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)

Article Article scientifique Article 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) eng 2023-05-29 2023-05-29 author Origoni Massimo 0000-0001-6690-3606 author Cantatore Francesco 0000-0001-9489-2123 author Sopracordevole Francesco author Clemente Nicolò author Spinillo Arsenio author Gardella Barbara 0000-0002-0812-8995 author De Vincenzo Rosa 0000-0001-7408-0435 author Ricci Caterina author Landoni Fabio author Di Meo Maria Letizia author Ciavattini Andrea author Di Giuseppe Jacopo 0000-0002-6162-6299 author Preti Eleonora author Iacobone Anna Daniela 0000-0001-6909-1228 author Carriero Carmine author Dellino Miriam author Capodanno Massimo author Perino Antonino author Miglioli Cesare 0000-0002-1181-5016 835414 Recherche et enseignement GSEM (RESEM) author Insolia Luca 0000-0003-4169-5446 402916 Research center for statistics (STATI) author Barbero Maggiorino author Candiani Massimo 1906 10.3390/diagnostics13111906 37296757 2075-4418 PMC10252434 https://www.mdpi.com/2075-4418/13/11/1906 <p>Quality Control (QC) and Quality Assurance (QA) principles are essential for effective cervical cancer prevention. Being a crucial diagnostic step, colposcopy’s sensitivity and specificity improvements are strongly advocated worldwide since inter- and intra-observer differences are the main limiting factors. The objective of the present study was the evaluation of colposcopy accuracy through the results of a QC/QA assessment from a survey in Italian tertiary-level academic and teaching hospitals. A web-based, user-friendly platform based on 100 colposcopic digital images was forwarded to colposcopists with different levels of experience. Seventy-three participants were asked to identify colposcopic patterns, provide personal impressions, and indicate the correct clinical practice. The data were correlated with a panel of experts’ evaluation and with the clinical/pathological data of the cases. Overall sensitivity and specificity with the threshold of CIN2+ accounted for 73.7% and 87.7%, respectively, with minor differences between senior and junior candidates. Identification and interpretation of colposcopic patterns showed full agreement with the experts’ panel, ranging from 50% to 82%, in some instances with better results from junior colposcopists. Colposcopic impressions correlated with a 20% underestimation of CIN2+ lesions, with no differences linked to level of experience. Our results demonstrate the good diagnostic performance of colposcopy and the need for improving accuracy through QC assessments and adhesion to standard requirements and recommendations.</p> CIN QA QC SIL cervical cancer prevention colposcopy colposcopy sensitivity colposcopy standards diagnostic accuracy Dewey 310 117 Research Center for Statistics S5 false Diagnostics 13 11 a4cc0ec0-8530-44d8-83bc-74b20b17562c Article (Published version) Public Article-scientifique-from-unpaywall.pdf 2339980 application/pdf CC BY abb7a49b1075f8e63b5c19c7c0b3340e0a7a3d006a8fc4bc42e11f096646a7c2 openAccess Faculté d'économie et de management / Research Center for Statistics

Title	Published in	Year	Views	Downloads

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)	Diagnostics	2023	100	78
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