TY - JOUR
T1 - Interobserver agreement on interpreting hand drawings of colposcopy in women with borderline cytology to predict high-grade lesions
AU - Wensveen, Celesta
AU - Kagie, Marjolein
AU - Nagelkerke, Nico
AU - Trimbos, Baptist
PY - 2007/11
Y1 - 2007/11
N2 - 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.
AB - 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.
KW - Atypical squamous cells of undetermined significance
KW - Colposcopy
KW - Squamous intraepithelial lesion
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U2 - 10.1016/j.ejogrb.2006.08.001
DO - 10.1016/j.ejogrb.2006.08.001
M3 - Article
C2 - 16973255
AN - SCOPUS:35648972754
SN - 0301-2115
VL - 135
SP - 123
EP - 126
JO - European Journal of Obstetrics and Gynecology and Reproductive Biology
JF - European Journal of Obstetrics and Gynecology and Reproductive Biology
IS - 1
ER -