Stato dellarte dello Screening del cervico-carcinomaDr. Alessandro PolettiDr.ssa Simonetta MarinangeliBassano del Grappa, 25 gennaio 2012

2009

Foglio1

ULSS123456789101213141516171819202122

res294694282564826846575611419749188201438678111056377358850151196154605427081562061469730

es_pr29_I952110557322852570780731444112194742337199161362407994938

inv29_I10927417216632101236219921535456520737478052801218269746160978403893

es_do29_I17511461472364133285211514122159722115203801085104402

ade29_I45541725903504566997705016346119241132726578022919022371043

soll29_I4042560776160107910173402615431112026722216

ade_soll29_I898402561870160017340247411120330032

spo29_I0243004902862923502072141495

tot29_I455419689035046159973567918651119243132727278223019432861048

ade_gr29_I41.756.334.754.3242450.145.892.628.822.231.8230.925.122.3328.949.731.228.226.8

ade_co29_I49.666.537.959.6272959.947.396.236.223.847.2238.829.124.6631.360.137.932.229.9

res34515431136934738969721280383249546159208330117341068699931675481356438278117131659210990

es_pr34_I9477145532708305188160196071519566122323387391235476019

inv34_I1028633901148324630061279333121417414611961826143136798162113834453

es_do34_I16613114134400731227233884232030922730411136375524

ade34_I402359285396997425391231161234413616812559983717331251172

soll34_I333153250423454479022110712620231028322269

ade_soll34_I90652147231413102201072632300324628

spo34_I1149001200222712572130122156513

tot34_I4033607753969986253934518737414337468126710003817891761175

ade_gr34_I39.156.731.1472224.742.136.995.929.345.928.0830.237.318.6627.145.727.932.626.3

ade_co34_I46.671.536.853.22532.651.239.798.336.451.541.3441.244.922.1829.652.935.740.629.8

res39496030866805717672651263382649399158518601121621146098521703587236882298617147658310416

es_pr39_I1040363972092835158686623635525444324423763383134737328

inv39_I9237193201090216722871318462172422489915101392144832296330557714008

es_do39_I14415232153473592250406914314392822792358701178482

ade39_I37545176536725616566166162135530550366281832268971701282

soll39_I278165144511513047801311253754879013722461

ade_soll39_I86771315026701300121028253770163524

spo39_I14540016001998127507050057354

tot39_I376455130536725776566365243406030557366286832269542051286

ade_gr39_I40.662.723.849.23326.942.935.994.23122.230.336.426.319.7525.841.329.42232

ade_co39_I48.179.526.457.24336.35339.397.639.423.544.1151.43324.4727.847.338.128.736.4

res4444112796575657906707102937164792413380747210604113307793147758244635428141481657378749

es_pr44_I91739290271012340391031238015426824225521451333124167074

inv44_I85571530383024701147102139956920948945168614291315159085161110081586

es_do44_I1111555313643133419623486137204562992639812338252154

ade44_I33144854399727303429148408411211864830729341543463251597

soll44_I2541478322171023140784024394644507432140

ade_soll44_I71644106256259078402494945080816

spo44_I104600141015367322010092066253

tot44_I332448100399727444429301475731231865830730241743529276600

ade_gr44_I38.762.717.848.12926.44237.171.719.624.74038.421.522.9726.150.628.724.937.6

ade_co44_I44.58021.657.53637.35239.478.327.726.87252.727.228.7127.858.936.433.241.7

res49433826745190532255719210648873161211366221019795857001134176898600626191326253227908

es_pr49_I7945231243903221286943203724102951742561825821653784828

inv49_I7566403577072014714930648131520363750110713631113553601582924610

es_do49_I110157691553412071884218669281029135723854934520545

ade49_I27539045279601211350169816411161241427523817832356212257

soll49_I242124102511411233501013007393892907341430

ade_soll49_I54527722332570100300654629073314

spo49_I2138009801294524116034050251

tot49_I27739183279601309350298861651171342027524118232406237258

ade_gr49_I36.460.912.639.53029.637.626.162.120.218.22437.420.221.6532.253.322.522.942.1

ade_co49_I42.680.715.650.53641.647.227.972.330.61932.550.727.327.5435.762.728.829.545.5

res544852291054765925519310065689371251295571101165184097083146256161610126111492857318473

es_pr54_I7961002446389415056915218383272641122851505016042873318

inv54_I746644730715175585581395214899011473379614729315358334411059485

es_do54_I1021397615833921313944280361049201358190631681022754

ade54_I2904051422965182743192618551024422358284245202381030231177

soll54_I22712915209116112980914114393102201376616

ade_soll54_I6154775166155090411433722016116

spo54_I003200860813020008062132154

tot54_I2904051742965183603193428853024422366284251204391062246181

ade_gr54_I38.962.919.541.4293239.227.457.411.121.366.674519.326.9637.845.829.921.836.5

ade_co54_I4580.221.753.13642.747.328.770.718.523.491.6660.225.533.8742.856.739.127.841.1

res59425923424705542352418829616061901089657051139391935950131195960481420161275745796931

es_pr59_I6621021987490113665684614861882171132851353611822192818

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es_do59_I11012553154285353105263292077103001091172773276117754

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soll59_I2541331322411280253011100014692763501228524

ade_soll59_I556296217803601110001232335016229

spo59_I3137007703922120210050030114

tot59_I29341618929757448327625610042422810516709242197721004226172

ade_gr59_I37.166.423.139.23233.64125.256.124.523.934.7841.717.529.0934.429.833.92532.4

ade_co59_I43.28325.249.33847.548.62669.141.42676.9255.423.936.6739.734.34631.536.1

res64425925924862535547828786633060651119462711198775866130133455529533024461347149537033

es_pr64_I5179410283703110346691109639317989210121275831662604

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es_do64_I1009212314122743073246118348269785114604611808173

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soll64_I245803425311840232020030033924749116941113

ade_soll64_I434226531540270200300342749117114

spo64_I2038005802413620304103642

tot64_I22731122026354525920519713701910114535623208227911517116215

ade_gr64_I32.869.715.731.73122.134.719.15144.827.758.3243.91628.0324.222.933.626.926.5

ade_co64_I38.387.917.638.23542.139.719.666.361.930.687.556.52033.1225.925.945.933.429.2

res6500000000000000111500000

es_pr65_I110318525359511334821040144140416180258561014711814377078

inv65_I3567843592443530501013791560248

es_do65_I415130003120102764230125

ade65_I18562120142410103552220123

soll65_I1041247000100000800000

ade_soll65_I104146000100000000000

spo65_I012000014011000001112

tot65_I186821201416411203552221235

ade_gr65_I51.483.37.75033501004.777.4020034.713.713.3333.30505037.5

ade_co65_I58.11008.266.736501005100025047.316.515.3866.70100100100

restot369272233846210492264748784038571146238510669557922902917598441895626521181895691947979209811191324564370230

es_prtot_I772878928089696447222077073606160081578218662032834265614716802139103372246005

invtot_I69035169376777441766412489862047588182122841197941976960121091904513795147229286626416365

es_dotot_I10221066431117927623273150623014773263172564722462426716001097214658413011793

adetot_I266132017103514501333203685132947873059442647293645462420203830568883715554912

solltot_I223811871002991123009318006223197112572893293602112651105469

ade_solltot_I55050072922171896550622018610757153395991146426133

spotot_I1010339007890114735817023505905113436921628

tottot_I2671321110493514501341093685247651454759672697293704462420713843572920617714940

ade_grtot_I38.561.918.845.42826.642.727.958.524.822.933.8736.93821.922.927.838.630.224.830

ade_cotot_I45.27821.353.5343651.829.471.433.824.85048.551.127.527.8230.245.238.931.333.7

es_pr29_II40241650345810103732332842845

inv29_II1523843864188553030469212526196565228937147

es_do29_II1150361410117010089141733060616

ade29_II10525327627625195024684338838821742464

soll29_II2313011510123001030224760043010

ade_soll29_II12805000460000200156001402

spo29_II00400005201200002101564

tot29_II10525727627625247036684339038921893068

ade_gr29_II69.165.87571.55038.973.164.4052.266.739.626011.545.9268.710060.264.943.5

ade_co29_II74.575.87578.9675082.968.2066.766.768.297513.650.2872.91007677.448.9

es_pr34_II3726348088999020014558302155098

inv34_II42589457532163164053701993354315133473135331217131489

es_do34_II3114684012228270441110224529112682764

ade34_II327652754612381196302085141951053243917271079239

soll34_II6221415801256000160271371130238611

ade_soll34_II4094640112300016063811105947

spo34_II011900201180320000501592319

tot34_II32766465461240119642001171419510532489173769102258

ade_gr34_II76.9736072.55760.372.956.2042.742.435.9166.739.852.4367.866.758.360.348.9

ade_co34_II8386.769.281.65774.584.759.2054.843.845.0376.948.658.9172.710074.87656.2

es_pr39_II30133421146872210096711918132694

inv39_II48694189727331191753717075795391639056311215807427612

es_do39_II359186152222242013293570417701438448

ade39_II3937196576216013324600234621991792957304518250299

soll39_II69201815420276001832049142410201625

ade_soll39_II468137500130001512013741054410

spo39_II113300501480551000922751827

tot39_II39472129576216513326080784721991793047326593268326

ade_gr39_II80.975.550.879.26450.47664.2030.758.240.6356.345.95465.18064.258.548.9

ade_co39_II87.183.556.186.57561.98768.1037.159.749.181.855.958.2469.9807872.953

es_pr44_II21103262103236211021278151182361

inv44_II47385232781359416338450157156632277086367658547662439

es_do44_II29755637231343603831259116504318310234

ade44_II37871886442046136457607195267133523585327358417234

soll44_II601316142402040022860114125210125831

ade_soll44_II3281385001170019850274418039314

spo44_II105200501280572200920801322

tot44_II3797114064420511364704012897269133523675347438430256

ade_gr44_II79.983.537.982.55748.983.568.2045.260.942.2548.149.757.769.587.565.46353.3

ade_co44_II85.19149.789.77164.89171.2059.762.153.0572.259.562.6373.710077.274.557.8

es_pr49_II108236513163711004671121581925

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es_do49_II3056570710922905041145161471347312825

ade49_II36475656541927104254531921262881253133525764410453202

soll49_II631113159111520035740212124180110625

ade_soll49_II40899901800023740544418028410

spo49_II0023004093035000012001021923

tot49_II36475886541931104263832271262881253134725764512472225

ade_gr49_II82.589.331.480.3475083.269.610057.55539.2452.258.460.2474.971.164.659.953.7

ade_co49_II88.694.945.887.95861.489.872.310067.65646.4566.77165.677.974.47372.157.5

es_pr54_II1115185783033520061165186122136

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es_do54_II1957086210811901320108251375118181607228

ade54_II4196120573294693355006524427277565309294410646485169

soll54_II5862213420140004850119105241173518

ade_soll54_II3631377006900384033392414946

spo54_II002200208803721002410681416

tot54_II41961227732948933638010224627377565333295410714499185

ade_gr54_II87.782.448.683.64359.784.173.7064.460.446.165.359.464.0475.27966.271.754.7

ade_co54_II91.388.458.292.74768.790.775.7073.963.556.6382.869.47178.881.879.280.360.1

es_pr59_II292318862011401221081076124172040

inv59_II5917746312012019911418100414176632152674611511811432634373

es_do59_II2723093133512204148924387372228516523

ade59_II5036630610251213210206080372973521621735445418623313462235

soll59_II5772612421940019005198319247313

ade_soll59_II33124600154001800157291921715

spo59_II202200504604000001540561730

tot59_II5056632810251213710206540772973521621735460422623369479265

ade_gr59_II85.185.766.185.36066.389.475.1090.271.253.0975.364.975.2981.876.872.572.963

ade_co59_II89.28870.792.56379.593.677.2010073.761.3284.875.980.1485.579.682.281.267.1

es_pr64_II3420136146234971103158015531933

inv64_II6517868712432012651145823226332160925028606511117688853638376

es_do64_II16267864154441602397724310182925945720

ade64_II56770358108015885103259821682113561821917467890541642480239

soll64_II7074314700102001272114610044010959

ade_soll64_II42536790059001172159454403712

spo64_II0219009038026030093060618

tot64_II56772377108015894103263621942113591821917476893541702486257

ade_gr64_II87.189.752.186.9757090.172.710063.965.758.1572.86773.179.778.675.375.263.6

ade_co64_II89.392.157.793.39479.793.774.11007067.667.4880.575.275.281.881.684.682.667.1

es_pr65_II276251303228134100213028922527

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es_do65_II001100010000034111400

ade65_II1717502141000801132372050

soll65_II30400000000001040000

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spo65_II000003023010000102220

tot65_II1717505143301801132474270

ade_gr65_II89.510043.871.40100100400053.3010054.166.677066.701000

ade_co65_II89.510046.783.3010010041.70053.3010062.98077.810001000

es_prtot_II239145213592215434246033123355815221819772231459

invtot_II371662022656788195189110544558951216166345227946708895423261762129576039663121

es_dotot_II198493125802726895320901955380713295124331432778936541258

adetot_II3073505115555381101243855838445665104720335314695467254344331655377126551681

solltot_II46598146113312313470093432834112098633443104639142

ade_solltot_II28450116589036780072402526133729133932972156

spotot_II441940035073402955600086135517118159

tottot_II3077509134955381101278855845785960105220395314695467262944461660428827731840

ade_grtot_II82.781.55181.65665.781.268.810054.76344.9666.97061.562.1271.877.765.566.953.9

ade_cotot_II87.488.459.189.26576.689.271.410065.16554.8880.281.671.467.175.880.778.277.558.7

temp_1112.464.493.88.400.987.152.216.256.63.30090.637085.332.3344915.2

temp_1223.327.75.675.21001812.824.751.435.168.469129.237.87014.646.53249.829

temp_1313.56.60.313.2042.50.117.2296.519.8306104.2300.120.212.10.335.9

temp_1450.60.20.20.7035.302.61.41.15.61270.120.5000.721.10.718.1

temp_2111.39.1010000.25.61.400011.90.9250.441.201.3

temp_229.31.934.14.703.7164.6113.815647.83.57526.22014.228.11.1

temp_2330.98.834.151.804352.526.960.353.8587228.439.1059.36643.756.318.3

temp_2457.786.921.642.7053.329.762.519.242.3232210.456.108.11039.213.378.9

ctm29000000000000000000000

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c1_agc_k_I100000000000000000000

c1_agc_cin2_I000010100000000000000

c1_agc_cin1_I000100100000000000000

c1_agc_ina_I000000000000000000000

c1_agc_altr_I201450035000010030000

c1_agc_nobio_I101200010000027000000

c1_agc_tot_I402760245000037030000

c1_altr_k_I000000000000000000000

c1_altr_cin2_I0000000000000012000100

c1_altr_cin1_I0000000000000013000900

c1_altr_ina_I000000000000000000000

c1_altr_altr_I00010000200001420001301

c1_altr_nobio_I10134010230000010300066070

c1_altr_tot_I10135010250000117000089071

corr1_k_I220010311000002000200

corr1_cin2_I10161223994591520218372801683

corr1_cin1_I56094861202841150023314803371

corr1_ina_I000060000000000000000

corr1_altr_I196851903363303300412785263738663

corr1_nobio_I23486132204096538504672213651026553193

corr1_tot_I59132242532171022359768120101045376351181340274200

c1_k_k_II000000100000000000000

c1_k_cin2_II000000200000000000000

c1_k_cin1_II000000000000000000000

c1_k_ina_II000000000000000000000

c1_k_altr_II000000000000000000000

c1_k_nobio_II000000000000000000000

c1_k_tot_II000000300000000000000

c1_hsil_k_II000000010000000100000

c1_hsil_cin2_II4103001110101002110510

c1_hsil_cin1_II000100000000100000200

c1_hsil_ina_II000000000000000000000

c1_hsil_altr_II110100100001000100300

c1_hsil_nobio_II000000220000000011110

c1_hsil_tot_II52050014401021023211120

c1_lsil_k_II000000000000000000000

c1_lsil_cin2_II111202820000000020100

c1_lsil_cin1_II56913011620200105140410

c1_lsil_ina_II000000000000000000000

c1_lsil_altr_II40014102950004001213801201

c1_lsil_nobio_II71013113760306102402822883

c1_lsil_tot_II1781042249015050102041144224594

c1_ascus_k_II000000000000000000000

c1_ascus_cin2_II000000000000000000000

c1_ascus_cin1_II007000040000000100000

c1_ascus_ina_II000000000000000000000

c1_ascus_altr_II0031000170007001603201

c1_ascus_nobio_II0071000480009101232128170

c1_ascus_tot_II00172000690001610131021510171

c1_agcus_k_II000000110000000000000

c1_agcus_cin2_II000000730000001000000

c1_agcus_cin1_II000200000100000000000

c1_agcus_ina_II000000000000000000000

c1_agcus_altr_II100400620000000104510

c1_agcus_nobio_II000000320000001406190

c1_agcus_tot_II100600178010000250106100

c1_asch_k_II000000000000000000000

c1_asch_cin2_II000000000000000100000

c1_asch_cin1_II000000000000000000000

c1_asch_ina_II000000000000000000000

c1_asch_altr_II000000000000000000000

c1_asch_nobio_II000000000000000000000

c1_asch_tot_II000000000000000100000

c1_ascus_k_II000000000000000000000

c1_ascus_cin2_II000000300000101010100

c1_ascus_cin1_II113201900000002040101

c1_ascus_ina_II000000000000000000000

c1_ascus_altr_II114110155610000081601001

c1_ascus_nobio_II020424397900002042132045133

c1_ascus_tot_II24755451641510003053243057135

c1_agc_k_II000000010000000000000

c1_agc_cin2_II100000200000000000000

c1_agc_cin1_II000000010000000000000

c1_agc_ina_II000000000000000000000

c1_agc_altr_II000700630000020000101

c1_agc_nobio_II1001100200100005110100

c1_agc_tot_II20018001050100025110201

c1_altr_k_II000000000000000000000

c1_altr_cin2_II000000000000001000000

c1_altr_cin1_II000000000000002000000

c1_altr_ina_II000000000000000000000

c1_altr_altr_II000300000000005000000

c1_altr_nobio_II102120001000000250019026

c1_altr_tot_II102150001000000330019026

corr1_k_II000000230000000100000

corr1_cin2_II6215023360101105240710

corr1_cin1_II671918022570300209280711

corr1_ina_II000000000000000000000

corr1_altr_II72741119733100120226221473314

corr1_nobio_II939795414168040154010996422933662

corr1_tot_II2814361436929811718028721493690291403967

c2_vis_nobio00007200000018000300000

c2_vis_HPV92433912561220105113321362111650

c2_vis_cin1141128371610012171002333

c2_vis_cin2001210422000119000212

c2_vis_cin3000120011000112010211

c2_vis_adKis000100000000000000000

c2_vis_sqK000000000000000000000

c2_vis_adK000000000000000000000

c2_vis_tot106649921567162920234176017721381156

c2_nonv_nobio0000150000000000800000

c2_nonv_HPV2189223120010524934516

c2_nonv_cin1016111010100000000104

c2_nonv_cin2000001001000001100000

c2_nonv_cin3101000001100000000001

c2_nonv_adKis000000100000000000000

c2_nonv_sqK000000000000000000000

c2_nonv_adK000000000000000000000

c2_nonv_tot321510184424201052518346111

c2_an1_nobio0000100000005000100000

c2_an1_HPV1455536515105421010608792245847229

c2_an1_cin19632252431646856011232216025613

c2_an1_cin2151612225200011110240545

c2_an1_cin3370473551100033120711

c2_an1_sqKis000000020000001000000

c2_an1_sqK000000100000000000100

c2_an1_adK000000000000000000000

c2_an1_tot278028115137361825916801321412528678851348

c2_an2_nobio000000000000000000000

c2_an2_HPV410981110143000072110218

c2_an2_cin1240564710100002000313

c2_an2_cin212058313010000020102015

c2_an2_cin37207811867101018040118

c2_an2_adKis000010000000000001110

c2_an2_sqK000000001000001000001

c2_an2_adK000000000000000000100

c2_an2_tot1490263119482112201081516110435

c2_k_nobio000000000000000000000

c2_k_HPV000000000000000000000

c2_k_cin1000000000000000000000

c2_k_cin2000000000000000000000

c2_k_cin3000000000000010000000

c2_k_adKis000000000000000000000

c2_k_sqK100000010000000100000

c2_k_adK000000000000000000000

c2_k_tot100000010000010100000

corr2_nobio000097000000230001200000

corr2_HPV299171048440174693520121331374555141651093

corr2_cin112722970582460111190124513160521023

corr2_cin227213216424400122223509522

corr2_cin3119112174231210301161317010311

corr2_adKis000110120000001001110

corr2_sqK100000111000001100101

corr2_adK000000000000000000100

corr2_tot5597492002787430199611403864522565831523929150

tot_II92147644992321185502167021019555747221149551120408

racc_pap3a10158812016019009119070106097

racc_col1a0052590190003511203006470

racc_pap1a3111212076000318930110259

racc_col6m712744608934494251603213262011914504299181

racc_pap6m620023715100711203232064030018184

racc_inte202173540179831510361849637042041

tr_vap_nobio001000200000000000000

tr_vap_cin1001000800000001000400

tr_vap_cin2000000100000000000000

tr_vap_cin3000000100001000000000

tr_vap_AdK000000000000000000000

tr_vap_Kinv000000000000000000000

tr_vap_tot0020001200001001000400

tr_esc_nobio000101000100001120000

tr_esc_cin1010040100101004000501

tr_esc_cin2050621032000002012200701

tr_esc_cin3030131101200100029100200

tr_esc_AdK000110000000001000100

tr_esc_Kinv000000000000001000000

tr_esc_tot09021371450030122284201502

tr_coc_nobio000000000000001000000

tr_coc_cin1000001000000010000005

tr_coc_cin21200130220010300301211

tr_coc_cin3771126017100031080128

tr_coc_AdK000000000000000000000

tr_coc_Kinv010000000000000000000

tr_coc_tot8101131003910107201102424

tr_col_nobio000000000000000000000

tr_col_cin1000000000000000000000

tr_col_cin2000000300000000000001

tr_col_cin3100000800000000000000

tr_col_AdK000000100000000000000

tr_col_Kinv000000100000000000000

tr_col_tot1000001300000000000001

tr_ist_nobio000002100000000000001

tr_ist_cin1000001000000000000000

tr_ist_cin2000000000000000100000

tr_ist_cin3100000003100000000010

tr_ist_AdK000000000000000000000

tr_ist_Kinv100000001000000000000

tr_ist_tot200003104100000100011

tr_isr_nobio000000000000000010000

tr_isr_cin1000000000000000000000

tr_isr_cin2000000000000000000000

tr_isr_cin3000000000000000000000

tr_isr_AdK000000100000000000010

tr_isr_Kinv000000000000000100000

tr_isr_tot000000100000000110010

tr_alt_nobio100501000000070010000

tr_alt_cin1000000000000100070000

tr_alt_cin2000000000000000000000

tr_alt_cin3000020000000000000000

tr_alt_AdK000000000000000000000

tr_alt_Kinv000000000000000000000

tr_alt_tot100521000000170080000

tratta_nobio101604300100072140001

tratta_cin1011042900101115070906

tratta_cin21706223362200123123308213

tratta_km910114156211103010510180338

tratta_AdK000110200000001000110

tratta_Kinv110000101000001100000

tratta_tot121932742157231350331631622021628

tr_nt_nobio3652183000442501238100001137401273236192258

tr_nt_cin111652468022411111700224068027919

tr_nt_cin2000200511000002010156

tr_nt_cin30000001110200001000150

tr_nt_AdK000000020000000001010

tr_nt_Kinv000000010000000000000

tr_nt_tot4711742370066297149201900213417613633390112283

tr_rif_nobio000100000000000000100

tr_rif_cin1010000000000100010500

tr_rif_cin2020020101000000000101

tr_rif_cin3000010001000000000502

tr_rif_AdK000000000000000000100

tr_rif_Kinv000000000000000000200

tr_rif_tot0301301020001000101503

tr_ign_nobio000000000000000010100

tr_ign_cin1000000000000000000500

tr_ign_cin2000000200000000000203

tr_ign_cin3000000200001011000502

tr_ign_AdK000000000000000000100

tr_ign_Kinv000000000000000000100

tr_ign_tot0000004000010110101505

screen_I_294645652511145661070805017467254154469834120453731061

screen_I_3440051629778747640145114346837711588005820013431187

screen_I_393875908081162166220316126785728917833311983751354

screen_I_44336573556073184961684017514266250540048573451609

screen_I_49280467464252343951788076713042933416932445348282

screen_I_5431248314643630036026784935252373354202401166385188

screen_I_5930647715640748329922397929237521754170751144282168

screen_I_64230350189336436231175136442108549659182931588157213

screen_I_65175641624501355420123

screen_I_tot27324026732491850133706415914414770482108326972937726253207134067201016127165065

screen_II_29104273288762620602483634621802968

screen_II_343327227599381203361086171055841575588242

screen_II_39379781026236013334950235591867195622259303

screen_II_4439375897044613566240741001336053214443425239

screen_II_49390776466528104458431941291254225567478480220

screen_II_54422642077504792157006825078623288410680522175

screen_II_5950874313102713310146240393041621787405623377506236

screen_II_64574753681092886102661031682201811959856546673524242

screen_II_6515275214120010113232050

screen_II_tot3117544118057531101247853740866676109320395314695650262942451674420828381725

screenate tot5849457019121067151234953126965527477611582176230812604241119034700765123941436955546790

dati

2004ULSSpoptargettarget/anntot inviti% inv/pop_anscreen%ad_grez%ad_correttaesten_an04%ad_solleciti

136943123141061986.2584954.061.028.730.9

2228057602578976.2457064.079.325.442.8

34752215841603238.1191230.935.312.776.4

450232167441453286.81067162.370.928.936.6

5473201577317859113.2512328.734.037.714.0

685988286631438050.2495331.742.116.7100.0

759014196711916497.41269663.973.332.529.4

865302217671034747.5552750.052.215.8n

911088136960818722.2477658.571.47.4100.0

105913419711244412.4115839.750.44.179.3

128836729456578219.6217634.436.86.593.5

137457924860531621.4230843.254.07.188.6

143809712699277021.8126045.558.27.391.1

1565365217881027147.1424140.153.315.7100.0

16119212397372998675.51190333.741.225.212.4

1750325167751327779.1470034.440.226.415.2

18487951626519971122.8765141.444.640.999.2

19210897030360151.2239461.767.217.1100.0

20126807422693504682.91436936.045.827.612.9

2140141133801023076.5555441.250.225.532.6

2273756245851948679.3679033.837.826.430.9

133167444389126508959.712058142.049.819.920.8

ULSS123456789101213141516171819202122pop target

25-643694322805475225023247320859885901465302110881591348836774579380976536511921250325487952108912680740141737561331674

1231476021584116744157732866319671217673696019711294562486012699217883973716775162657030422691338024585443891

pop_ber_an1231476021584116744157732866319671217673696019711294562486012699217883973716775162657030422691338024585443891

ULSS123456789101213141516171819202122

invtot_I69035169376777441766412489862047588182122841197941976960121091904513795147229286626416365190332

invtot_II37166202265678819518911054455895121616634522794670889542326176212957603966312174757

tot inviti1061957896032145321785914380191641034781872444578253162770102712998613277199713601350461023019486265089

% inv/pop_an0.860.760.380.871.130.500.970.480.220.120.200.210.220.470.750.791.230.510.830.760.790.60

esten_an28.725.412.728.937.716.732.515.87.44.16.57.17.315.725.226.440.917.127.625.526.419.9

ULSS123456789101213141516171819202122

screen_I_tot2732402673249185013370641591441477048210832697293772625320713406720101612716506568224

screen_II_tot311754411805753110124785374086667610932039531469565026294245167442082838172552357

screen_toto5849457019121067151234953126965527477611582176230812604241119034700765123941436955546790120581

ULSS123456789101213141516171819202122

adetot_I26613201710351450133320368513294787305944264729364546242020383056888371555491260453

adetot_II307350511555538110124385583844566510472033531469546725434433165537712655168150981

ader_tot57343706186590525123456312243517347929701991229712604114100914563826322231260842106593111434

%ad_grezza54.064.030.962.328.731.763.950.058.539.734.443.245.540.133.734.441.461.736.041.233.842.0

ULSS123456789101213141516171819202122

invtot_I69035169376777441766412489862047588182122841197941976960121091904513795147229286626416365190332

invtot_II37166202265678819518911054455895121616634522794670889542326176212957603966312174757

tot inviti1061957896032145321785914380191641034781872444578253162770102712998613277199713601350461023019486265089

es_dotot_I1022106643111792762327315062301477326317256472246242671600109721465841301179333635

es_dotot_II1984931258027268953209019553807132951243314327789365412587575

tot_escl_dop12201115743175927893541245943914775213701063604255755101914142429275201842205141210

%ad_corretta61.079.335.370.934.042.173.352.271.450.436.854.058.253.341.240.244.667.245.850.237.849.8

solltot_I22381187100299112300931800622319711257289329360211265110546946643

solltot_II465981461133123134700934328341120986334431046391427049

tot_soll27031285246412412312124527062116623514668498415694641369714461153692

ade_solltot_I550500729221718965506220186107571533959911464261337921

ade_solltot_II284501165890367800724025261337291339329721563228

tot_ad_soll8345501881511171812133306292583113361052630938417614718911149

%ad_solleciti30.942.876.436.614.0100.029.40.0100.079.393.588.691.1100.012.415.299.2100.012.932.630.920.8

ader_tot57343706186590525123456312243517347929701991229712604114100914563826322231260842106593111434

tot_ad_soll8345501881511171812133306292583113361052630938417614718911149

%ad_soll/tot_ad14.514.810.116.733.50.310.90.01.39.52.91.310.60.110.413.811.40.214.01.12.910.0

ULSS123456789101213141516171819202122

isto+_k_I23000141100000200020117

isto+_adk_I0001100000000030011119

isto+_cin3_I8911717102381120208171708319171

isto+_cin2_I26152222224100122311010419128

isto+_cin1_I5621050612229411600253648047915386

isto+_tot_I1780127310135781527902315816161681755711

isto+_k_II0100002300000001100008

isto+_adk_II0000003200000000001006

isto+_cin3_II500401103010000202033034

isto+_cin2_II111301203000110323040347

isto+_cin1_II6720180226704002012280814127

isto+_tot_II12921250461180501301751401647222

ISTOL POSIT TOTALI

isto+_k24000164100000211020125

isto+_adk_I00011032000000300121115

isto+_cin3_I1391211711331111302081919011619205

isto+_cin2_I37282234254101222634014422175

isto+_cin1_I116930686124551111100045486160551019513

isto+_tot_I2989339810139139332714036159811301842162933

G_est_trien

02.67.3835914178

3.24.812.6930684735

10.63333333336.56666666674.1329860994

14.12.77.2709137202

7.566666666713.466666666715.713302226

23.333333333318.37.1280119068

15.221.616.7232637112

2712.325.4851647941

24.63333333332119.9064485753

18.966666666724.327.6372755447

17.733333333315.933333333337.7409129332

39.466666666725.63333333336.5431665667

22.233333333328.966666666725.1535080361

39.833333333320.815.8448439558

27.53333333332726.3825136612

28.366666666725.528.7442817313

27.06666666673726.4195455285

29.633333333330.766666666732.4736503203

43.033333333324.766666666725.3847840386

43.766666666728.433333333328.9297658863

5335.333333333317.0752525013

31.833333333339.733333333340.9283738088

65,5

2002

2003

2004

Ulss

% popolazione target

Estensione triennale 2002-2004

tab. estensione

Tabella 1 - ESTENSIONE DEI PROGRAMMI DI SCREENING, 1999 - 2004

ULSSPopolazionePopolazioneEstensione %*

bersaglioinvitata

annualeanno 2004

Anno 2004Anno 2003Anno 2002Anno 2001Anno 2000Anno 1999

1123141061986.276.585.1121.560.238.5

27602578976.274.3129.149.3--

315841603238.114.49.677.169.597.5

4167441453286.885.3131.38552.210.4

51577317859113.247.853.2227.3-

6286631438050.264.845.629.215.4-

7196711916497.492.388.994.394.354.4

8217671034747.562.4119.5108.9102.1111.3

936960818722.27.80---

1019711244412.419.731.967.917.3-

1229456578219.676.9118.481.649.317.1

1324860531621.454.97056.23122.7

1412699277021.88.142.362.5-16.1

15217881027147.140.422.714.3--

16397372998675.586.966.775.360.828.3

17167751327779.18182.610368.371

181626519971122.8119.295.589.4114.995.3

197030360151.2106159117.538.5-

20422693504682.972.956.961.841.354.8

21133801023076.536.98183.955.752.9

22245851948679.311181.282.564.613.4

Veneto44389126508959.76373.971.35446.1

Estensione annualeEstensione triennale (Estensione an/3)G_Estensione triennale (Estensione an/3)

200420032002200420032002200220032004

186.276.585.128.725.528.490.02.67.410.0

276.274.3129.125.424.843.033.24.812.720.7

338.114.49.612.74.83.21010.66.64.121.3

486.885.3131.328.928.443.81414.12.77.324.1

5113.247.853.237.715.917.7157.613.515.736.7

650.264.845.616.721.615.21323.318.37.148.8

797.492.388.932.530.829.6615.221.616.753.5

847.562.4119.515.820.839.82127.012.325.564.8

922.27.807.42.60.0Veneto24.621.019.965.5

1012.419.731.94.16.610.62019.024.327.670.9

1219.676.9118.46.525.639.5517.715.937.771.4

1321.454.9707.118.323.31239.525.66.571.6

1421.88.142.37.32.714.11622.229.025.276.4

1547.140.422.715.713.57.6839.820.815.876.5

1675.586.966.725.229.022.21727.527.026.480.9

1779.18182.626.427.027.5128.425.528.782.6

18122.8119.295.540.939.731.82227.137.026.490.5

1951.210615917.135.353.0729.630.832.592.9

2082.972.956.927.624.319.0243.024.825.493.2

2176.536.98125.512.327.0443.828.428.9101.1

2279.311181.226.437.027.11953.035.317.1105.4

Veneto59.76373.919.921.024.61831.839.740.9112.5

G_03+04

1.5591778883.3073470352

3.20965941761.9582642811

1.69821700744.3073204607

4.83775935364.0233996886

7.10785700542.4624577048

8.17924616853.0947049438

5.47081771596.4881817486

7.51500209335.7601060613

7.631022823310.8262890955

9.43070044719.3392945852

10.05519578579.9847330806

6.255449540413.8362272988

9.423769981211.3313933773

12.45051250079.2060306958

13.035231637311.3518896107

16.52169918238.4637530244

14.485090685515.6798852341

14.53590666715.8324987142

14.375298614421.2434304826

16.224512168420.0394650296

18.222794591121.5135391602

2003

2004

Ulss

%

Donne esaminate/donne residenti

2003+2004

Donne esaminatePopolazione residente ISTAT 31.12.2003Donne esaminate/donne residenti 31/12/03grafico

ulss20002001200220032004pop2003200403+0420032004

136635470436753705849136943114.515.830.4141.63.34.9

2-2959469537004570222805216.220.036.3103.22.05.2

3443744676092299191234752234.84.08.991.74.36.0

44420732512055722110671450232414.421.235.634.84.08.9

5225117428493611512354732057.610.818.5127.12.59.6

61584287444716462495368598867.55.813.3138.23.111.3

796139683108311075412696759014718.221.539.7155.56.512.0

89265886613412107895527865302816.58.525.067.55.813.3

9---18834776911088191.74.36.057.610.818.5

10108950702369189811581059134103.22.05.2179.49.318.8

126884736215345628121761288367127.12.59.61610.110.020.0

13276152066236610023081374579138.23.111.3216.313.820.1

14-3101238559412601438097141.63.34.9209.411.320.8

15-12651534357642411565365155.56.512.02212.59.221.7

16102201125190581198711903161192121610.110.020.01913.011.424.4

17526973836005474647001750325179.49.318.8816.58.525.0

186269467259957068765118487951814.515.730.21814.515.730.2

191415339547922749239419210891913.011.424.4114.515.830.4

2013369100508800119501436920126807209.411.320.8414.421.235.6

21385654762829251155542140141216.313.820.1216.220.036.3

228916694074569183679022737562212.59.221.7718.221.539.7

TOT932551139891280951207321205811331674veneto9.19.118.1

ALLEGATI

ULSSPop.Donne invitateTasso invitate[1]Donne esaminateULSSTasso di adesione grezzo1Tasso di adesione corretta1

eleggibilenn

2000200120022003200420002001200220032004200020012002200320042000200120022003200420002001200220032004

1369437413149571047593671061920.240.728.425.528.736635470436753705849146.338.241.756.354.054.438.251.970.761.0

222805-3671961655865789-16.34324.825.4-29594695370045702-37.847.161.664.0-35.856.280.279.3

347522107131187614832249603222.825.33.24.812.74437446760922991912336.237.630.734.930.936.237.65734.935.3

45023285711395521552141121453217.328.143.828.428.94420732512055722110671451.56555.951.262.359.965.96862.670.9

5473201128338081717458178592.47.217.715.937.72251174284936115123513.443.534.948.428.721.643.54163.634.0

685988430181881277318314143805.19.715.221.616.715842874447164624953634.140.73032.231.738.440.743.432.242.1

759014179471794716922178621916430.930.929.630.832.596139683108311075412696753.565.963.960.263.963.866.377.272.573.3

865302212312265424848133481034733.135.339.820.815.89265886613412107895527843.142.551.673.550.043.139.656.280.852.2

9110881---28438187---2.67.4---188347769---63.258.5---63.271.4

10591343347131176164383124445.722.510.66.64.1108950702369189811581030.63331.434.639.736.13438.534.650.4

128836714832245673563022547578216.927.939.525.66.56884736215345628121761226.54043.127.834.428.52943.127.836.8

13745797548136771704013488531610.218.623.318.37.1276152066236610023081336.34436.344.843.241.843.948.353.154.0

1438097-7818529010162770-20.714.12.77.3-31012385594126014-4943.75745.5-4956.177.558.255

1565365-29874737862410271-4.77.613.515.7-126515343576424115-39.32939.940.1-39.337.649.353.3

16119212239702964726285340292998620.425.222.22925.21022011251905811987119031642.649.934.535.233.752.349.954.146.341.2

1750325113011705513675134351327722.734.327.52726.4526973836005474647001745.551.743.634.434.449.351.755.941.140.2

1848795183741429715281191861997138.129.631.839.740.9626946725995706876511834.13238.636.841.436.134.141.236.844.6

192108926928218111247419360112.839.15335.317.1141533954792274923941945.543.742.93761.756.343.759.947.967.2

20126807164062452722583289863504613.720.61924.327.61336910050880011950143692051.560.838.640.536.071.659.258.140.545.8

21401418475127581232356771023018.427.72712.325.5385654762829251155542143.47022.54141.266.169.83151.250.2

2273756151321931118998268391948620.926.627.13726.4891669407456918367902255.84937.432.733.863.948.558.339.837.8

TOT133167419338128460729497027621626508918.421.624.62119.993255113989128095120732120581TOT4345.941.841.242.049.346.552.546.649.8

[1] n = dato non pervenuto; (1) per 100 donne bersaglio1 per 100 donne invitate

1314263

Tasso invitate[1]

[1] n = dato non pervenuto; (1) per 100 donne bersaglio

Tasso di adesione grezzo1

Tasso di adesione corretta1

1 per 100 donne invitate

G_ad_corr

33.9946914399

35.2618642465

36.7886178862

37.8147404646

40.1566487723

41.2281418532

42.0979795184

44.5516795169

45.8039671583

46.5

52.5

46.6

49.7742083894

50.1907486886

50.4420176807

52.2103350828

53.3316048743

54.0089348695

58.1717451524

61.0064900521

67.1804170444

70.8682376889

71.4157973174

73.2894343011

79.2896876337

Survey GISCi 2003: 38.8

ULSS

Ulss

(%)

Tasso corretto di adesione - 2004

dati adesione

ULSSTasso di adesione corretta1

20002001200220032004ULSS2004

154.438.251.970.761.0534.0

2-35.856.280.279.3335.3

336.237.65734.935.31236.8

459.965.96862.670.92237.8

521.643.54163.634.01740.2

638.440.743.432.242.11641.2

763.866.377.272.573.3642.1

843.139.656.280.852.21844.6

9---63.271.42045.8

1036.13438.534.650.4media '0146.5

1228.52943.127.836.8media '0252.5

1341.843.948.353.154.0media '0346.6

14-4956.177.558.2media '0449.8

15-39.337.649.353.32150.2

1652.349.954.146.341.21050.4

1749.351.755.941.140.2852.2

1836.134.141.236.844.61553.3

1956.343.759.947.967.21354.0

2071.659.258.140.545.81458.2

2166.169.83151.250.2161.0

2263.948.558.339.837.81967.2

TOT49.346.552.546.649.8470.9

971.4

773.3

279.3

tab tempi

Tabella 2 TEMPI DELLA PROCEDURA DI SCREENING

Range 2004Media 2004Media 2003Media 2002Media 2001Standard consigliato

Risposta al Pap-test negativo: % entro 30gg(12 100%)76%70%66%81%80% entro 30 gg

Tempo dallesecuzione del Pap-test alla colposcopia: % entro 60gg(13 100%)60%35%61%82%90% entro 60 gg

ULSS123456789101213141516171819202122

risposta test negativo

2009

Donne con indicazione a ripetere lesame prima dei 3 anni - 2009

Dati inviti citologico ( 2010 - 2011 )

PERIODOPRIMI INVITISOLLECITIRICHIAMITOT.anno 20109094231132011725anno 201111154381424315211tot.20248612556326936

Tassi di adesione corretta ai programmi di screening oncologici nel primo semestre del 2011, per Azienda ULSS.

ULSSScreening cervicale1 Belluno68,12 Feltre69,33 Bassano58,24 Thiene72,75 Ovest Vicentino50,56 Vicenza50,77 Pieve di Soligo68,48 Asolo58,59 Treviso66,810 San Don48,012 Venezia37,013 Dolo-Mirano53,714 Chioggia36,515 Alta Padovana58,616 Padova41,217 Este50,918 Rovigo54,919 Adria68,820 Verona 64,021 Legnago53,222 Bussolengo39,3Veneto53,0

ESITI ILIV. 2010-2011%positivi8536,2negativi1246891,4inadeguati3202,3

ADERENTI PER ETA' 2010-2011etaderenti%24-2815341129-3313791034-3817001239-4316991244-4816951249-5316421254-5817061259-6318871364-683963

2010

PRINCIPALI INDICATORI DI QUALITA DELLO SCREENING CITOLOGICO NELLAZIENDA ULSS 3 IndicatoriULSS 3noteestensione degli inviti (annua)86,5%des 90% adesione grezza50,1%des. 50%adesione corretta57,2%tasso di inadeguati2.1%des. 3%% non aderenti allindicazione di ripetere il test12,3%% invii alla colposcopia per tutti i motivi3.4%% ASCUS inviati alla colposcopia15.1%% adesione alla colposcopia72.5%% adesione alla colposcopia per HSIL+88.2%des. 95%

2011

PRINCIPALI INDICATORI DI QUALITA DELLO SCREENING CITOLOGICO NELLAZIENDA ULSS 3IndicatoriULSS 3noteestensione gr degli inviti (annua)92,6%des 90%adesione grezza51,4%des. 50%adesione corretta58,9%tasso di inadeguati2,7%des. 3%% non aderenti allindicazione di ripetere il test (INADEG)8,8%% invii alla colposcopia per tutti i motivi2,7%% ASCUS inviati alla colposcopia13,6%% adesione alla colposcopia84,4%% adesione alla colposcopia per HSIL+83,3%des. 95%% adesione al trattamento81,2%

DIAGNOSI20102011

Negativo91,591,1Inadeguato 2,12,7ASC-US2,42,2AGC0,070,1ASC-H0,20,1LSIL3,43,7HSIL0,270,1TOTALE 100100

UALITAProfessionalitTecnologiaControlli ..di qualit

PROGETTO DI LETTURA COMPUTER ASSISTITA DEI PAP-TEST DELLA PROVINCIA DI VICENZABassano del Grappa, 31 ottobre 2007

THIENEARZIGNANOVICENZABASSANO D.G.LINEE DI FLUSSO DEI MATERIALI

U.U.O.O.C.C. di Anatomia Patologica Area Vasta VicentinaControllo di qualit strutturato/continuativo nello screening cervico-vaginaleQuinta edizione del Corso teorico-pratico di aggiornamento per citotecnici, biologi, medici - E.C.M. accreditato

21 ottobre 2011

Centro Formazione A.U.L.S.S. 5 Ovest VicentinoPiazza Martiri della Libert n. 9 - Lonigo (VI)

CdQ in diagnostica citologica cervico-vaginale: analisi dei risultati 2011Dr. Alessandro Poletti USL3 Bassano del GrappaLonigo, 21 ottobre 2011

Un sentito ringraziamento al Dr. Stefano GuzzinatiRegistro Tumori del Veneto

Grafico2

0.53

0.56

0.59

0.7

0.72

0.62

Kappa

Kappa di concordanza - tutti i casi

negativo

negativo

Concordanza tra lettori e gold standard (diagnosi pi frequente)

VicenzaBassanoThieneArzignano

LettoreKappaLettoreKappaLettoreKappaLettoreKappa

L-302-0.25L-6010.62L-6010.62L-6010.62

L-303-0.25L-6020.38L-6020.38L-6020.62

L-3040.38L-603-0.15L-6030.38L-6030.62

L-3060.62L-6080.62L-6081.00L-6081.00

L-3070.62L-6090.38L-6091.00L-6091.00

L-308-0.15L-6230.74L-6230.19L-6230.62

L-4051.00L-6310.74L-6310.19L-6310.62

L-4060.00L-4051.00L-3020.21L-3020.00

L-4070.74L-4060.62L-3030.74L-3030.62

L-4081.00L-4070.74L-3040.55L-3041.00

L-4090.74L-4080.74L-3061.00L-3060.62

L-4101.00L-4090.38L-3071.00L-3070.62

L-4111.00L-4100.74L-3081.00L-3080.62

L-5010.00L-4110.55L-5010.00L-4050.41

L-5020.00L-5010.38L-5020.00L-4061.00

L-5030.62L-5020.38L-5030.62L-4070.41

L-5040.21L-5030.38L-5040.00L-4081.00

L-505-0.15L-5040.38L-5050.62L-4091.00

L-5060.00L-5050.38L-5060.00L-4101.00

L-5060.38L-4111.00

media0.370.510.500.72

asc-us l-sil

asc-us / l-sil

Concordanza tra lettori e gold standard (diagnosi pi frequente)

VicenzaBassanoThieneArzignano

LettoreKappaLettoreKappaLettoreKappaLettoreKappa

L-3020.35L-6011.00L-6010.60L-6010.62

L-3030.40L-6021.00L-6020.60L-6020.62

L-3040.55L-6030.62L-6030.78L-6030.62

L-3060.80L-6081.00L-6080.78L-6080.62

L-3070.80L-6090.55L-6090.78L-6090.41

L-3080.35L-6230.58L-6230.52L-6231.00

L-4050.29L-6310.58L-6310.52L-6311.00

L-4060.40L-4050.55L-3020.52L-3020.29

L-4070.58L-4060.58L-3031.00L-3030.62

L-4080.29L-4070.40L-3040.35L-3040.62

L-4091.00L-4080.78L-3060.60L-3060.62

L-4100.55L-4090.58L-3070.60L-3070.62

L-4110.58L-4100.78L-3080.60L-3081.00

L-5010.62L-4110.55L-5010.60L-4050.00

L-5020.62L-5010.17L-5020.60L-406-0.15

L-5030.62L-5020.17L-5030.60L-4071.00

L-5040.40L-5030.17L-5040.44L-408-0.11

L-5050.44L-5040.35L-5050.78L-4090.62

L-5060.62L-5050.35L-5060.60L-4100.00

L-5060.170.63L-4110.41

media0.540.550.630.52

h-sil asc-h

h-sil / asc-h

Concordanza tra lettori e gold standard (diagnosi pi frequente)

VicenzaBassanoThieneArzignano

LettoreKappaLettoreKappaLettoreKappaLettoreKappa

L-3020.38L-6010.74L-6010.52L-6010.74

L-3030.62L-6020.74L-6020.21L-6020.52

L-3040.74L-6030.74L-6030.74L-6030.74

L-3061.00L-6080.74L-6080.74L-6080.78

L-3070.74L-6090.55L-6090.74L-6090.74

L-3080.74L-6230.38L-6230.00L-6230.52

L-4050.29L-6310.38L-6310.00L-6310.52

L-4060.55L-4050.55L-3020.21L-3020.52

L-4070.21L-4060.21L-3030.74L-3030.52

L-4080.29L-407-0.15L-3040.00L-3040.60

L-4090.74L-4080.74L-3060.41L-3060.52

L-4100.40L-4091.00L-3070.41L-3070.52

L-4110.38L-4100.74L-3080.41L-3080.60

L-5011.00L-4111.00L-5011.00L-4050.52

L-5021.00L-5010.38L-5021.00L-4060.35

L-5031.00L-5020.38L-5030.74L-4070.78

L-5040.62L-5030.38L-5040.74L-4080.78

L-5050.62L-5040.21L-5051.00L-4090.78

L-5061.00L-5050.21L-5061.00L-4100.78

L-5060.38L-4110.74

media0.650.510.560.63

agc

h-sil / asc-h

Concordanza tra lettori e gold standard (diagnosi pi frequente)

VicenzaBassanoThieneArzignano

LettoreKappaLettoreKappaLettoreKappaLettoreKappa

L-302-0.15L-6011.00L-6011.00L-6010.62

L-303-0.11L-6020.00L-6021.00L-6020.62

L-3040.62L-6030.00L-6031.00L-6030.62

L-3061.00L-6081.00L-6081.00L-6080.62

L-3071.00L-6091.00L-6091.00L-6090.62

L-3080.62L-6230.00L-6230.00L-6231.00

L-4051.00L-6310.00L-6310.00L-6311.00

L-4061.00L-4051.00L-3020.62L-3020.62

L-4070.00L-4061.00L-3031.00L-3030.38

L-4081.00L-4071.00L-3041.00L-3040.62

L-4090.00L-4081.00L-3061.00L-3060.38

L-4101.00L-4091.00L-3071.00L-3070.38

L-4111.00L-4101.00L-3081.00L-3080.62

L-5011.00L-4111.00L-5011.00L-4050.38

L-5021.00L-5011.00L-5021.00L-4060.00

L-5030.00L-5021.00L-5030.62L-4070.00

L-5040.00L-5031.00L-5041.00L-4080.62

L-5050.00L-5041.00L-5051.00L-4090.62

L-5061.00L-5051.00L-5061.00L-4101.00

L-5061.00L-4110.62

media0.580.800.850.56

adk ca sq ctm

adk-ca sq-ctm

Concordanza tra lettori e gold standard (diagnosi pi frequente)

VicenzaBassanoThieneArzignano

LettoreKappaLettoreKappaLettoreKappaLettoreKappa

L-3021.00L-6011.00L-6010.00L-6011.00

L-3031.00L-6021.00L-6020.00L-6020.74

L-3041.00L-6030.00L-6031.00L-6031.00

L-3061.00L-6081.00L-6081.00L-6080.74

L-3070.00L-6091.00L-6091.00L-6091.00

L-3081.00L-6231.00L-6230.00L-6230.74

L-4050.00L-6311.00L-6310.00L-6310.74

L-4060.00L-4051.00L-3020.00L-3020.74

L-4070.00L-4061.00L-3031.00L-3030.41

L-4080.00L-4070.00L-3041.00L-3040.41

L-4090.00L-4080.00L-3061.00L-3060.41

L-4100.00L-4091.00L-3071.00L-3070.41

L-4111.00L-4100.00L-3081.00L-3080.41

L-5011.00L-4111.00L-5011.00L-4050.74

L-5021.00L-5011.00L-5021.00L-4061.00

L-5031.00L-5021.00L-5030.00L-4070.74

L-5041.00L-5031.00L-5041.00L-4081.00

L-5051.00L-5041.00L-5051.00L-4090.74

L-5061.00L-5051.00L-5061.00L-4101.00

L-5061.00L-4111.00

media0.630.800.680.75

tabella

Kappa

casi di

CategoriaVicenzaBassanoThieneArzignanoMedia

NEG0.370.510.500.720.53NEG0.53

ASC-US / L-SIL0.540.550.630.520.56ASC-US / L-SIL0.56

ASC-H / H-SIL0.650.510.560.630.59ASC-H / H-SIL0.59

AGC0.580.800.850.560.70AGC0.7

ADENO/CA SQ/CTM0.630.800.680.750.72ADENO/CA SQ/CTM0.72

Media0.550.630.640.640.62Media0.62

per ogni lettore stata calcolata la statistica Kappa vs il gold standard (diagnosi di maggioranza) dicotomizzando le categorie diagnostiche:

NEG vs altre 4 categorie

ASC-US / L-SIL vs altre 4 categorie

ASC-H / H-SIL vs altre 4 categorie

AGC vs altre 4 categorie

ADENO/CA SQ/CTM vs altre 4 categorie

quindi stata calcolata la media dei Kappa per categoria diagnostica di tutti i lettori

&C&Z&F

tabella

00000

00000

00000

00000

00000

00000

00000

Vicenza

Bassano

Thiene

Arzignano

Media

Kappa

K vesrso Gold Standard

0

0

0

0

0

0

Kappa

Kappa di concordanza - tutti i casi

Bur n. 6 del 17/01/2012

Sanit e igiene pubblica

Deliberazione della Giunta Regionalen. 2368del 29 dicembre 2011 DGRV n. 861 del 21.06.2011 "Programma per la Ricerca, l'Innovazione e l'Health Technology Assessment (PRIHTA). Chiamata - nell'ambito di collaborazioni pubblico-private - alla presentazione di progetti di ricerca, innovazione e formazione in sanit. Anno 2011". Approvazione progetti.

Azienda Sanitaria capofilaSoggetto privatoResponsabile scientificoTitoloCostoPUNTEGGIO TOTALEAzienda ULSS 3MENARINI DIAGNOSTIC S.p.A.Dr. Alessandro Poletti"Digital Pathology" e "Telepathology network" in Area Vasta. L'implementazione della digitalizzazione dei preparati isto-cito-patologici e la costruzione della rete di telepatologia nella provincia di Vicenza748.70076,4Azienda ULSS 17ESSEMME COMPONENTS S.R.L.Prof. Giampiero CordioliImplantologia mini-invasiva per overdenture mandibolari e miglioramento della qualit della vita correlata con la salute orale86.50073,7Istituto Oncologico Veneto I.R.C.C.S. - IOVCarl Zeiss S.p.ADr.ssa Marta PaiuscoValutazione dell'efficienza economica della radioterapia intraoperatoria IORT, eseguita con tecnologia a raggi X Carl Zeiss Intrabeam, rispetto al trattamento convenzionale nel carcinoma mammario. Studio svolto in parallelo al trial TargitA52.00070,2

Area vasta di telepatologia Provincia di VicenzaResponsabile ScientificoDr. Alessandro PolettiPatologie complesse e specialistiche, e/o casi si dubbia interpretazione diagnostica.

Ottimizzazione dei controlli di qualit per l'attivit citologica ed istologica.

Standardizzazione di parametri prognostici e predittivi di risposta alla target therapy nei tumori

Discussione "online" di casi finalizzata all'educazione medica continua.

Condivisione di casistiche istocitopatologiche con formazione di archivi integrati con finalit a carattere educativo, epidemiologico e prospettico.

ANALISI DELLIMMAGINETELEPATOLOGIA