Journal article
Use of a new method in reaching consensus on the cause of cytologic-histologic correlation discrepancy
American journal of clinical pathology, v 126(6), pp 836-842
01 Dec 2006
PMID: 17074685
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Pathologists exhibit very poor agreement in adjudicating the cause of cytologic-histologic correlation discrepancies, which contributes to problems in designing interventions to reduce discrepancy frequency. In this observational study, we developed a visual method of adjudicating discrepancy cause, termed the No-Blame Box method, which consisted of initially assessing specimen interpretability by separately evaluating specimen quality and the presence of tumor Five pathologists blindly adjudicated the cause of discrepancy in pulmonary specimens from 40 patients. The kappa statistic of all pathologist pairs in adjudicating discrepancy cause using the No-Blame Box method ranged from 0.400 to 0.796, indicating acceptable to excellent agreement. Pathologists ranged in their assessment of specimen interpretability from 13% to 20%, and in no case did all 5 pathologists concur that a specimen was interpretable. Most discrepancies resulted from pathologists diagnosing noninterpretable samples. Pathologists who used the No-Blame Box showed significant agreement in the adjudication of discrepancy cause.
Metrics
Details
- Title
- Use of a new method in reaching consensus on the cause of cytologic-histologic correlation discrepancy
- Creators
- Stephen S. Raab - Henry Ford Health SystemChad H. Stone - Henry Ford Health SystemEva M. Wojcik - Loyola University Medical CenterKim R. Geisinger - Wake Forest UniversityLaila Dahmoush - Pathology, University of Iowa Healthcare, Iowa City, IAFernando U. Garcia - Drexel UniversityDana Marie Grzybicki - Henry Ford Health SystemJanine E. Janosky - University of PittsburghFrederick A. Meier - Henry Ford Health SystemRichard J. Zarbo - Henry Ford Health System
- Publication Details
- American journal of clinical pathology, v 126(6), pp 836-842
- Publisher
- Amer Soc Clinical Pathology
- Number of pages
- 7
- Grant note
- HS13321-01 / AHRQ HHS; United States Department of Health & Human Services; Agency for Healthcare Research & Quality R01HS013321 / AGENCY FOR HEALTHCARE RESEARCH AND QUALITY; United States Department of Health & Human Services; Agency for Healthcare Research & Quality
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pathology (and Laboratory Medicine)
- Web of Science ID
- WOS:000242319100003
- Scopus ID
- 2-s2.0-33845457143
- Other Identifier
- 991019168732204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pathology