{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T17:05:42Z","timestamp":1744131942352},"reference-count":17,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"06","license":[{"start":{"date-parts":[[2018,6,20]],"date-time":"2018-06-20T00:00:00Z","timestamp":1529452800000},"content-version":"vor","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:p>\n            Objective\u2003To discuss the implementation and contributions of the External Quality Monitoring in the city of Rio de Janeiro and to analyze the performance of the main providers of cervical cytopathology in this city from September 2013 to March 2017, here referred to as \u201cAlpha laboratory\u201d and \u201cBeta laboratory.\u201d<\/jats:p><jats:p>\n            Methods\u2003Observational, cross-sectional, retrospective study using information from the Cervical Cancer Control Information System (SISCOLO, in the Portuguese acronym), municipal coordination module, External Quality Monitoring report. The proportions of false positives, false negatives, unsatisfactory samples and rejected samples were estimated. The agreement among the observers was analyzed through the Kappa index and the reduction of disagreements in the period for each laboratory studied, comparing the results of each cycle.<\/jats:p><jats:p>\n            Results\u2003A total of 19,158 examinations were selected, of which 19,130 (99.85%) were monitored, 16.649 (87, 03%) were reviewed by the External Quality Monitoring Unit, 2,481 (12,97%) were rejected and 441 (2,65%) were considered unsatisfactory. The \u201cBeta laboratory\u201d presented excellent concordance in all cycles; the \u201cAlpha laboratory\u201d had good concordance in the first two cycles (K\u2009=\u20090.76 and 0.79), becoming excellent in the following four cycles. The average Kappa index was 0.85, with median of 0.86. The percentage of diagnostic disagreement was 6.63% of the reviewed exams, of which 5.38% required a change of conduct<\/jats:p><jats:p>\n            Conclusion\u2003External Quality Monitoring is an exercise in diagnostic improvement, and its implementation was fundamental to ensure the reliability of the cytopathological exams in the city of Rio de Janeiro.<\/jats:p>","DOI":"10.1055\/s-0038-1657755","type":"journal-article","created":{"date-parts":[[2018,6,20]],"date-time":"2018-06-20T23:04:35Z","timestamp":1529535875000},"page":"338-346","source":"Crossref","is-referenced-by-count":2,"title":["External Quality Monitoring of the Cervical Cytopathological Exams in the Rio de Janeiro City"],"prefix":"10.61622","volume":"40","author":[{"given":"V\u00e2nia Stiepanowez de Oliveira","family":"Rocha","sequence":"additional","affiliation":[{"name":"Municipal Health Secretary of Rio de Janeiro, Rio de Janeiro, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Solange da Silva","family":"Malfacini","sequence":"additional","affiliation":[{"name":"Municipal Health Secretary of Rio de Janeiro, Rio de Janeiro, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex Moreira","family":"Gomes","sequence":"additional","affiliation":[{"name":"Municipal Health Secretary of Rio de Janeiro, Rio de Janeiro, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cl\u00e1udia Ramos Marques da","family":"Rocha","sequence":"additional","affiliation":[{"name":"Municipal Health Secretary of Rio de Janeiro, Rio de Janeiro, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"47794","published-online":{"date-parts":[[2018,6,20]]},"reference":[{"key":"ref2","volume-title":"National Cancer Institute Jos\u00e9 Alencar Gomes da Silva. [Estimate 2018: Incidence of Cancer in Brazil]","year":"2018"},{"key":"ref4","volume-title":"National Cancer Institute Jos\u00e9 Alencar Gomes da Silva. [Brazilian Nomenclature for Cervical Cytopathologic Reports]. 3a ed","year":"2012"},{"key":"ref5","volume-title":"National Cancer Institute Jos\u00e9 Alencar Gomes da Silva. Coordination of Prevention and Surveillance. Division of Early Detection and Network Organization Support. [Brazilian Cervical Cancer Screening Guidelines]","year":"2016"},{"key":"ref6","volume-title":"National Cancer Institute Jos\u00e9 Alencar Gomes da Silva. General Coordination of Strategic Actions. Division of Support to the Oncology Attention Network. [Breast Cancer Control Information System (SISMAMA) e Information System for Cervical Cancer Control (SISCOLO): Management Manual]","year":"2011"},{"key":"ref7","first-page":"435","article-title":"[Quality evaluation of cervical cytopathology laboratories in Brazil]","volume":"58","author":"P C Bortolon","year":"2012","journal-title":"Rev Bras Cancerol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"481","DOI":"10.32635\/2176-9745.RBC.2012v58n3.605","article-title":"An\u00e1lise das discord\u00e2ncias dos exames citopatol\u00f3gicos do Programa de Monitoramento Externo de Qualidade no estado de S\u00e3o Paulo, Brasil, 2000\u20132010","volume":"58","author":"D Etlinger","year":"2015","journal-title":"Rev Bras Cancerol"},{"key":"ref9","volume-title":"National Cancer Institute Jos\u00e9 Alencar Gomes da Silva. [Manual of Quality Management for Cytopathology Laboratories]","year":"2012"},{"key":"ref10","volume-title":"National Cancer Institute Jos\u00e9 Alencar Gomes da Silva. [Monitoring Actions to Control Cervical and Breast Cancers]","year":"2012"},{"key":"ref13","first-page":"317","article-title":"National Cancer Institute Jos\u00e9 Alencar Gomes da Silva","volume":"58","year":"2012","journal-title":"Rev Bras Cancerol"},{"key":"ref15","first-page":"63","article-title":"[Cellularity of the cervicovaginal smear: importance to the quality assurance proceedings in cytopathology]","volume":"108","author":"N K Shirata","year":"1998","journal-title":"J Bras Ginecol"},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The measurement of observer agreement for categorical data","volume":"33","author":"J R Landis","year":"1977","journal-title":"Biometrics"},{"issue":"08","key":"ref17","first-page":"351","article-title":"[External quality control for cervical cytology exams performed in the Brazilian Public Health System of Mato Grosso do Sul State]","volume":"34","author":"H G de Freitas","year":"2012","journal-title":"Rev Bras Ginecol Obstet"},{"key":"ref18","first-page":"79","article-title":"[External quality control of cytological diagnostics in cervical cancer screening: a pilot study]","volume":"38","author":"R G Amaral","year":"2006","journal-title":"Rev Bras Anal Clin."},{"issue":"06","key":"ref19","first-page":"1071","article-title":"[External quality control in cervical cytopathology: an evaluation from 2000-2004]","volume":"41","year":"2007","journal-title":"Rev Saude Publica"},{"issue":"06","key":"ref20","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1002\/dc.20328","article-title":"Quality assurance in cervical screening of a high risk population: a study of 65,753 reviewed cases in Parana Screening Program, Brazil","volume":"33","author":"L M Colla\u00e7o","year":"2005","journal-title":"Diagn Cytopathol"},{"issue":"01","key":"ref21","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1590\/S1679-45082012000100018","article-title":"Results of a control quality strategy in cervical cytology","volume":"10","author":"C E Gullo","year":"2012","journal-title":"Einstein (Sao Paulo)"},{"issue":"04","key":"ref22","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1002\/dc.23445","article-title":"Reproducibility of cervical cytopathology following an intervention by an external quality control laboratory","volume":"44","author":"C ZS \u00c1zara","year":"2016","journal-title":"Diagn Cytopathol"}],"container-title":["Revista Brasileira de Ginecologia e Obstetr\u00edcia \/ RBGO Gynecology and Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journalrbgo.org\/article\/external-quality-monitoring-of-the-cervical-cytopathological-exams-in-the-rio-de-janeiro-city\/","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0038-1657755.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T19:06:16Z","timestamp":1721329576000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0038-1657755"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6]]},"references-count":17,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2018,7,6]]},"published-print":{"date-parts":[[2018,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0038-1657755","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0100-7203","1806-9339"],"issn-type":[{"value":"0100-7203","type":"print"},{"value":"1806-9339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6]]}}}