Diagnóstico precoz del cáncer de cérvix: correlación entre citología, colposcopia y biopsia / Early diagnosis of cervix cancer: Correlation between cytology, colposcopy and biopsy

Objetivo: Determinar la concordancia entre citología, colposcopia y biopsia cervical ante una citología alterada. Material y métodos: Se realizó un estudio observacional transversal, de base clínica, en un único centro. La población seleccionada consistió en 416 mujeres, de entre 25 y 65 años, con citología alterada, del 1 de agosto de 2014 al 30 de septiembre de 2016, y remitidas para estudio colposcópico y anatomopatológico al Hospital Reina Sofía de Córdoba. Se realizaron análisis estadísticos, utilizando el índice de Kappa para el grado de concordancia entre citología, colposcopia y biopsia. Resultados: Se encontró una concordancia insignificante entre citología y colposcopia (k=0,16; IC 95% 0,09-0,22); una concordancia moderada entre colposcopia y biopsia (k=0,57; IC 95% 0,47-0,68); y una concordancia insignificante entre citología y biopsia (k=0,21; IC 95% 0,08-0,34). Conclusiones: El grado de acuerdo fue mejor entre colposcopia y biopsia que entre citología y biopsia o entre citología y colposcopia

Objective: To determine the concordance between cytology, colposcopy and cervical biopsy in abnormal cytologies. Material and methods: An observational cross-sectional, clinically based, single center study was performed. The selected population consisted of 416 women between the ages of 25 and 65 who had undergone colposcopy for abnormal cytologies at the Reina Sofía Hospital, Córdoba, between August 1st, 2014, and September 30th, 2016. Statistical analysis was performed using the Kappa index for the degree of concordance between cytology, colposcopy and biopsy. Results: There was an insignificant concordance between cytology and colposcopy (k=0.16; 95% CI 0.09-0.22), a moderate concordance between colposcopy and biopsy (k=0.57; 95% CI 0.47-0.68) and an insignificant concordance between cytology and biopsy (k=0.21 (95% CI 0.08-0.34). Conclusions: Better concordance was found between colposcopy and biopsy than between either cytology and biopsy or cytology and colposcopy

[Early diagnosis of cervix cancer: Correlation between cytology, colposcopy and biopsy]. / Diagnóstico precoz del cáncer de cérvix: correlación entre citología, colposcopia y biopsia.

OBJECTIVE: To determine the concordance between cytology, colposcopy and cervical biopsy in abnormal cytologies. MATERIAL AND METHODS: An observational cross-sectional, clinically based, single center study was performed. The selected population consisted of 416 women between the ages of 25 and 65 who had undergone colposcopy for abnormal cytologies at the Reina Sofía Hospital, Córdoba, between August 1st, 2014, and September 30th, 2016. Statistical analysis was performed using the Kappa index for the degree of concordance between cytology, colposcopy and biopsy. RESULTS: There was an insignificant concordance between cytology and colposcopy (k=0.16; 95% CI 0.09-0.22), a moderate concordance between colposcopy and biopsy (k=0.57; 95% CI 0.47-0.68) and an insignificant concordance between cytology and biopsy (k=0.21 (95% CI 0.08-0.34). CONCLUSIONS: Better concordance was found between colposcopy and biopsy than between either cytology and biopsy or cytology and colposcopy.

Diagnóstico precoz del cáncer de cérvix: correlación entre citología, colposcopia y biopsia / Early diagnosis of cérvix cancer: correlation between cytology, colposcopy and biopsy

Objetivo: determinar la concordancia entre citología, colposcopia y biopsia cervical ante una citología alterada. Material y métodos: se realizó un estudio observacional retrospectivo transversal, de base clínica, único centro. La población seleccionada fue 416 mujeres, entre 25 y 65 años con citología alterada, del 1 de agosto de 2014 al 30 de septiembre de 2016, y remitidas para estudio colposcópico y anatomopatológico al Hospital Reina Sofía, Córdoba. Se realizaron análisis estadísticos, utilizando el índice de Kappa para el grado de concordancia entre citología, colposcopia y biopsia. Resultados: se encontró una concordancia insignificante entre citología: colposcopia, k = 0,16 (IC 95% = 0,09- 0,22); una concordancia moderada entre colposcopia: biopsia, k = 0,57 (IC 95% = 0,47-0,68); y una concordancia insignificante entre citología: biopsia, k = 0,21 (IC 95%, 0,08-0,34). Conclusiones: el grado de acuerdo fue mejor entre colposcopia y biopsia; que entre citología y biopsia o entre citología y colposcopia (AU)

Objective: To determine the concordance between cytology, colposcopy and cervical biopsy in altered cytology. Material and methods: An observational cross-sectional, clinically based, single center study was performed. The selected population were 416 women between 25 and 65 years old with altered cytology, from August 1, 2014 to September 30, 2016, and submitted for colposcopic and anatomopathological study to the Reina Sofía Hospital, Córdoba. Statistical analyzes were performed using the Kappa index for the degree of concordance between cytology, colposcopy and biopsy. Results: There was an insignificant concordance between cytology: colposcopy, k = 0.16 (95% CI = 0.09-0.22), a moderate concordance between colposcopy: biopsy, k = 0.57 (95% CI = 0.47-0.68); And an insignificant concordance between cytology: biopsy, k = 0.21 (95% CI, 0.08-0.34). Conclusions: The degree of agreement was better between colposcopy and biopsy; that between cytology and biopsy or between cytology and colposcopy (AU)