Avaliação dos indicadores de qualidade numa unidade de Colposcopia em Portugal

• Autor(a) principal: Branco,Rute Isabel
• Data de Publicação: 2022
• Outros Autores: Urzal,Cecília, Cruz,Carmo, Viana,José, Morera,José, Pacheco,Amália
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302022000100037
• topic: Colposcopy; Cervical intraepithelial neoplasia; Loop electrosurgical excision; Quality indicators

Abstract Overview and aims: Colposcopy is considered the “gold standard” technique for the evaluation of women with abnormal cervical cancer screening tests or with a clinically suspicious cervix. The aim of this study was to evaluate the applicability of four quality indicators in colposcopy, as defined by the European Federation of Colposcopy (EFC), in a Portuguese colposcopy unit. Study design: Descriptive retrospective study. Methods and Population: We included all patients who had been submitted to excision of the cervical transformation zone in a Colposcopy unit of a tertiary Portuguese hospital, from January to December 2020. Results: A total of 110 excisions of the cervical transformation zone were performed. We found that in all cases (100%) the types of transformation zones were described and colposcopy was performed before treatment in all. In 78.2% of cases a CIN2+ lesion was described in biopsy or in the excision specimen. The resection margins were free at 90.9%. Conclusions: With this work we intend to highlight the possibility of applying the EFC criteria as a tool for the internal and external assessment of colposcopy units in Portugal.