Cumplimiento del flujo de decisiones clínicas de los algoritmos de derivación y confirmación diagnóstica del primer PAP atípico H1-Santiago Sur

Fanny López-Alegría, Orlando P. Quezada, Juan Carlos S. Oyanedel

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

Resumen

Background: An algorithm can be defined as a set of operations and procedures that must be followed in order to solve a problem. Objective: Determine the compliance of the clinical decisions flow and procedures recommended by the ASCUS results derivation and diagnostic confirmation algorithms established in the National Program of Search and Control of Cervical Cancer of Chile. Methods: An epidemiological, descriptive, observational and quantitative study of a follow up investigation of a cohort of women with ASCUS cytological reports. These women belonging in the health care centers in the South Metropolitan area of Santiago de Chile. The algorithms “The Specialist Derivation Algorithm or UPC for the first atypical Pap according to the Bethesda 2001 classification” and “Diagnosis Confirmation Algorithm” were used for the follow-up process of these patients. Results: Women with a first ASCUS report were selected (n = 446). The compliance of the clinical decisions flow to derivation algorithm was 42.4% and alternative behaviors were 5.8%. In the diagnosis confirmation algorithm was 89.6% the compliance the recommended procedures. Conclusion: Half ASCUS carrier women followed the procedures recommended by the derivation algorithm. In the algorithms of diagnostic confirmation it is met mostly.

Título traducido de la contribuciónCompliance of the clinical decisions flow of the derivation algorithms and diagnostic confirmation of the first atypical Pap H1-Southern Santiago
Idioma originalEspañol
Páginas (desde-hasta)338-351
Número de páginas14
PublicaciónRevista Chilena de Obstetricia y Ginecologia
Volumen83
N.º4
DOI
EstadoPublicada - 1 sep 2018

Palabras clave

  • Algorithm
  • Atypical smear
  • Atypical squamous cells
  • Guideline adherence
  • Pap test

Áreas temáticas de ASJC Scopus

  • Ginecología y obstetricia

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