Clinical cytology and primary health care of children and adults

Scientific paper - Review paper

• Title (croatian): Klinička citologija i primarna zdravstvena zaštita djece i odraslih
• Author: Željka Znidarčić
• Author: Tatjana Jeren
• Author: Gordana Kaić
• Author: Ika Kardum-Skelin
• Author: Anka Knežević-Obad
• Author: Silvana Smojver-Ježek
• Author: Adrijana Vince
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract (english)

Clinical cytology is a diagnostic branch of medicine, best known by the Papa test in gynaecology. But, cytology can be applied in almost all fields of clinical medicine. Its advantages--high accuracy, simplicity, with little or no aggressiveness and low cost--are not used as widely as they could be. Medical practice, as well as medical research, and also medical education, are nowadays often directed at profitable use and not at the real benefit of the patient. Primary practitioners do not have enough chance to get acquainted with clinical cytology as a whole although they need true information, based on the cost-effectiveness and patient-benefit. A panel discussion on this subject was organised at the 4th Croatian Congress of Clinical Cytology, in Split, October 11-14, 2009 by the Croatian Society for Clinical Cytology-Croatian Medical Association, to inform primary practitioners about the possibilities of cytodiagnostics in the health care of children and adults. Indications for cytodiagnostics in infectious diseases (T. Jeren and A. Vince), haematology (I. Kardum-Skelin), pulmonology (S. Smojver-Jezek), thyroid diseases (A. Knezević-Obad), breast diseases (I. Kardum-Skelin), gastroenterology and urology (G. Kaić) were discussed, as well as technical procedures and the interpretation of the cytological findings. Moderator (Z. Znidarcić) opened the panel with presentation about the role of clinical cytology, particularly in the primary health care. The discussion finally pointed at the necessity of better communication between primary practitioners and cytologists. This review article presents contents of the panel discussion.

Abstract (croatian)

Klinička je citologija medicinska dijagnostička struka, poznata poglavito kao Papa test u ginekologiji, ali se ona primjenjuje u gotovo svim medicinskim strukama. Njene su prednosti visoki stupanj točnosti, jednostavna tehnika, mala ili nikakva agresivnost i mali troškovi, ali se unatoč tome ne koristi dovoljno u praksi. U medicinskoj praksi, kao i u medicinskoj znanosti, a i u edukaciji, danas je na prvom mjestu profit, a ne stvarna dobrobit bolesnika. Liječnici u primarnoj zdravstvenoj zaštiti nemaju dovoljno prilike da upoznaju sve mogućnosti citološke dijagnostike, iako bi to bilo potrebno upravo zbog njene prednosti u smanjenju troškova i koristi za bolesnike. O toj temi održana je rasprava za okruglim stolom na 4. Hrvatskom kongresu kliničke citologije, održanom u Splitu od 11. do 14. listopada 2009. godine u organizaciji Hrvatskog društva za kliničku citologiju Hrvatskog liječničkog zbora, usmjerena na informiranje liječnika u primarnoj zdravstvenoj zaštiti djece i odraslih o mogućnostima citološke dijagnostike. Bilo je riječi o indikacijama za citodijagnostiku u zaraznim bolestima (T. Jeren i A. Vince), hematologiji (I. Kardum-Skelin), pulmologiji (S. Smojver- Ježek), bolestima štitnjače (A. Knežević-Obad) i dojke (I. Kardum-Skelin), te u gastroenterologiji i urologiji (G. Kaić), kao i o tehničkim postupcima te o interpretaciji citoloških nalaza. Voditeljica rasprave (Ž. Znidarčić) održala je uvodno izlaganje o kliničkoj citologiji i njenoj ulozi u primarnoj zdravstvenoj skrbi. U zaključku je naglašena potreba bolje komunikacije između liječnika primarne zdravstvene skrbi i citologa. U članku su prikazani tekstovi ove rasprave.

• Keywords (english): Adult; Algorithms; Biopsy, Fine-Needle / methods; Cell Biology / trends; Child; Child Health Services; Cytodiagnosis / methods; Health Services; Humans; Infections / pathology; Lymph Nodes / pathology; Physicians, Family; Research / trends; Research Design
• Language: english
• Publication type: Scientific paper - Review paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Collegium Antropologicum
• Numbering: vol. 34, no. 2, pp. 737-748
• p-ISSN: 0350-6134
• URN:NBN: urn:nbn:hr:105:477195
• Publication: 2010-06
• Document URL: https://hrcak.srce.hr/56547
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-28 11:46:17