Reproducibility of colposcopy quality indicators—A survey among members of the European Federation for Colposcopy

Author:

Randrup Tina Hovgaard1,Leeson Simon2,Ciavattini Andrea3,Eldib Ahmed4,Grigore Mihaela5,van Haaften‐de Jong Anne‐Marie6,Jariene Kristina7,Kesic Vesna89,Koiss Róbert10,Kotaniemi‐Talonen Laura1112ORCID,Quaas Jens13,Raud Terje14,Zodzika Jana15,Hammer Anne1216ORCID

Affiliation:

1. Department of Obstetrics and Gynecology Gødstrup Hospital Herning Denmark

2. European Federation for Colposcopy Triumph Benelux, Rue de la Presse Brussels Belgium

3. Gynecologic Section, Department of Odontostomatologic and Specialized Clinical Sciences Università Politecnica delle Marche Ancona Italy

4. Department of Obstetrics and Gynaecology Betsi Cadwaladr University Health Board Bangor Wales

5. Department Obstetrics, Gynecology and Pediatrics University of Medicine and Pharmacy Iasi Romania

6. Department of Obstetrics and Gynecology Haga Teaching Hospital The Hague The Netherlands

7. Lithuanian University of Health Sciences, Department of Obstetrics and Gynecology Medical Academy Kaunas Lithuania

8. Medical Faculty University of Belgrade Beograd Serbia

9. Clinic for Gynecology and Obstetrics University Clinical Center of Serbia Belgrade Serbia

10. Department of Waberer Medical Clinic Budapest Hungary

11. Department of Obstetrics and Gynecology Tampere University Hospital Tampere Finland

12. Faculty of Medicine and Health Technology Tampere University Tampere Finland

13. Grünthal Stralsund Germany

14. Tartu University Hospital Women`s Clinic Tartu Estonia

15. Riga East University Hospital, Department of Obstetrics and Gynecology Riga Stradiņš University Riga Latvia

16. Department of Clinical Medicine Aarhus University Aarhus Centrum Denmark

Abstract

AbstractIntroductionColposcopy is an important part of the diagnostic work‐up of women with an abnormal cervical screening test as it is used to guide the collection of biopsies. Although quality assurance has been used in the evaluation of screening programs, not much is known about quality indicators for the diagnostics and treatment of screen‐positive women. Therefore, the European Federation for Colposcopy developed quality indicators aiming to support colposcopy practice across Europe. We performed a survey of colposcopy cases to determine if the quality indicators are understandable, relevant, and reproducible.Material and MethodsWe conducted a survey among all members of the European Federation for Colposcopy Quality and Standards Group from November 2022 to March 2023. Members were asked to collect information on a total of 17 quality indicators for 50 women who had been newly referred for colposcopy due to an abnormal screening test between January 1, 2020 to December 31, 2021. Results were reported descriptively.ResultsWe included data on 609 cases from 12 members across Europe. The majority of the quality indicators were either achieved or within reach of the agreed standard, often due to few countries with outlying data. One quality indicator had very low performance, although stratified results indicated that two countries had different clinical management of the patient type thereby skewing the results. In addition, discrepancies between the number of cases included in each quality indicator raised concerns regarding potential misunderstanding of the quality indicator and its objective.ConclusionsQuality indicators on colposcopy must be understandable to those collecting data, highlighting the importance of validating quality indicators before data collection.

Publisher

Wiley

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