Information of unsatisfactory rate to individual clinician in uterine cervical mass screening decreased unsatisfactory specimens

• MORIMURA Yutaka

  Fukushima Preservation Service Association of Health Department of Gynecology, Northern Fukushima Medical Center

• CHIBA Seiko

  Fukushima Preservation Service Association of Health

• ARAKI Yukari

  Fukushima Preservation Service Association of Health

• TSUKAHARA Takashi

  Fukushima Preservation Service Association of Health

• SATO Mikako

  Fukushima Preservation Service Association of Health

• SHIBATA Shinichi

  Fukushima Preservation Service Association of Health

• FURUKAWA Shigenobu

  Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine

• SOEDA Shu

  Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine

• WATANABE Takafumi

  Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine

• FUJIMORI Keiya

  Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine

Bibliographic Information

Other Title

• 検体不適正率の通知による子宮頸がん集団検診の不適正検体の減少

Abstract

Objective : The Bethesda System (TBS) defines the adequacy of cytology specimens. We informed individual clinicians about the rate of unsatisfactory smears in uterine cancer screening. Subsequently, we conducted an investigation to determine if the provision of this information had led to a decrease in the rate of unsatisfactory smears.<br>Study Design : We informed individual clinicians about the rate of unsatisfactory smears in mass screening for uterine cancer from April 2009 to March 2010. After the provision of this information during the aforementioned period, we investigated whether there was any improvement in the rate of unsatisfactory smears in the following years, that is, from April 2010 to March 2011.<br>Results : The number of unsatisfactory specimens during the first period was 3,529 (6.8% in 51,863 participants). Investigation in the following years, after individual clinicians had been provided information about the rate of unsatisfactory smears, the number of unsatisfactory smears was found to have reduced to 1,875 (3.3% in 56,162 participants). Thus, provision of information about the rate of unsatisfactory smears to individual clinicians was followed by a significant reduction in the rate of unsatisfactory smears in uterine cancer screening (p<0.0001). The rate of unsatisfactory smears decreased significantly for physicians who discontinued cotton swab collection.<br>Conclusion : Provision of information about the rate of unsatisfactory smears to individual clinicians decrease of the rate of unsatisfactory smears. The reasons for the decrease in the rate of unsatisfactory smears following provision of information about the rate to individual clinicians were attempt by the physicians to provide specimens of improved quality and discontinuation of cotton swab collection.

Journal

• The Journal of the Japanese Society of Clinical Cytology

  The Journal of the Japanese Society of Clinical Cytology 52 (4), 330-334, 2013

  The Japanese Society of Clinical Cytology

Keywords

• Uterine cervical cancer
• Mass screening
• Information of rate of unsatisfactory smears
• Decrease of unsatisfactory smears

Details

• CRID: 1390001204696677376
• NII Article ID: 10031178621
• NII Book ID: AN00198721
• DOI: 10.5795/jjscc.52.330
• ISSN: 18827233
• ISSN: 03871193
• Web Site: https://search.jamas.or.jp/link/ui/2013371434
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed