Document Detail


Revisiting old slides--how worthwhile is it?
MedLine Citation:
PMID:  20188486     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Retrospective review of surgical pathology cases is a sensitive and effective method for identifying diagnostic discrepancies. As such studies from developing countries are limited, we undertook a retrospective review of 2408 surgical pathology cases (excluding skin, liver, and kidney biopsies) by two review pathologists to evaluate the quality of histopathology reporting, to identify the variations therein, and to classify them as major and minor according to the impact these would have on patient diagnosis, prognosis, or management. Diagnostic concordance was achieved in 93.1% of cases. The frequencies of overall and major differences in opinion were 6.9% and 3.4%, respectively. Major discrepancies were more common in non-neoplastic lesions than tumors. Endometrial pathologies were misdiagnosed maximally. The overall diagnostic agreement rate in the present study is in tune with those reported earlier although the frequency of major differences is higher. This is definitely a cause for concern and calls for remedial action.
Authors:
Sarla Agarwal; Neelam Wadhwa
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Publication Detail:
Type:  Journal Article     Date:  2010-02-25
Journal Detail:
Title:  Pathology, research and practice     Volume:  206     ISSN:  1618-0631     ISO Abbreviation:  Pathol. Res. Pract.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-31     Completed Date:  2010-08-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806109     Medline TA:  Pathol Res Pract     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  368-71     Citation Subset:  IM    
Copyright Information:
2010 Elsevier GmbH. All rights reserved.
Affiliation:
Department of Pathology, University College of Medical Sciences, University of Delhi, Shahdra, Delhi 110095, India. profsarla@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Developing Countries / statistics & numerical data*
Humans
Pathology, Surgical / standards*
Quality Assurance, Health Care / standards*
Reproducibility of Results

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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