2017 update of the European Federation for Colposcopy (EFC) performance standards for the practice of colposcopy

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Petry , K U , Nieminen , P J , Leeson , S C , Bergeron , C O M A & Redman , C W E 2018 , ' 2017 update of the European Federation for Colposcopy (EFC) performance standards for the practice of colposcopy ' , European Journal of Obstetrics, and Gynecology ,and Reproductive Biology , vol. 224 , pp. 137-141 . https://doi.org/10.1016/j.ejogrb.2018.03.024

Title: 2017 update of the European Federation for Colposcopy (EFC) performance standards for the practice of colposcopy
Author: Petry, K. Ulrich; Nieminen, Pekka J.; Leeson, Simon C.; Bergeron, Christine O.M.A.; Redman, Charles W.E.
Contributor: University of Helsinki, Clinicum
Date: 2018-05
Language: eng
Number of pages: 5
Belongs to series: European Journal of Obstetrics, and Gynecology ,and Reproductive Biology
ISSN: 0301-2115
URI: http://hdl.handle.net/10138/236442
Abstract: A refinement of quality indicators (Qls) is described whereby the quality of care can be measured across colposcopy services in different countries and healthcare settings. A five-round Delphi process was conducted at successive satellite meetings from 2011 to 2015 of leading European colposcopists to refine the most high-scoring Qls relevant to colposcopic practice. A review and refinement of the wording of the standards and their criteria was undertaken by national society representatives. Six quality indicators were identified and refined. "Documentation of whether the squamocolumnar junction (SCJ) has been visible or not" was changed into "for cervical colposcopy transformation zone (TZ) type (1, 2 or 3) should be documented". The standard "percentage of cases having a colposcopic examination prior to treatment for abnormal cytology" was changed to "percentage of cases having a colposcopic examination prior to treatment for abnormal cervical screening test". The standard "percentage of all excisional treatments/conizations containing CIN2+ (cervical intra-epithelial neoplasia grade two or worse)" was changed into "percentage of excisional treatments/conizations having a definitive histology of CIN2+. Definitive histology is highest grade from any diagnostic or therapeutic biopsies". The standard "percentage of excised lesions/conizations with clear margins" was unchanged. The remaining two Qls define the minimum caseloads required for colposcopists. However, "cytology" was replaced by "screening results"to acknowledge the introduction of human papillomavirus testing to European screening programmes. Six Qls were identified to define good practice in colposcopy. (C) 2018 The Authors. Published by Elsevier B.V.
Subject: 3123 Gynaecology and paediatrics
colposcopy
healthcare quality assurance
early detection of cancer
multicenter
cervical pathology
international federation
utility
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