{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T15:11:33Z","timestamp":1770822693131,"version":"3.50.1"},"reference-count":68,"publisher":"Archives of Pathology and Laboratory Medicine","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:p>\n                    <jats:italic>Context.\u2014<\/jats:italic>\n                    Two quality metrics for gynecologic cytology are the subject of this review: \u201cprospective rescreening\u201d and \u201cretrospective rescreening.\u201d\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Objective.\u2014<\/jats:italic>\n                    To offer consensus best practice approaches based on the College of American Pathologists' laboratory-based survey funded by the Centers for Disease Control and Prevention.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Design.\u2014<\/jats:italic>\n                    The College of American Pathologists submitted a paper-based survey to 1245 laboratories. After review of initial results, follow-up Web-based survey results, and a literature review, consensus best practice statements were presented at a national consensus conference. These statements were discussed and voted upon by conference participants.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Results.\u2014<\/jats:italic>\n                    A total of 541 laboratories responded to survey questions about prospective and retrospective rescreening. Most laboratories (&gt;85%) prospectively rescreen more than 10% of Pap tests interpreted as negative for intraepithelial lesion or malignancy. Most (72%) report inclusion of less than 20% high-risk cases. Most laboratories use multiple measures to define \u201chigh risk.\u201d Most laboratories (96.2%) retrospectively rescreen Pap tests from the preceding 5 years only. In most laboratories (71.4%) only Pap test results with high-grade squamous intraepithelial lesion or worse prompt retrospective review.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Conclusions.\u2014<\/jats:italic>\n                    The number of Pap tests from high-risk patients should be maximized in prospective and retrospective rescreening. Unsatisfactory Pap tests should also be included. All readily identifiable high-risk human papillomavirus\u2013positive cases with an interpretation of negative for intraepithelial lesion or malignancy should be prospectively rescreened. Cervical biopsy results with high-grade cervical intraepithelial neoplasia or worse (CIN 2+) should trigger retrospective rescreening. Regular feedback should be provided to cytotechnologists and cytopathologists. Upgraded diagnoses from negative for intraepithelial lesion or malignancy to atypical squamous cells, cannot exclude high-grade squamous intraepithelial lesion, should be monitored.\n                  <\/jats:p>","DOI":"10.5858\/arpa.2012-0178-oa","type":"journal-article","created":{"date-parts":[[2013,1,31]],"date-time":"2013-01-31T13:59:27Z","timestamp":1359640767000},"page":"175-182","source":"Crossref","is-referenced-by-count":15,"title":["Prospective and Retrospective Review of Gynecologic Cytopathology: Findings From the College of American Pathologists Gynecologic Cytopathology Quality Consensus Conference Working Group 2"],"prefix":"10.5858","volume":"137","author":[{"given":"Jennifer A.","family":"Brainard","sequence":"first","affiliation":[{"name":"From the Department of Anatomic Pathology, Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio (Drs Brainard and Elsheikh); the Department of Anatomic Pathology, Grady Health System, Emory University School of Medicine, Atlanta, Georgia (Dr Birdsong); the Surveys Department (Mr Hartley) and the Department of Biostatistics (Ms Souers), College of American Pathologists, Northfield, Illinois; Anatomic Pathology Division, University of Michigan Health Systems..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George G.","family":"Birdsong","sequence":"additional","affiliation":[{"name":"From the Department of Anatomic Pathology, Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio (Drs Brainard and Elsheikh); the Department of Anatomic Pathology, Grady Health System, Emory University School of Medicine, Atlanta, Georgia (Dr Birdsong); the Surveys Department (Mr Hartley) and the Department of Biostatistics (Ms Souers), College of American Pathologists, Northfield, Illinois; Anatomic Pathology Division, University of Michigan Health Systems..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarik M.","family":"Elsheikh","sequence":"additional","affiliation":[{"name":"From the Department of Anatomic Pathology, Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio (Drs Brainard and Elsheikh); the Department of Anatomic Pathology, Grady Health System, Emory University School of Medicine, Atlanta, Georgia (Dr Birdsong); the Surveys Department (Mr Hartley) and the Department of Biostatistics (Ms Souers), College of American Pathologists, Northfield, Illinois; Anatomic Pathology Division, University of Michigan Health Systems..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David A.","family":"Hartley","sequence":"additional","affiliation":[{"name":"From the Department of Anatomic Pathology, Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio (Drs Brainard and Elsheikh); the Department of Anatomic Pathology, Grady Health System, Emory University School of Medicine, Atlanta, Georgia (Dr Birdsong); the Surveys Department (Mr Hartley) and the Department of Biostatistics (Ms Souers), College of American Pathologists, Northfield, Illinois; Anatomic Pathology Division, University of Michigan Health Systems..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalyani","family":"Naik","sequence":"additional","affiliation":[{"name":"From the Department of Anatomic Pathology, Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio (Drs Brainard and Elsheikh); the Department of Anatomic Pathology, Grady Health System, Emory University School of Medicine, Atlanta, Georgia (Dr Birdsong); the Surveys Department (Mr Hartley) and the Department of Biostatistics (Ms Souers), College of American Pathologists, Northfield, Illinois; Anatomic Pathology Division, University of Michigan Health Systems..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret H.","family":"Neal","sequence":"additional","affiliation":[{"name":"From the Department of Anatomic Pathology, Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio (Drs Brainard and Elsheikh); the Department of Anatomic Pathology, Grady Health System, Emory University School of Medicine, Atlanta, Georgia (Dr Birdsong); the Surveys Department (Mr Hartley) and the Department of Biostatistics (Ms Souers), College of American Pathologists, Northfield, Illinois; Anatomic Pathology Division, University of Michigan Health Systems..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhona J.","family":"Souers","sequence":"additional","affiliation":[{"name":"From the Department of Anatomic Pathology, Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio (Drs Brainard and Elsheikh); the Department of Anatomic Pathology, Grady Health System, Emory University School of Medicine, Atlanta, Georgia (Dr Birdsong); the Surveys Department (Mr Hartley) and the Department of Biostatistics (Ms Souers), College of American Pathologists, Northfield, Illinois; Anatomic Pathology Division, University of Michigan Health Systems..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael R.","family":"Henry","sequence":"additional","affiliation":[{"name":"From the Department of Anatomic Pathology, Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio (Drs Brainard and Elsheikh); the Department of Anatomic Pathology, Grady Health System, Emory University School of Medicine, Atlanta, Georgia (Dr Birdsong); the Surveys Department (Mr Hartley) and the Department of Biostatistics (Ms Souers), College of American Pathologists, Northfield, Illinois; Anatomic Pathology Division, University of Michigan Health Systems..."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3906","reference":[{"key":"i1543-2165-137-2-175-b01","series-title":"Fed Regist","first-page":"7001","article-title":"Clinical Laboratory Improvement Amendments of 1988: final rule","volume":"57","year":"1992","unstructured":"Clinical Laboratory Improvement Amendments of 1988: final rule. Fed Regist. 1992;57:7001\u20137186. Current CLIA regulations available at: http:\/\/www.phppo.cdc.gov\/clia\/regs\/toc.aspx. Accessed August 1, 2012."},{"issue":"3","key":"i1543-2165-137-2-175-b02","series-title":"Clin Lab Med","first-page":"695","article-title":"Rescreening in cervical cytology for quality control; when bad data is worse than no data or what works, what doesn't, and why","volume":"23","author":"Renshaw\n              AA.","year":"2003","unstructured":"Renshaw\n              AA. \n          \n          Rescreening in cervical cytology for quality control; when bad data is worse than no data or what works, what doesn't, and why. Clin Lab Med. 2003;23(3):695\u2013708."},{"issue":"9B","key":"i1543-2165-137-2-175-b03","series-title":"J Cell Mol Med","first-page":"4051","article-title":"Quality control for normal liquid-based cytology: rescreening, high-risk HPV targeted reviewing and\/or high-risk HPV detection?","volume":"13","author":"Depuydt\n              CE,","year":"2009","unstructured":"Depuydt\n              CE, \n            \n              Arbyn\n              M, \n            \n              Benoy\n              IH, \n            et al\n          . Quality control for normal liquid-based cytology: rescreening, high-risk HPV targeted reviewing and\/or high-risk HPV detection?J Cell Mol Med. 2009;13(9B):4051\u20134060."},{"issue":"6","key":"i1543-2165-137-2-175-b04","series-title":"Cancer","first-page":"325","article-title":"One hundred percent thorough quality control rescreening of liquid-based monolayers in cervicovaginal cytopathology","volume":"96","author":"Rowe\n              LR,","year":"2002","unstructured":"Rowe\n              LR, \n            \n              Marshall\n              CJ, \n            \n              Bentz\n              JS. \n          \n          One hundred percent thorough quality control rescreening of liquid-based monolayers in cervicovaginal cytopathology. 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Clin Lab Manage Rev. 1998;12(2):91\u201396."},{"issue":"12","key":"i1543-2165-137-2-175-b08","series-title":"Arch Pathol Lab Med","first-page":"1557","article-title":"Prevalence of abnormalities influences cytologists' error rates in screening for cervical cancer","volume":"135","author":"Evans\n              KK,","year":"2011","unstructured":"Evans\n              KK, \n            \n              Tambouret\n              RH, \n            \n              Evered\n              A, \n            \n              Wilbur\n              DC, \n            \n              Wolfe\n              JM. \n          \n          Prevalence of abnormalities influences cytologists' error rates in screening for cervical cancer. Arch Pathol Lab Med. 2011;135(12):1557\u20131560."},{"issue":"2","key":"i1543-2165-137-2-175-b09","series-title":"Cancer","first-page":"106","article-title":"The human false-negative rate of rescreening Pap tests; measured in a two-arm prospective clinical trial","volume":"93","author":"Renshaw\n              AA,","year":"2001","unstructured":"Renshaw\n              AA, \n            \n              Lezon\n              KM, \n            \n              Wilbur\n              DC. \n          \n          The human false-negative rate of rescreening Pap tests; measured in a two-arm prospective clinical trial. 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Acta Cytol. 2009;53(3):271\u2013276."},{"issue":"5","key":"i1543-2165-137-2-175-b14","series-title":"Cancer","first-page":"294","article-title":"Assuring the quality of quality assurance: seeding abnormal slides into the negative Papanicolaou smears that will be rapid rescreened","volume":"114","author":"Clarke\n              J,","year":"2008","unstructured":"Clarke\n              J, \n            \n              Thurloe\n              JK, \n            \n              Bowditch\n              RC, \n            \n              Roberts\n              JM. \n          \n          Assuring the quality of quality assurance: seeding abnormal slides into the negative Papanicolaou smears that will be rapid rescreened. Cancer. 2008;114(5):294\u2013299."},{"issue":"3","key":"i1543-2165-137-2-175-b15","series-title":"J Clin Pathol","first-page":"385","article-title":"High-risk human papillomavirus is present in cytologically false-negative smears: an analysis of \u201cnormal\u201d smears preceding CIN2\/3","volume":"61","author":"Bulk\n              S,","year":"2008","unstructured":"Bulk\n              S, \n            \n              Rozendaal\n              L, \n            \n              Zielinski\n              GD, \n            et al\n          . High-risk human papillomavirus is present in cytologically false-negative smears: an analysis of \u201cnormal\u201d smears preceding CIN2\/3. 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Clin Lab Manage Rev. 1998;12(2):91\u201396."},{"issue":"12","key":"i1543-2165-137-2-175-b08","series-title":"Arch Pathol Lab Med","first-page":"1557","article-title":"Prevalence of abnormalities influences cytologists' error rates in screening for cervical cancer","volume":"135","author":"Evans\n              KK,","year":"2011","unstructured":"Evans\n              KK, \n            \n              Tambouret\n              RH, \n            \n              Evered\n              A, \n            \n              Wilbur\n              DC, \n            \n              Wolfe\n              JM. \n          \n          Prevalence of abnormalities influences cytologists' error rates in screening for cervical cancer. 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