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Granular Quality Reporting for Cervical Cytology Testing.

Wagholikar KB, MacLaughlin KL, Chute CG, Greenes RA, Liu H, Chaudhry R - AMIA Jt Summits Transl Sci Proc (2015)

Bottom Line: The major obstacles for granular reporting are the complexity of surveillance guidelines and free-text data.Overall our study indicates that the quality of care varies significantly between the high and average risk patients.Our study demonstrates the use of health information technology for higher granularity of reporting for cervical cytology testing.

View Article: PubMed Central - PubMed

Affiliation: Biomedical Statistics and Informatics, Arizona State University and Health Science Research, Mayo Clinic Scottsdale.

ABSTRACT
Quality reporting for cervical cancer prevention is focused on patients with normal cervical cytology, and excludes patients with cytological abnormalities that may be at higher risk. The major obstacles for granular reporting are the complexity of surveillance guidelines and free-text data. We performed automated chart review to compare the cytology testing rates for patients with 'atypical squamous cells of undetermined significance' (ASCUS) cytology, with the rates for patients with normal cytology. We modeled the surveillance guidelines, and extracted information from free-text cytology reports, to perform this study on 28101 female patients. Our results show that patients with ASCUS cytology had significantly higher adherence rates (94.9%) than those for patients with normal cytology (90.4%). Overall our study indicates that the quality of care varies significantly between the high and average risk patients. Our study demonstrates the use of health information technology for higher granularity of reporting for cervical cytology testing.

No MeSH data available.


Related in: MedlinePlus

Overview of study design and results
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f1-2091305: Overview of study design and results

Mentions: Figure 1 and Table 2 summarize the results. A total of 28101 female patients above 21 years of age had a cervical cytology report in the last 8 years. 5.1% of these underwent hysterectomy and hence were not eligible for a cervical cytology. Of the remaining 26660 patients, 19.2 % were excluded due to the following reasons: 1) their cytological findings had high degree of abnormality requiring colposcopy, 2) their samples were unsatisfactory for evaluation, 3) the patients were reported to have had cervical cytology at another institution, 4) their last cytology report indicated other abnormalities like inadequate endocervical transformation zone or positive HPV with negative cytology, 5) they had exited cervical cancer screening as they were past age of 65 years, or 6) they had ASCUS cytology but HPV was not performed. 47 cases were error-flagged by the system.


Granular Quality Reporting for Cervical Cytology Testing.

Wagholikar KB, MacLaughlin KL, Chute CG, Greenes RA, Liu H, Chaudhry R - AMIA Jt Summits Transl Sci Proc (2015)

Overview of study design and results
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4525216&req=5

f1-2091305: Overview of study design and results
Mentions: Figure 1 and Table 2 summarize the results. A total of 28101 female patients above 21 years of age had a cervical cytology report in the last 8 years. 5.1% of these underwent hysterectomy and hence were not eligible for a cervical cytology. Of the remaining 26660 patients, 19.2 % were excluded due to the following reasons: 1) their cytological findings had high degree of abnormality requiring colposcopy, 2) their samples were unsatisfactory for evaluation, 3) the patients were reported to have had cervical cytology at another institution, 4) their last cytology report indicated other abnormalities like inadequate endocervical transformation zone or positive HPV with negative cytology, 5) they had exited cervical cancer screening as they were past age of 65 years, or 6) they had ASCUS cytology but HPV was not performed. 47 cases were error-flagged by the system.

Bottom Line: The major obstacles for granular reporting are the complexity of surveillance guidelines and free-text data.Overall our study indicates that the quality of care varies significantly between the high and average risk patients.Our study demonstrates the use of health information technology for higher granularity of reporting for cervical cytology testing.

View Article: PubMed Central - PubMed

Affiliation: Biomedical Statistics and Informatics, Arizona State University and Health Science Research, Mayo Clinic Scottsdale.

ABSTRACT
Quality reporting for cervical cancer prevention is focused on patients with normal cervical cytology, and excludes patients with cytological abnormalities that may be at higher risk. The major obstacles for granular reporting are the complexity of surveillance guidelines and free-text data. We performed automated chart review to compare the cytology testing rates for patients with 'atypical squamous cells of undetermined significance' (ASCUS) cytology, with the rates for patients with normal cytology. We modeled the surveillance guidelines, and extracted information from free-text cytology reports, to perform this study on 28101 female patients. Our results show that patients with ASCUS cytology had significantly higher adherence rates (94.9%) than those for patients with normal cytology (90.4%). Overall our study indicates that the quality of care varies significantly between the high and average risk patients. Our study demonstrates the use of health information technology for higher granularity of reporting for cervical cytology testing.

No MeSH data available.


Related in: MedlinePlus