{"id":6251,"date":"2023-04-20T08:22:07","date_gmt":"2023-04-20T08:22:07","guid":{"rendered":"https:\/\/www.eurocytology.eu\/course\/relatorios-citologicos\/"},"modified":"2023-04-20T08:22:07","modified_gmt":"2023-04-20T08:22:07","slug":"relatorios-citologicos","status":"publish","type":"course","link":"https:\/\/www.eurocytology.eu\/pt-pt\/course\/relatorios-citologicos\/","title":{"rendered":"Relat\u00f3rios  Citol\u00f3gicos"},"content":{"rendered":"<div data-object_id=\"6251\" class=\"cbxwpbkmarkwrap cbxwpbkmarkwrap_guest cbxwpbkmarkwrap_user_cat cbxwpbkmarkwrap-course \"><a  data-redirect-url=\"https:\/\/www.eurocytology.eu\/pt-pt\/wp-json\/wp\/v2\/course\/6251\/\"  data-display-label=\"1\" data-show-count=\"1\" data-bookmark-label=\"Bookmark\"  data-bookmarked-label=\"Bookmarked\"  data-loggedin=\"0\" data-type=\"course\" data-object_id=\"6251\" class=\"cbxwpbkmarktrig  cbxwpbkmarktrig-button-addto\" title=\"Bookmark This\" href=\"#\"><span class=\"cbxwpbkmarktrig-label\" >Bookmark (<i class=\"cbxwpbkmarktrig-count\">0<\/i>)<\/span><\/a> <div  data-type=\"course\" data-object_id=\"6251\" class=\"cbxwpbkmarkguestwrap\" id=\"cbxwpbkmarkguestwrap-6251\"><div class=\"cbxwpbkmarkguest-message\"><a href=\"#\" class=\"cbxwpbkmarkguesttrig_close\"><\/a><h3 class=\"cbxwpbookmark-title cbxwpbookmark-title-login\">Please login to bookmark<\/h3><form name=\"loginform\" id=\"loginform\" action=\"https:\/\/www.eurocytology.eu\/wp-login.php\" method=\"post\"><p class=\"login-username\">\n\t\t\t\t<label for=\"user_login\">Nome de utilizador ou endere\u00e7o de email<\/label>\n\t\t\t\t<input type=\"text\" name=\"log\" id=\"user_login\" autocomplete=\"username\" class=\"input\" value=\"\" size=\"20\" \/>\n\t\t\t<\/p><p class=\"login-password\">\n\t\t\t\t<label for=\"user_pass\">Senha<\/label>\n\t\t\t\t<input type=\"password\" name=\"pwd\" id=\"user_pass\" autocomplete=\"current-password\" spellcheck=\"false\" class=\"input\" value=\"\" size=\"20\" \/>\n\t\t\t<\/p><p class=\"login-remember\"><label><input name=\"rememberme\" type=\"checkbox\" id=\"rememberme\" value=\"forever\" \/> Manter sess\u00e3o<\/label><\/p><p class=\"login-submit\">\n\t\t\t\t<input type=\"submit\" name=\"wp-submit\" id=\"wp-submit\" class=\"button button-primary\" value=\"Iniciar sess\u00e3o\" \/>\n\t\t\t\t<input type=\"hidden\" name=\"redirect_to\" value=\"https:\/\/www.eurocytology.eu\/pt-pt\/wp-json\/wp\/v2\/course\/6251\/\" \/>\n\t\t\t<\/p><\/form><p class=\"cbxwpbookmark-guest-register\">No account yet? <a href=\"https:\/\/www.eurocytology.eu\/pt-pt\/register\/?redirect_to=https%3A%2F%2Fwww.eurocytology.eu%2Fpt-pt%2Fwp-json%2Fwp%2Fv2%2Fcourse%2F6251%2F\">Register<\/a><\/p><\/div><\/div><\/div><h3><strong>Fontes de<\/strong><strong> erro<\/strong><\/h3>\n<p><strong style=\"color: inherit; font-family: inherit;\">Treinamento inadequado e atualiza\u00e7\u00e3o de patologistas<\/strong><span style=\"color: inherit; font-family: inherit;\">, particularmente aqueles com pouco interesse em citologia cervical.<\/span><\/p>\n<ul>\n<li><strong>Confian\u00e7a insuficiente<\/strong> para questionar citot\u00e9cnicos.<\/li>\n<li><strong>Falta de experi\u00eancia<\/strong><strong> na an\u00e1lise de altera\u00e7\u00f5es reativas<\/strong> benignas levando a um excesso de diagn\u00f3sticos de&nbsp; altera\u00e7\u00f5es at\u00edpicas ou lim\u00edtrofes .<\/li>\n<li><strong>Cargas de trabalho<\/strong><strong> excessiva, espa\u00e7o de laborat\u00f3rio e equipamentos inadequados<\/strong> podem afetar o desempenho de qualquer n\u00edvel de pessoal.<\/li>\n<\/ul>\n<p><strong>CQ e GQ dos relat\u00f3rios finais emitidos pelo laborat\u00f3rio<\/strong><\/p>\n<h4>&nbsp;<\/h4>\n<h4>Princ\u00edpios<\/h4>\n<ul>\n<li>A comunica\u00e7\u00e3o regular entre citot\u00e9cnicos e patologistas, utilizando microsc\u00f3pios com v\u00e1rias cabe\u00e7as, para discutir casos dif\u00edceis antes que os relat\u00f3rios sejam emitidos fornece um m\u00e9todo dia-a-dia do controle de qualidade.<\/li>\n<li>A garantia de qualidade dos relat\u00f3rios finais com base em resultados histol\u00f3gicos requer terminologia padr\u00e3o, registo preciso e acesso a resultados de colposcopia e histopatologia.<\/li>\n<li>Como explicado em outros t\u00f3picos, \u00e9 imposs\u00edvel medir a sensibilidade sem conhecer a preval\u00eancia de anormalidades de alto grau e c\u00e2ncer na popula\u00e7\u00e3o rastreada com resultados &nbsp;negativos. M\u00e9todos alternativos &nbsp;podem ser &nbsp;utilizados, tais como monitoramento de taxas de notifica\u00e7\u00e3o e &nbsp;compara\u00e7\u00e3o &nbsp;de dados com com padr\u00f5es regionais e nacionais (Wiener et al., 2007).<\/li>\n<li>Taxas de refer\u00eancia para citologias com diagn\u00f3stico de les\u00e3o de de alto grau podem ser comparados entre os patologistas para GQ interna ou, como uma forma de GQ externa entre laborat\u00f3rios e dados regionais ou nacionais.<\/li>\n<\/ul>\n<p>\nVaria\u00e7\u00e3o consider\u00e1vel nas taxas de notifica\u00e7\u00e3o de les\u00e3o de alto grau em nove laborat\u00f3rios, com uma popula\u00e7\u00e3o total de 1 milh\u00e3o de pessoas, aprimorou a meta para mais pr\u00f3ximo do esperado no NHSCSP atrav\u00e9s da colabora\u00e7\u00e3o inter-laborat\u00f3rio e a compara\u00e7\u00e3o de taxas de notifica\u00e7\u00e3o durante um per\u00edodo de cinco anos (Figura 11.4; Butland &amp; Herbert 1996).<\/p>\n<figure><a data-toggle=\"modal\" href=\"#modal-container-2\"><img fetchpriority=\"high\" decoding=\"async\" alt=\"\" height=\"251\" src=\"http:\/\/lnx.eurocytology.eu\/sites\/default\/files\/styles\/max\/public\/images\/2286_1427648199.png?itok=gqrmL9MC\" width=\"547\" \/><\/a><figcaption>Figura 11.2 Taxas de refer\u00eancia para discariose de alto grau em nove laborat\u00f3rios: Figura 2 de Butland &amp; Herbert 1996<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p><strong>Taxas de refer\u00eancia para les\u00e3o de baixo grau e atipias limitrofes \/ citologia at\u00edpica<\/strong> pode fornecer informa\u00e7\u00f5es sobre os perfis de informa\u00e7\u00e3o, uso excessivo de categorias lim\u00edtrofes \/ at\u00edpicos.<\/p>\n<p><strong>Taxas de notifica\u00e7\u00e3o de citologias inadequadas<\/strong> fornecem&nbsp; um indicador que pode ser \u00fatil para monitorar amostras, assim como o desempenho do laborat\u00f3rio.<\/p>\n<p><strong>O valor preditivo positivo<\/strong> de amostras diagnosticadas como les\u00e3o (discariose) de alto grau que dever\u00e3o corresponder a NIC 2 + a colposcopia fornecem uma medida alternativa de analisar a especificidade ( reflete os falso- positivos ).<\/p>\n<p><strong>Padr\u00f5es exequ\u00edveis em termos de resultados histol\u00f3gicos<\/strong>: o Programa de Rastreio do colo do \u00fatero NHS na Inglaterra fornece 5-95% percentis como padr\u00f5es alcan\u00e7\u00e1veis ??para VPP, o valor de refer\u00eancia (VR) e as taxas de exames inadequados como medidas de desempenho (Figura 11.5). Aumentos na VR refletem uma mudan\u00e7a de na triagem por testes de HPV, com um maior n\u00famero de mulheres com altera\u00e7\u00f5es lim\u00edtrofes ( borderline) e discariose de baixo grau que s\u00e3o referidas \u00e0 colposcopia.VPP e VR ambos medem desempenho do laborat\u00f3rio no exame citol\u00f3gico em rela\u00e7\u00e3o ao resultado histol\u00f3gico, dando uma medida mais objetiva do desempenho do que a an\u00e1lise de taxas isoladas (HSCIC 2014).<\/p>\n<figure><a data-toggle=\"modal\" href=\"#modal-container-2\"><img decoding=\"async\" alt=\"\" height=\"360\" src=\"http:\/\/lnx.eurocytology.eu\/sites\/default\/files\/styles\/max\/public\/images\/2287_1427648253.png?itok=jrU2aFti\" width=\"955\" \/><\/a><figcaption>Figure 11.3. VPP e do VR padr\u00f5es alcan\u00e7\u00e1veis para o Programa de Rastreio do colo do \u00fatero NHS na Inglaterra com base no resultado histol\u00f3gico. (Tabela I a partir de HSCIC 2014<br \/>\n*N\u00famero de mulheres encaminhadas para colposcopia para detectar um caso de CIN2 +<br \/>\n**% Das amostras de GP e &nbsp;cl\u00ednicas comunit\u00e1rias<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<table border=\"3\" cellpadding=\"1\" cellspacing=\"1\" style=\"width: 500px;\">\n<tbody>\n<tr>\n<td>\n<h3 style=\"margin-left: 14.2pt;\"><strong>Garantia de Qualidade<\/strong><strong> da citologia relat\u00f3rios dos laborat\u00f3rio<\/strong><\/h3>\n<ul>\n<li style=\"margin-left: 14.2pt;\">Taxas de les\u00f5es de&nbsp; alto grau, de baixo grau e de exames inadequados fornece uma medida de desempenho individual e do laborat\u00f3rio<\/li>\n<li style=\"margin-left: 14.2pt;\">Padr\u00f5es baseados em resultados histol\u00f3gicos, tais como o valor preditivo positivo e o valor de refer\u00eancia fornecer medidas mais objetivas de desempenho<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<div data-object_id=\"6251\" class=\"cbxwpbkmarkwrap cbxwpbkmarkwrap_guest cbxwpbkmarkwrap_user_cat cbxwpbkmarkwrap-course \"><a  data-redirect-url=\"https:\/\/www.eurocytology.eu\/pt-pt\/wp-json\/wp\/v2\/course\/6251\/\"  data-display-label=\"1\" data-show-count=\"1\" data-bookmark-label=\"Bookmark\"  data-bookmarked-label=\"Bookmarked\"  data-loggedin=\"0\" data-type=\"course\" data-object_id=\"6251\" class=\"cbxwpbkmarktrig  cbxwpbkmarktrig-button-addto\" title=\"Bookmark This\" href=\"#\"><span class=\"cbxwpbkmarktrig-label\" >Bookmark (<i class=\"cbxwpbkmarktrig-count\">0<\/i>)<\/span><\/a> <div  data-type=\"course\" data-object_id=\"6251\" class=\"cbxwpbkmarkguestwrap\" id=\"cbxwpbkmarkguestwrap-6251\"><div class=\"cbxwpbkmarkguest-message\"><a href=\"#\" class=\"cbxwpbkmarkguesttrig_close\"><\/a><h3 class=\"cbxwpbookmark-title cbxwpbookmark-title-login\">Please login to bookmark<\/h3><form name=\"loginform\" id=\"loginform\" action=\"https:\/\/www.eurocytology.eu\/wp-login.php\" method=\"post\"><p class=\"login-username\">\n\t\t\t\t<label for=\"user_login\">Nome de utilizador ou endere\u00e7o de email<\/label>\n\t\t\t\t<input type=\"text\" name=\"log\" id=\"user_login\" autocomplete=\"username\" class=\"input\" value=\"\" size=\"20\" \/>\n\t\t\t<\/p><p class=\"login-password\">\n\t\t\t\t<label for=\"user_pass\">Senha<\/label>\n\t\t\t\t<input type=\"password\" name=\"pwd\" id=\"user_pass\" autocomplete=\"current-password\" spellcheck=\"false\" class=\"input\" value=\"\" size=\"20\" \/>\n\t\t\t<\/p><p class=\"login-remember\"><label><input name=\"rememberme\" type=\"checkbox\" id=\"rememberme\" value=\"forever\" \/> Manter sess\u00e3o<\/label><\/p><p class=\"login-submit\">\n\t\t\t\t<input type=\"submit\" name=\"wp-submit\" id=\"wp-submit\" class=\"button button-primary\" value=\"Iniciar sess\u00e3o\" \/>\n\t\t\t\t<input type=\"hidden\" name=\"redirect_to\" value=\"https:\/\/www.eurocytology.eu\/pt-pt\/wp-json\/wp\/v2\/course\/6251\/\" \/>\n\t\t\t<\/p><\/form><p class=\"cbxwpbookmark-guest-register\">No account yet? <a href=\"https:\/\/www.eurocytology.eu\/pt-pt\/register\/?redirect_to=https%3A%2F%2Fwww.eurocytology.eu%2Fpt-pt%2Fwp-json%2Fwp%2Fv2%2Fcourse%2F6251%2F\">Register<\/a><\/p><\/div><\/div><\/div><p>Fontes de erro Treinamento inadequado e atualiza\u00e7\u00e3o de patologistas, particularmente aqueles com pouco interesse em citologia cervical. Confian\u00e7a insuficiente para questionar citot\u00e9cnicos. Falta de experi\u00eancia na an\u00e1lise de altera\u00e7\u00f5es reativas benignas levando a um excesso de diagn\u00f3sticos de&nbsp; altera\u00e7\u00f5es at\u00edpicas ou lim\u00edtrofes . Cargas de trabalho excessiva, espa\u00e7o de laborat\u00f3rio e equipamentos inadequados podem afetar [&hellip;]<\/p>\n","protected":false},"featured_media":0,"parent":0,"menu_order":0,"template":"","meta":[],"tags":[],"course_area":[],"authors":[],"class_list":["post-6251","course","type-course","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Relat\u00f3rios Citol\u00f3gicos - Eurocytology<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.eurocytology.eu\/pt-pt\/course\/relatorios-citologicos\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Relat\u00f3rios Citol\u00f3gicos - Eurocytology\" \/>\n<meta property=\"og:description\" content=\"Fontes de erro Treinamento inadequado e atualiza\u00e7\u00e3o de patologistas, particularmente aqueles com pouco interesse em citologia cervical. 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