Journal of Cytology
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ORIGINAL ARTICLE
Year : 1997  |  Volume : 14  |  Issue : 2  |  Page : 27-32

An audit of cytopathological services in India -Questionnaire based cross sectional study


1 King George's Medical College, Lucknow - 226 003 (U.P.), India
2 Upgraded Department of Pathology and Surgery, King George's Medical College, Lucknow - 226 003 (U.P.), India

Correspondence Address:
Madhu Mati Goel
Assistant Professor, Department of Pathology, King George's Medical College, Lucknow - 226 003 (U.P.)
India
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Source of Support: None, Conflict of Interest: None


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Self administered questionnaire-based audit of cytopathological services prevalent in India was conducted. Of the 55 cytopathologists addressed, only 47 responded promptly. Of these 47 respondents, 68% provided diagnostic cytological services on a regular basis and the rest occasionally. Seventy two percent respondents preferred to perform aspiration themselves. The sensitivity, specificity and predictive values were calculated as "sometimes" by half of the respondents and a median score of 3 on a 5-point analog scale was obtained for this question. The inter and intra observer variability were "often/routinely" calculated by 40% of the respondents with a median score of 3 on a 5-point Likert Scale. On questions like, differentiation of the classes of report, scheduling the cytology time in their routine, evaluating the level of diagnostic help by post cytology probabilities, (pre test-post test probability) were all below 50% with low median scores. These results indicate that cytology as a diagnostic tool will gain even more credence if stringent methods of quality assurance are adopted by those who practice it. The study has allowed us to create the quality assurance instrument for the audit of diagnostic cytological services.


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