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Revista chilena de obstetricia y ginecología

versión impresa ISSN 0048-766Xversión On-line ISSN 0717-7526

Resumen

LOPEZ-ALEGRIA, Fanny; QUEZADA P., Orlando  y  OYANEDEL S., Juan Carlos. Cumplimiento del flujo de decisiones clínicas de los algoritmos de derivación y confirmación diagnóstica del primer PAP atípico H1- Santiago Sur. Rev. chil. obstet. ginecol. [online]. 2018, vol.83, n.4, pp.338-351. ISSN 0048-766X.  http://dx.doi.org/10.4067/s0717-75262018000400338.

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.

Palabras clave : Pap test; algorithm; atypical smear; atypical squamous cells; guideline adherence.

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