality control studies including the Atypical squamous cells/Squamous intraepithelial lesion ratio are important. Corrective and preventive action according to quality control parameters is a must. A cervical cytology subspecialist in every center can be utopic but a dedicated pathologist in the center is certainly needed.

Published
2017
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2. What does the Data of 354,725 Patients from Turkey Tell Us About Cervical Smear Epithelial Cell Abnormalities? - the Epithelial Cell Abnormality Rate is Increasing - Quality Control Studies and Corrective Activity are Musts

Author

Eken Kg, Binnur Onal, Hatice Özer, Sema Arici, Kamali Gh, Selma Sengiz Erhan, Meral Koyuncuoglu, Akbulut M, Kahraman Ds, Hulya Dogan, Çelik B, Kimiloğlu E, Alp Usubutun, Kivilcim Eren Erdogan, Şahin N, Safak Ersoz, Demir H, Emine Kilic Bagir, Erdoğan G, Mehmet Kefeli, Yılmaz Baş, Abdullah Aydin, Asli Cakir, Astarci M, Tulin Yalta, Serdar Altınay, Iclal Gurses, Çetiner H, Nuray Başsüllü, Funda Eren, Bolat Fa, Yasemin Yuyucu Karabulut, Sevinç Şahin, Bengü Çobanoğlu, Aslan F, Bahar Muezzinoglu, Nihan Haberal, Sevgen Onder, Resit Dogan Koseoglu, Omer Murat Aydin, Özcan Z, Pinar Firat, İlknur Türkmen, Sönmez Fc, OMÜ, BAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Astarcı, Müzeyyen, Çukurova Üniversitesi, Acibadem University Dspace, Hitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, ARICI, DILEK SEMA, ŞAHİN, NURHAN, and Çetinaslan Türkmen, İ., Department of Pathology, Istanbul Medipol University Faculty of Medicine, İstanbul, Turkey -- Usubütün, A., Department of Pathology, Hacettepe University Faculty of Medicine, Ankara, Turkey -- Çakir, A., Department of Pathology, Istanbul Medipol University Faculty of Medicine, İstanbul, Turkey -- Aydin, Ö., Department of Pathology, Acibadem University Faculty of Medicine, İstanbul, Turkey -- Aka Bolat, F., Department of Pathology, Başkent University ERH, Adana, Turkey -- Akbulut, M., Department of Pathology, Pamukkale University Faculty of Medicine, Denİzlİ, Turkey -- Altinay, S., Department of Pathology, Bagcilar ERH, Istanbul, Turkey -- Arici, S., Department of Pathology, Bezmialem Vakif University Faculty of Medicine, Istanbul, Turkey -- Aslan, F., Department of Pathology, Dumlupinar University Evliya Celebi ERH, KÜtahya, Turkey -- Astarci, M., Department of Pathology, Abant Izzet Baysal University Faculty of Medicine, Bolu, Turkey -- Kılıç Bağir, E., Department of Pathology, Cukurova University Faculty of Medicine, Adana, Turkey -- Baş, Y., Department of Pathology, Hitit University Çorum ERH, Çorum, Turkey -- Başsüllü, N., Department of Pathology, Bilim University Faculty of Medicine, Istanbul, Turkey -- Çelik, B., Department of Pathology, Antalya ERH, Antalya, Turkey -- Çetiner, H., Department of Pathology, Zeynep Kamil ERH, İstanbul, Turkey -- Çobanoğlu, B., Department of Pathology, Medeniyet University Goztepe ERH, İstanbul, Turkey -- Aydin, A., Department of Pathology, Medeniyet University Goztepe ERH, İstanbul, Turkey -- Demir, H., Department of Pathology, Istanbul University Cerrahpaşa Medical Faculty, İstanbul, Turkey -- Tatlı Doğan, H., Department of Pathology, Yildirim Beyazit University Ankara Ataturk ERH, Ankara, Turkey -- Gülçin Eken, K., Department of Pathology, Sisli Hamidiye Etfal ERH, İstanbul, Turkey -- Şengiz Erhan, S., Department of Pathology, Okmeydani ERH, İstanbul, Turkey -- Erdoğan, G., Department of Pathology, Akdeniz University Faculty of Medicine, Antalya, Turkey -- Eren Erdoğan, K., Department of Pathology, Mersin State Hospital, Mersİn, Turkey -- Eren, F., Department of Pathology, Marmara University Faculty of Medicine, İstanbul, Turkey -- Ersöz, Ş., Department of Pathology, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey -- Firat, P., Department of Pathology, Istanbul University Faculty of Medicine, İstanbul, Turkey -- Gürses, İ., Department of Pathology, Mersin University Faculty of Medicine, Mersİn, Turkey -- Haberal, N., Department of Pathology, Baskent University Faculty of Medicine, Ankara, Turkey -- Solakoğlu Kahraman, D., Department of Pathology, Tepecik ERH, İZMİR, Turkey -- Kamali, G.H., Department of Pathology, Okmeydani ERH, İstanbul, Turkey -- Karabulut, Y.Y., Department of Pathology, Cankiri State Hospital, Çankiri, Turkey -- Kefeli, M., Department of Pathology, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey -- Koyuncuoğlu, M., Department of Pathology, Dokuz Eylul University Faculty of Medicine, İzmİr, Turkey -- Köseoğlu, R.D., Department of Pathology, Gaziosmanpasa University Faculty of Medicine, Tokat, Turkey -- Müezzinoğlu, B., Department of Pathology, Kocaeli University Faculty of Medicine, Kocaelİ, Turkey -- Onal, B., Department of Pathology, Diskapi ERH, Ankara, Turkey -- Önder, S., Department of Pathology, Hacettepe University Faculty of Medicine, Ankara, Turkey -- Özcan, Z., Department of Pathology, Taksim ERH, İstanb, UL, Turkey -- Kimiloğlu, E., Department of Pathology, Taksim ERH, İstanb, UL, Turkey -- Özer, H., Department of Pathology, Cumhuriyet University Faculty of Medicine, Sİvas, Turkey -- Sönmez, F.C., Department of Pathology, Bezmialem Vakif University Faculty of Medicine, Istanbul, Turkey -- Şahin, S., Department of Pathology, Bozok University Faculty of Medicine, Yozgat, Turkey -- Şahin, N., Department of Pathology, Inonu University Faculty of Medicine, Malatya, Turkey -- Yalta, T., Department of Pathology, Trakya University Faculty of Medicine, Edİrne, Turkey

Subjects
0301 basic medicine, Turkey, hematologic disease, Uterine Cervical Neoplasms, cytotechnologist, Medical Oncology, Turkey (republic), uterine cervix tumor, Control parameters, Early Detection of Cancer, early cancer diagnosis, media_common, medicine.diagnostic_test, uterine cervix dysplasia, Obstetrics, Papanicolaou test, Squamous intraepithelial lesion, female, uterine cervix cytology, oncology, standards, lcsh:RB1-214, Quality Control, medicine.medical_specialty, uterine cervix biopsy, media_common.quotation_subject, 030106 microbiology, uterine cervix carcinoma, Atypical Squamous Cells, Epithelial cell abnormality, Article, Pathology and Forensic Medicine, 03 medical and health sciences, lcsh:Pathology, medicine, Humans, Quality (business), human, Pap test, Vaginal Smears, business.industry, questionnaire, squamous intraepithelial lesion of the cervix, Cervical cytology, medicine.disease, Cervical Smear, Surgery, Cervical smear, business, Quality assurance, vagina smear
Abstract

Erdogan, Kivilcim Eren/0000-0002-4951-8703; kilic bagir, Emine/0000-0002-1447-1060; Celik, Betul/0000-0001-9731-9939; Tatli Dogan, Hayriye/0000-0003-4318-2775; Cakir, Asli/0000-0003-0128-6947 WOS: 000414649400006 PubMed: 28272675 Objective: There is no other screening program close to the success rate of PAP test. Cervical cytology constitutes a large workload so that quality control in cervical cytology is important for the quality assurance of pathology laboratories. Material and Method: In this study, we collected the cervical cytology results from all over Turkey and discussed the parameters influencing the quality of the PAP test. The study was conducted with Turkish gynaecopathology working group and 38 centers (totally 45 hospitals) agreed to contribute from 24 different cities. The study was designed to cover the cervical cytology results during 2013. The results were evaluated from the data based on an online questionnaire. Results: The total number of Epithelial Cell Abnormality was 18,020 and the global Epithelial Cell Abnormality rate was 5.08% in the total 354,725 smears and ranging between 0.3% to 16.64% among centers. The Atypical squamous cells/Squamous intraepithelial lesion ratios changed within the range of 0.21-13.94 with an average of 2.61. When the centers were asked whether they performed quality assurance studies, only 14 out of 28 centers, which shared the information, had such a control study and some quality parameters were better in these centers. Conclusion: There is an increase in the global Epithelial Cell Abnormality rate and there are great differences among centers. Quality control studies including the Atypical squamous cells/Squamous intraepithelial lesion ratio are important. Corrective and preventive action according to quality control parameters is a must. A cervical cytology subspecialist in every center can be utopic but a dedicated pathologist in the center is certainly needed.

Published
2017

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