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Performance of gastrointestinal pathologists within a national digital review panel for Barrett's oesophagus in the Netherlands: results of 80 prospective biopsy reviews.
| Content Provider | Europe PMC |
|---|---|
| Author | Klaver, Esther van der Wel, Myrtle Duits, Lucas Pouw, Roos Seldenrijk, Kees Offerhaus, Johan Visser, Mike ten Kate, Fiebo Biermann, Katharina Brosens, Lodewijk Doukas, Michael Huysentruyt, Clément Karrenbeld, Arend Kats-Ugurlu, Gursah van der Laan, Jaap van Lijnschoten, Ineke Moll, Freek Ooms, Ariadne Tijssen, Jan Meijer, Sybren Bergman, Jacques |
| Copyright Year | 2021 |
| Abstract | 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. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC7788478&blobtype=pdf |
| ISSN | 00219746 |
| Journal | Journal of Clinical Pathology [J Clin Pathol] |
| Volume Number | 74 |
| DOI | 10.1136/jclinpath-2020-206511 |
| PubMed Central reference number | PMC7788478 |
| Issue Number | 1 |
| PubMed reference number | 32467320 |
| e-ISSN | 14724146 |
| Language | English |
| Publisher | BMJ Publishing Group |
| Publisher Date | 2020-05-28 |
| Publisher Place | BMA House, Tavistock Square, London, WC1H 9JR |
| Access Restriction | Open |
| Rights License | This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. |
| Subject Keyword | Barrett's oesophagus digital pathology quality assurance |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pathology and Forensic Medicine |
