Journal List > Korean J Cytopathol > v.19(2) > 1006537

Korean J Cytopathol. 2008 Sep;19(2):65-71. Korean.
Published online September 30, 2008.  https://doi.org/10.3338/kjc.2008.19.2.65
Copyright © 2008 The Korean Society for Cytopathology
Quality Control Program and Its Results of Korean Society for Cytopathologists
Hye Kyung Lee, M.D., Sung Nam Kim, M.D.,1 Shin Kwang Khang, M.D.,2 Chang Suk Kang, M.D.,3 and Hye-Kyoung Yoon, M.D.4
Department of Pathology, Eulji University Hospital, Korea.
1Department of Pathology, P&B Pathology Clinic, Korea.
2Department of Pathology, Seoul Asan Medical Center, Korea.
3Department of Pathology, Yeouido St Mary Hospital, Korea.
4Department of Pathology, Pusan Paik Hospital, Korea.
Received July 29, 2008; Accepted August 25, 2008.

Abstract

In Korea, the quality control(QC) program forcytopathology was introduced in 1995. The program consists of a checklist for the cytolopathology departments, analysis data on all the participating institutions' QC data, including the annual data on cytologic examinations, the distribution of the gynecological cytologic diagnoses, as based on The Bethesda System 2001, and the data on cytologic-histolgical correlation of the gynecological field, and an evaluation for diagnostic accuracy. The diagnostic accuracy program has been performed 3 times per year with using gynecological, body fluid and fine needle aspiration cytologic slides. We report here on the institutional QC data and the evaluation for diagnostic accuracy since 2004, and also on the new strategy for quality control and assurance in the cytologic field. The diagnostic accuracy results of both the participating institutions and the QC committee were as follows; Category 0 and A: about 94%, Category B: 4~5%, Category C: less than 2%. As a whole, the cytologic daignostic accuracy is relatively satisfactory. In 2008, on site evaluation for pathology and cytology laboratories, as based on the "Quality Assurance Program for Pathology Services" is now going on, and a new method using virtual slides or image files for determining the diagnostic accuracy will be performed in November 2008.

Keywords: Quality control program; Cytopathology; Korea

Figures


Fig. 1
Annual data of cytology examination
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Fig. 2
Comparison of conventional smear and liquid-based cytology in gynecological cytology
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Fig. 3
Distribution of cytologic diagnoses in gynecologic cytology in 2004 and 2007
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Fig. 4
Distribution of diagnostic accuracy categories in gynecologic cytology field
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Fig. 5
Distribution of diagnostic accuracy categories in non-gynecologic cytology field
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Tables


Table 1
Protocols for the evaluation of accuracy of GYN cytologic diagnosis
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Table 2
Comparison of conventional vs liquid-based smears of gynecologic cytology in 2004 and 2007 according to the type of institution
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