Análise da concordância diagnóstica dos exames de papanicolau laudados pelo citotécnico e patologista

Abstract

Cervical cancer is a pathology caused by the HPV virus (human papillomavirus), being the fourth leading cause of death in women and the third most common type of cancer in the female population. Screening for the disease is done through a Pap smear through the evaluation of samples collected to identify possible cellular changes. Quality control plays a fundamental role in the steps carried out during this process to guarantee the accuracy of the exam and obtain reliable results. Therefore, this research aims to compare the agreement results of positive cases in the period from 2021 to 2023 reported by cytotechnical professionals and the pathologist in a pathology laboratory, using the Qualicito program guidelines as a basis. The statistical analysis used was descriptive and variables were analyzed qualitatively, where the reasons for disagreements were discussed and quantitative for measuring the proportion of agreement, with a value of 0.66 and Kappa coefficient corrected for random agreement with the result of 0.53. Through the results obtained, it is possible to understand the importance of the initial screening carried out by the cytotechnologist, with a review carried out by the pathologist being essential. It also demonstrates the importance of implementing courses and ongoing education programs for cytotechnicians with a focus on obtaining reliable results and a higher level of agreement between the two analyzers. [resumo fornecido pelo autor]