Cumplimiento del flujo de decisiones clínicas de los algoritmos de derivación y confirmación diagnóstica del primer PAP atípico H1-Santiago Sur
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Fecha
2018-09
Profesor/a Guía
Facultad/escuela
Idioma
es
Título de la revista
ISSN de la revista
Título del volumen
Editor
Sociedad Chilena de Obstetricia y Ginecologia
Nombre de Curso
Licencia CC
Licencia CC
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. © 2018 Universidad de Ciencias Medicas de La Hab. All rights reserved.
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Indexación Scopus
Palabras clave
Atypical Squamous Cells of the Cervix, Uterine Cervical Neoplasms, Colposcopy
Citación
Revista Chilena de Obstetricia y Ginecología Volume 83, Issue 4, Pages 338 - 351 September 2018
DOI
10.4067/s0717-75262018000400338