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 language | English |
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Pages (from-to) | 123-126 |
Number of pages | 4 |
Journal | European Journal of Obstetrics and Gynecology and Reproductive Biology |
Volume | 135 |
Issue number | 1 |
DOIs | |
Publication status | Published - Nov 2007 |
Externally published | Yes |
Keywords
- Atypical squamous cells of undetermined significance
- Colposcopy
- Squamous intraepithelial lesion
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynaecology