Performance of gastrointestinal pathologists within a national digital review panel for Barrett's oesophagus in the Netherlands: Results of 80 prospective biopsy reviews
| العنوان: | Performance of gastrointestinal pathologists within a national digital review panel for Barrett's oesophagus in the Netherlands: Results of 80 prospective biopsy reviews |
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| المؤلفون: | Clément J. Huysentruyt, Sybren L. Meijer, Jacques J. Bergman, Michael Doukas, Kees A. Seldenrijk, Arend Karrenbeld, Mike Visser, Ariadne Ooms, Roos E. Pouw, Johan Offerhaus, Esther Klaver, Freek Moll, Fiebo J.W. ten Kate, Katharina Biermann, Jan G.P. Tijssen, Jaap van der Laan, Ineke van Lijnschoten, Lodewijk A.A. Brosens, Lucas C. Duits, Gursah Kats-Ugurlu, Myrtle van der Wel |
| المساهمون: | Pathology |
| المصدر: | Journal of Clinical Pathology, 74(1), 48-52. BMJ Publishing Group Journal of Clinical Pathology, 74(1):206511, 48-52. BMJ PUBLISHING GROUP Journal of Clinical Pathology Journal of Clinical Pathology : the Journal of the Association of Clinical Pathologists, 74, 1, pp. 48-52 Journal of Clinical Pathology : the Journal of the Association of Clinical Pathologists, 74, 48-52 Klaver, E, van der Wel, M, Duits, L, Pouw, R, Seldenrijk, K, Offerhaus, J, Visser, M, Ten Kate, F, Biermann, K, Brosens, L, Doukas, M, Huysentruyt, C, Karrenbeld, A, Kats-Ugurlu, G, van der Laan, J, van Lijnschoten, I, Moll, F, Ooms, A, Tijssen, J, Meijer, S & Bergman, J 2021, ' Performance of gastrointestinal pathologists within a national digital review panel for Barrett's oesophagus in the Netherlands : results of 80 prospective biopsy reviews ', Journal of Clinical Pathology, vol. 74, no. 1, 206511, pp. 48-52 . https://doi.org/10.1136/jclinpath-2020-206511Test |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Biopsy, quality assurance, Pathology and Forensic Medicine, Barrett Esophagus, Esophagus, Tumours of the digestive tract Radboud Institute for Molecular Life Sciences [Radboudumc 14], Medicine, Humans, Prospective Studies, Medical diagnosis, Original Research, Aged, Netherlands, Observer Variation, medicine.diagnostic_test, business.industry, General surgery, Digital pathology, General Medicine, Middle Aged, medicine.disease, Barrett's oesophagus, Gastrointestinal Tract, Pathologists, Benchmarking, Group discussion, Dysplasia, Homogeneous, Female, business, digital pathology |
| الوصف: | AimsThe histopathological diagnosis of low-grade dysplasia (LGD) in Barrett’s oesophagus (BO) is associated with poor interobserver agreement and guidelines dictate expert review. To facilitate nationwide expert review in the Netherlands, a web-based digital review panel has been set up, which currently consists of eight ‘core’ pathologists. The aim of this study was to evaluate if other pathologists from the Dutch BO expert centres qualify for the expert panel by assessing their performance in 80 consecutive LGD reviews submitted to the panel.MethodsPathologists independently assessed digital slides in two phases. Both phases consisted of 40 cases, with a group discussion after phase I. For all cases, a previous consensus diagnosis made by five core pathologists was available, which was used as reference. The following criteria were used: (1) percentage of ‘indefinite for dysplasia’ diagnoses, (2) percentage agreement with consensus diagnosis and (3) proportion of cases with a consensus diagnosis of dysplasia underdiagnosed as non-dysplastic. Benchmarks were based on scores of the core pathologists.ResultsAfter phase I, 1/7 pathologists met the benchmark score for all quality criteria, yet three pathologists only marginally failed the agreement with consensus diagnosis (score 68.3%, benchmark 69%). After a group discussion and phase II, 5/6 remaining aspirant panel members qualified with all scores within the benchmark range.ConclusionsThe Dutch BO review panel now consists of 14 pathologists, who—after structured assessments and group discussions—can be considered homogeneous in their review of biopsies with LGD. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 0021-9746 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::05aacb7e1f726a168dff0e6a7af28cf7Test https://doi.org/10.1136/jclinpath-2020-206511Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....05aacb7e1f726a168dff0e6a7af28cf7 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 00219746 |
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