Adherence to practice guidelines for atypical glandular cells on cervical cytology.
Publication/Presentation Date
1-1-2013
Abstract
BACKGROUND: Atypical glandular cells (AGC) on cervical cytology are high-risk, requiring an extensive evaluation. Compliance with practice guidelines for AGC, however, has been low. Some AGC cytology reports contain cytopathologist recommendations for evaluation. This study determines whether evaluation rates for AGC have improved over time, and whether cytopathologists' recommendations correlate with the types of evaluation women receive.
METHODS: Evaluation rates from 284 women with AGC (2004-2007) were compared with findings from 1998-2001. Rates of evaluations were compared based on cytology report recommendations.
RESULTS: A total of 76.1% of the AGC cases had histologic sampling, and 58.8% had a comprehensive evaluation. These rates are higher than those from 1998-2001 (63.5% and 35.8%, respectively; P
CONCLUSIONS: Adherence to practice guidelines for the evaluation of women with AGC has improved but continues to be suboptimal. Our findings suggest that continuing education and including practice guidelines on AGC cytology reports may improve compliance.
Volume
121
Issue
1
First Page
47
Last Page
53
ISSN
1934-6638
Published In/Presented At
Sharpless, K. E., King, C. R., & Schnatz, P. F. (2013). Adherence to practice guidelines for atypical glandular cells on cervical cytology. Cancer cytopathology, 121(1), 47–53. https://doi.org/10.1002/cncy.21211
Disciplines
Medicine and Health Sciences
PubMedID
22693041
Department(s)
Department of Obstetrics and Gynecology
Document Type
Article