{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T12:04:27Z","timestamp":1778155467729,"version":"3.51.4"},"reference-count":25,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"2","license":[{"start":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T00:00:00Z","timestamp":1563840000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Colomb. Obstet. Ginecol."],"abstract":"<jats:p>Objetivo: evaluar la concordancia interobservador por nivel de entrenamiento al aplicar la escala Swede utilizando ima\u0301genes digitales de colposcopias. Materiales y m\u00e9todos: estudio de concordancia ensamblado en un estudio de corte transversal. Se incluyeron pacientes remitidas para colposcopia por resultado de citologi\u0301a anormal, en un centro de referencia de patologi\u0301a cervical de Bogota\u0301, Colombia. Muestreo por conveniencia. Variables medidas: edad, grado de escolaridad, estado civil, factores de riesgo para ca\u0301ncer de ce\u0301rvix (paridad, edad de inicio de la vida sexual, nu\u0301mero de contactos sexuales); me\u0301todo de planificacio\u0301n, reporte de la citologi\u0301a y resultado de la colposcopia de acuerdo con los criterios de la escala Swede. Se utilizo\u0301 estadi\u0301stica descriptiva, la concordancia se calculo\u0301 usando el estadi\u0301stico kappa (k) ponderado. Resultados: el ana\u0301lisis se realizo\u0301 con un set de 3 ima\u0301genes colposco\u0301picas digitales de 251 pacientes. Para el puntaje total de la escala, dos gineco\u0301logos expertos mostraron una concordancia baja (k = 0,38; IC 95 %: 0,26-0,44), una pareja de dos gineco\u0301logos con diferente nivel de entrenamiento mostro\u0301 una concordancia baja (k = 0,27; IC 95 %: 0,20-0,38) y el otro par mostro\u0301 una concordancia moderada (k = 0,45; IC 95 %: 0,34-0,53). Para los criterios individuales de la escala Swede la mejor concordancia se dio para \u201creaccio\u0301n acetoblanca\u201d y \u201ctaman\u0303o de la lesio\u0301n\u201d (k = 0,43; IC 95 %: 0,33-0,53). Conclusiones: la concordancia interobservador utilizando la escala Swede en ima\u0301genes colposco\u0301picas digitales vario\u0301 de baja a moderada segu\u0301n el nivel de entrenamiento de los gineco\u0301logos.<\/jats:p>","DOI":"10.18597\/rcog.3215","type":"journal-article","created":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T14:24:06Z","timestamp":1563978246000},"page":"94-102","source":"Crossref","is-referenced-by-count":2,"title":["Evaluaci\u00f3n de la concordancia interobservador de la escala Swede para im\u00e1genes colposc\u00f3picas digitales"],"prefix":"10.18597","volume":"70","author":[{"given":"Marcos Fidel","family":"Castillo-Zamora","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie Ang\u00e9lica","family":"Mora-Enr\u00edquez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jairo","family":"Amaya-Guio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia","family":"Salamanca-Mora","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Solange","family":"Monsalve-P\u00e1ez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicol\u00e1s","family":"Granados-Casallas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7913","published-online":{"date-parts":[[2019,7,23]]},"reference":[{"issue":"6","key":"ref0","doi-asserted-by":"publisher","first-page":"394","DOI":"10.3322\/caac.21492","article-title":"Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"68","author":"Bray","year":"2018","unstructured":"Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. 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