Colposcopy Accuracy and Diagnostic Performance: A Quality Control and Quality Assurance Survey in Italian Tertiary-Level Teaching and Academic Institutions—The Italian Society of Colposcopy and Cervico-Vaginal Pathology (SICPCV)

• DOI: 10.3390/diagnostics13111906
• Publication Date: 2023-05-30T06:04:21Z
• Authors: Massimo Origoni; Francesco Cantatore; Francesco Sopraco...; Nicolò Clemente; Arsenio Spinillo; Barbara Gardella; Rosa De Vincenzo; Caterina Ricci; Fabio Landoni; Maria Letizia Di Meo; Andrea Ciavattini; Jacopo Di Giuseppe; Eleonora Preti; Anna Daniela Iaco...; Carmine Carriero; Miriam Dellino; Massimo Capodanno; Antonino Perino; Cesare Miglioli; Luca Insolia; Maggiorino Barbero; Massimo Candiani
• Keywords: Medicine (General); cervical cancer prevention; CIN; colposcopy; colposcopy sensitivity; colposcopy standards; diagnostic accuracy; QA; QC; SIL;; colposcopy; 610; SIL; colposcopy sensitivity; colposcopy standard; Article; 3. Good health; colposcopy standards; R5-920; cervical cancer prevention; diagnostic accuracy; colposcopy; QC; QA; colposcopy sensitivity; diagnostic accuracy; cervical cancer prevention; CIN; SIL; colposcopy standards; CIN; info:eu-repo/classification/ddc/310; QA; QC

Quality Control (QC) and Assurance (QA) principles are essential for effective cervical cancer prevention. Being a crucial diagnostic step, colposcopy’s sensitivity specificity improvements strongly advocated worldwide since inter- intra-observer differences the main limiting factors. The objective of present study was evaluation colposcopy accuracy through results QC/QA assessment from survey in Italian tertiary-level academic teaching hospitals. A web-based, user-friendly platform based on 100 colposcopic digital images forwarded to colposcopists with different levels experience. Seventy-three participants were asked identify patterns, provide personal impressions, indicate correct clinical practice. data correlated panel experts’ clinical/pathological cases. Overall threshold CIN2+ accounted 73.7% 87.7%, respectively, minor between senior junior candidates. Identification interpretation patterns showed full agreement panel, ranging 50% 82%, some instances better colposcopists. Colposcopic impressions 20% underestimation lesions, no linked level Our demonstrate good performance need improving QC assessments adhesion standard requirements recommendations.