Interobserver agreement on interpreting hand drawings of colposcopy in women with borderline cytology to predict high-grade lesions

Celesta Wensveen, Marjolein Kagie, Nico Nagelkerke, Baptist Trimbos

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Objective: To assess the interobserver agreement on interpreting hand drawings as a colposcopic image recording technique in women with borderline cytology and to assess the correlation between colposcopic impression and histological outcome. Methods: We used colposcopic documentation and histology from a cohort study of women with borderline dyskaryosis. Four gynecologists and four residents scored the same 30 colposcopic documentation forms. Results: There is a good interobserver agreement on classifying colposcopic hand drawings as high-grade lesions (average kappa 0.58). The interobserver agreement on interpreting colposcopic image was higher for the more highly experienced gynecologists than for the residents. The agreement between colposcopic impression and histological outcome is poor (kappa 0.17) among the observers. Conclusions: Hand drawings are a reliable recording technique of interpreting colposcopic impression documented as high-grade lesion. However, the correlation between colposcopic impression and histological outcome is still poor in women with minor cytological abnormalities.

Original languageEnglish
Pages (from-to)123-126
Number of pages4
JournalEuropean Journal of Obstetrics and Gynecology and Reproductive Biology
Volume135
Issue number1
DOIs
Publication statusPublished - Nov 2007

Keywords

  • Atypical squamous cells of undetermined significance
  • Colposcopy
  • Squamous intraepithelial lesion

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

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