{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T22:02:45Z","timestamp":1788559365489,"version":"build-2803163510"},"reference-count":36,"publisher":"Archives of Pathology and Laboratory Medicine","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:italic>Context.<\/jats:italic>\n                    \u2014Liquid-based preparations (LBPs) and human papillomavirus testing have led to changes in cervical cytology practices. The College of American Pathologists attempts to track practice patterns using a supplemental questionnaire, which allows laboratories to report diagnostic practices.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Objective.<\/jats:italic>\n                    \u2014To analyze the 2006 reporting practices and to compare the results with the 2003 survey data.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Design.<\/jats:italic>\n                    \u2014Questionnaire was mailed to 1621 laboratories. Participants included laboratories enrolled in the 2006 College of American Pathologists Gynecologic Proficiency Testing Program or the educational Interlaboratory Comparison Program in Gynecologic Cytology.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Results.<\/jats:italic>\n                    \u2014Of the 679 responding laboratories (response rate, 42%), most (97.8%; n \u200a=\u200a 664) had implemented the Bethesda 2001 terminology. The median rate for all preparations with low-grade squamous intraepithelial lesions was 2.5% (2.9% for LBPs) compared with a 2003 median rate of 2.1%; the increase was confined to LBPs. Rates for high-grade squamous intraepithelial lesions (median, 0.5%) and atypical squamous cells have changed little. High-grade squamous intraepithelial lesions and unsatisfactory rates varied at statistically significant levels between types of LBPs. Most atypical squamous cell cases were subclassified as\n                    <jats:italic>undetermined significance<\/jats:italic>\n                    (median, 4.3%). The median ratio of atypical squamous cells to squamous intraepithelial lesions and carcinomas for all specimen types combined was 1.5, similar to the 2003 median ratio of 1.4. The median rates for findings of squamous cell abnormalities for 2006 were significantly higher for LBPs than for conventional smears.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Conclusions.<\/jats:italic>\n                    \u2014Most responding laboratories have implemented the Bethesda 2001 terminology. There is an increase in LBP low-grade squamous intraepithelial lesion rates when compared with 2003 data. Liquid-based preparations have higher median squamous intraepithelial lesion and atypical squamous cell rates.\n                  <\/jats:p>","DOI":"10.5858\/134.3.331","type":"journal-article","created":{"date-parts":[[2021,2,12]],"date-time":"2021-02-12T12:07:56Z","timestamp":1613131676000},"page":"331-335","source":"Crossref","is-referenced-by-count":89,"title":["Practices of Participants in the College of American Pathologists Interlaboratory Comparison Program in Cervicovaginal Cytology, 2006"],"prefix":"10.5858","volume":"134","author":[{"given":"Galen M.","family":"Eversole","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann T.","family":"Moriarty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary R.","family":"Schwartz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy C.","family":"Clayton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhona","family":"Souers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa A.","family":"Fatheree","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth A.","family":"Chmara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William D.","family":"Tench","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael R.","family":"Henry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David C.","family":"Wilbur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3906","reference":[{"issue":"4","key":"i1543-2165-134-3-331-b01","series-title":"Diagn Cytopathol","first-page":"390","article-title":"Atypical squamous cells of undetermined significance: interlaboratory comparison and quality assurance monitors.","volume":"11","author":"Davey, D. 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A.","year":"2004","unstructured":"Renshaw, A. A., D. R.Mody, and L. R.Lozano. Detection of adenocarcinoma in situ of the cervix in Papanicolaou tests: comparison of diagnostic accuracy with other high-grade lesions.Arch Pathol Lab Med2004. 128 (2):153\u2013157."},{"key":"i1543-2165-134-3-331-b14","series-title":"Am J Clin Pathol","first-page":"331","article-title":"An analysis of factors that influence the ASCUS\/SIL ratio of pathologists.","volume":"116","author":"Juskevicius, R.","year":"2001","unstructured":"Juskevicius, R., K1-lZou, and E. D.Cibas. An analysis of factors that influence the ASCUS\/SIL ratio of pathologists.Am J Clin Pathol2001. 116:331\u2013335."},{"issue":"2","key":"i1543-2165-134-3-331-b15","series-title":"Cancer","first-page":"67","article-title":"Testing for HPV as an objective measure for quality assurance in gynecologic cytology.","volume":"111","author":"Ko, V.","year":"2007","unstructured":"Ko, V., S.Nanji, R. H.Tambouret, and D. C.Wilbur. 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M.Eversole. Human papillomavirus testing and reporting rates: practices of participants in the College of American Pathologists interlaboratory comparison program in gynecologic cytology.Arch Pathol Lab Med2008. 132 (8):1290\u20131294."},{"key":"i1543-2165-134-3-331-b18","series-title":"Q-Probes 2005: HPV Testing (QP053)","author":"Tworek, J. A.","year":"2005","unstructured":"Tworek, J. A., S.Raab, B. A.Jones, and K. M.Clary. Q-Probes 2005: HPV Testing (QP053). Northfield, ILCollege of American Pathologists. 2005."},{"issue":"4","key":"i1543-2165-134-3-331-b01","series-title":"Diagn Cytopathol","first-page":"390","article-title":"Atypical squamous cells of undetermined significance: interlaboratory comparison and quality assurance monitors.","volume":"11","author":"Davey, D. D.","year":"1994","unstructured":"Davey, D. D., S.Naryshkin, M. L.Nielsen, and T. S.Kline. Atypical squamous cells of undetermined significance: interlaboratory comparison and quality assurance monitors.Diagn Cytopathol1994. 11 (4):390\u2013396."},{"issue":"5","key":"i1543-2165-134-3-331-b02","series-title":"Arch Pathol Lab Med","first-page":"440","article-title":"Atypical squamous cells of undetermined significance: current laboratory practices of participants in the College of American Pathologists interlaboratory comparison program in cervicovaginal cytology.","volume":"120","author":"Davey, D. D.","year":"1996","unstructured":"Davey, D. D., M. L.Nielsen, S.Naryshkin, J. A.Robb, T.Cohen, and T. S.Kline. 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Bethesda 2001 implementation and reporting rates: 2003 practices of participants in the College of American Pathologists interlaboratory program in cervicovaginal cytology.Arch Pathol Lab Med2004. 128 (11):1224\u20131229."},{"key":"i1543-2165-134-3-331-b06","series-title":"Laboratory accreditation program: Cytopathology checklist","year":"2007","unstructured":"Commission on Laboratory Accreditation\n          \n          Laboratory accreditation program: Cytopathology checklist. Northfield, ILCollege of American Pathologists. 2007."},{"issue":"16","key":"i1543-2165-134-3-331-b07","series-title":"JAMA","first-page":"2114","article-title":"The 2001 Bethesda System: terminology for reporting cervical cytology.","volume":"287","author":"Solomon, D.","year":"2002","unstructured":"Solomon, D., D.Davey, and R.Kurman. The 2001 Bethesda System: terminology for reporting cervical cytology.JAMA2002. 287 (16):2114\u20132119."},{"issue":"4","key":"i1543-2165-134-3-331-b08","series-title":"J Natl Cancer Inst","first-page":"293","article-title":"Comparison of three management strategies for patients with atypical squamous cells of undetermined significance: baseline results from a randomized trial.","volume":"93","author":"Solomon, D.","year":"2001","unstructured":"Solomon, D., M.Schiffman, and R.Tarone. Comparison of three management strategies for patients with atypical squamous cells of undetermined significance: baseline results from a randomized trial.J Natl Cancer Inst2001. 93 (4):293\u2013299."},{"issue":"4","key":"i1543-2165-134-3-331-b09","series-title":"American Journal of Obstet and Gynecol","first-page":"346","article-title":"2006 consensus guidelines for the management of women with abnormal cervical cancer screening tests.","volume":"197","author":"Wright, T. 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