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首页> 外文期刊>Journal of the American Veterinary Medical Association >Use of cytology as a diagnostic method in veterinary practice and assessment of communication between veterinary practitioners and veterinary clinical pathologists
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Use of cytology as a diagnostic method in veterinary practice and assessment of communication between veterinary practitioners and veterinary clinical pathologists

机译：细胞学在兽医实践中的诊断方法的应用以及兽医与兽医临床病理学家之间交流的评估

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OBJECTIVE: To determine the extent of use of cytology as a diagnostic method in veterinary practice and assess how veterinarians in practice communicate with veterinary clinical pathologists. DESIGN: Online survey. STUDY POPULATION: 870 veterinarians. PROCEDURES: An online survey was made available to members of the Veterinary Information Network from October 1, 2004, through December 1, 2004. RESULTS: Respondents reported obtaining a median of 7 cytology samples weekly (range, 0 to 100). On average, respondents reported that 48.1% of the samples they collected were evaluated in-house, 29.5% were submitted to a veterinary diagnostic laboratory, and 21.6% were evaluated in-house and then submitted to a diagnostic laboratory. Most respondents (89.2%) reported using cytologic assessments to guide additional testing, and most (80.3%) indicated that they found the comments section of the cytology report to be the most important section. When asked to indicate the importance of various factors in their decision to use cytology as a diagnostic method, respondents overwhelmingly indicated that accuracy was very important. The most common reasons for consulting with a clinical pathologist were to discuss a discrepancy between clinical and cytologic findings, to clarify a diagnosis, and to ascertain the pathologist's confidence in a diagnosis. Respondents expressed more confidence in results when board-certified clinical pathologists were examining cytology samples than when others were. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggested that improving communication between veterinary practitioners and veterinary clinical pathologists could enhance the diagnostic value of cytologic examinations and improve clinical decision-making.
机译：目的：确定细胞学在兽医实践中作为诊断方法的程度，并评估兽医在实践中如何与兽医临床病理学家交流。设计：在线调查。研究人群：870名兽医。程序：从2004年10月1日至2004年12月1日，对兽医信息网络的成员进行了在线调查。结果：受访者报告每周获取7个细胞学样本的中位数（范围为0到100）。平均而言，受访者报告说，他们收集的样本中有48.1％是在内部评估的，29.5％是提交给兽医诊断实验室的，而内部评估的则是21.6％，然后提交给诊断实验室的。大多数受访者（89.2％）报告使用细胞学评估来指导其他检测，而大多数受访者（80.3％）表示他们认为细胞学报告的评论部分是最重要的部分。当被要求指出在决定使用细胞学作为诊断方法时各种因素的重要性时，受访者绝大多数表示准确性非常重要。向临床病理学家咨询的最常见原因是讨论临床和细胞学检查结果之间的差异，澄清诊断并确定病理学家对诊断的信心。当获得董事会认证的临床病理学家检查细胞学样本时，与其他人相比，受访者对结果更有信心。结论与临床意义：研究结果表明，改善兽医从业者与兽医临床病理学家之间的交流可以提高细胞学检查的诊断价值并改善临床决策。

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