Four years after the inception of the Emilia-Romagna regional programme for the prevention of cervical cancer (a "participating multi-centre" programme involving 1,143,950 women) another cognitive questionnaire has been circulated to the screening reading centres, by the Regional Coordination Group for quality control of cytology. In a comparison of data from 1997 (the year in which the programme was set up) with data from 2001, it has emerged that: 1) the number of centres has fallen from 21 to 16; 2) there are currently 75 authorised Pap test readers (80% of whom are graduates) with a hypothetical workload of 29 examination readings per day, in line with the national statistics from GISCI; 3) all centres are adopting as internal quality control (QC), cito-histological comparisons and the revision of slides preceding squamous intraepithelial lesions (SIL); but these are rather dissimilar to other QC; 4) regarding external QSs, thanks to the intervention of the Regional Coordination Group for cytology quality control, all the centres partecipate in the reading of standard sets, and take part in the ensuing discussion on the results of these readings; the contextual presentation of the most controversial cases allows not only for the evaluation of diagnostic agreement among centres, but also provides the occasion for in-depth diagnosis, and the self-evaluation of individual performances.
|Translated title of the contribution||Reading centres of cytological screening in Emilia-Romagna, Italy|
|Number of pages||6|
|Journal||European Journal of Oncology|
|Publication status||Published - Mar 2004|
ASJC Scopus subject areas
- Cancer Research