Evaluation of the training program for p16/ Ki-67 dual immunocytochemical staining interpretation for laboratory staff without experience in cervical cytology and immunocytochemistry
, , , , , , et
26 mars 2020
À propos de cet article
Catégorie d'article: Research Article
Publié en ligne: 26 mars 2020
Pages: 201 - 208
Reçu: 22 janv. 2020
Accepté: 04 mars 2020
DOI: https://doi.org/10.2478/raon-2020-0018
Mots clés
© 2020 Veronika Kloboves Prevodnik, Ziva Pohar Marinsek, Janja Zalar, Hermina Rozina, Nika Kotnik, Tine Jerman, Jerneja Varl, Urska Ivanus, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
Figure 1
Figure 2
Figure 3
Figure 4
Individual comparison of p16/Ki-67 agreement and performance between students, senior technologist and reference
| Training | Reviewers | OPA | McNemar’s test p | κ (cohen) (95% CI) |
|---|---|---|---|---|
| S1/Reference | 81.4% | 0.000 | 0.512 (CI: 0.329–0,696) | |
| S2/Reference | 81.4% | 0.006 | 0.527 (CI: 0.349–0,705) | |
| Initial training | SC (S1)/ Reference | 94.1% | 0.131 | 0.859 (CI: 0.758–0.960) |
| (N = 118) | SC (S2)/ Reference | 94.1% | 0.131 | 0.859 (CI: 0.758–0.960) |
| SC (S1)/SC (S2) | 100.0% | / | 1.000 (CI: /) | |
| S1/Reference | 78.3% | 0.000 | 0.556 (Cl: 0.472–0.641) | |
| S2/Reference | 87.2% | 0.775 | 0.713 (Cl: 0.638–0.788) | |
| Addtional (N = 383) | SC (S1)/Reference | 86.2% | 0.006 | 0.700 (Cl: 0.625–0,775) |
| SC (S2)/Reference | 86.4% | 0.004 | 0.707 (Cl: 0.632–0.781) | |
| SC (S1)/SC (S2) | 98.7% | 1.000 | 0.973 (CI: 0.949–0.996) |
p16/Ki-67 study results and CIN2+ outcome for students, senior cytotechnologist and reference
| Reviewer | Categories of p16/Ki67 dual staining result | Initial training (N = 118) | Additional training (N = 383) | ||
|---|---|---|---|---|---|
| p16/Ki67 dual staining result N, (%) | CIN2+ outcomes N (PV, %)* | p16/Ki67 dual staining result (N, %) | CIN2+ outcomes N (PV, %)* | ||
| positive | 91 (77.1) | 65 (71.4) | 171 (44.6) | 65 (38.0) | |
| S1 | suspicious | 7 (5.9) | 2 (28.6) | 7 (1.8) | 2 (28.6) |
| negative | 20 (16.9) | 2 (10.0) | 205 (53.5) | 10 (4.9) | |
| unsatisfactory | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) | |
| positive | 92 (78.0) | 66 (71.7) | 129 (33.7) | 64 (49.6) | |
| S2 | suspicious | 2 (1.7) | 0 (0.0) | 1 (0.3) | 1 (100.0) |
| negative | 24 (20.3) | 3 (12.5) | 253 (66.1) | 12 (4.7) | |
| unsatisfactory | 0 (0) | 0 (0.0) | 0 (0.0) | 0 (0.0) | |
| positive | 83 (70.3) | 65 (78.3) | 143 (37.9) | 65 (45.5) | |
| suspicious | 2 (1.7) | 2 (100.0) | 5 (1.3) | 0 (0.0) | |
| SC (S1) | negative | 32 (27.1) | 2 (6.3) | 235 (61.4) | 12 (5.1) |
| unsatisfactory | 1 (0.8) | 0 (0.0) | 0 (0.0) | 0 (0.0) | |
| positive | 83 (70.3) | 65 (78.3) | 145 (37.9) | 64 (44.1) | |
| suspicious | 2 (1.7) | 2 (100.0) | 4 (1.0) | 0 (0.0) | |
| SC (S2) | negative | 32 (27.1) | 2 (6.3) | 234 (61.1) | 13 (5.6) |
| unsatisfactory | 1 (0.8) | 0 (0.0) | 0 (0.0) | 0 (0.0) | |
| positive | 78 (66.1) | 64 (82.1) | 114 (29.8) | 64 (56.1) | |
| Reference | suspicious | 2 (1.7) | 0 (0) | 13 (3.4) | 3 (23.1) |
| negative | 38 (32.2) | 5 (13.2) | 255 (66.6) | 10 (3.9) | |
| unsatisfactory | 0 (0.0) | 0 (0.0) | 1 (0.3) | 0 (0.0) | |