Carolina Strosberg1,2, Julie Gibbs1,2, Diana Braswell1,2, Ronni R Leslie3, Jane Messina3,4, Barbara A Centeno3,4, Domenico Coppola5,3,4,6. 1. Department of Chemical Biology Molecular Medicine, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, U.S.A. 2. Department of Pathology and Cell Biology, University of South Florida, Tampa, FL, U.S.A. 3. Department of Anatomic Pathology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, U.S.A. 4. Department of Oncological Sciences, University of South Florida, Tampa, FL, U.S.A. 5. Department of Chemical Biology Molecular Medicine, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, U.S.A. domenico.coppola@moffitt.org. 6. Department of Tumor Biology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, U.S.A.
Abstract
AIM: The objective of this study was to define the rates of discrepancy between outside pathological diagnoses and secondary reviews. MATERIALS AND METHODS: We assessed the rates of discordance between outside diagnoses and secondary reviews, categorizing by organ site and minor or major (affecting patient care) discordances. RESULTS: A total of 9,289 consecutive surgical pathology (SP) and cytopathology (CP) cases reviewed in 2015 were identified. For 8,191 outside SP cases reviewed, the overall discordance rate (DR) was 14.2% (2.2% major, 12.0% minor). Specifically, neuropathology had the highest DR (10.9%), cutaneous and breast the lowest (1.1% each). Among 1,098 CP cases, the total DR was 13.7% (3.0% major, 10.7% minor). The majority of CP cases (1,066) were non-gynecological and had a total DR of 13.4% (2.7% major, 10.7% minor). CONCLUSION: While major DR was low, certain subspecialties had high DRs. This project can help identify areas where focused education could help improve pathological diagnostic accuracy for cancer. Copyright
AIM: The objective of this study was to define the rates of discrepancy between outside pathological diagnoses and secondary reviews. MATERIALS AND METHODS: We assessed the rates of discordance between outside diagnoses and secondary reviews, categorizing by organ site and minor or major (affecting patient care) discordances. RESULTS: A total of 9,289 consecutive surgical pathology (SP) and cytopathology (CP) cases reviewed in 2015 were identified. For 8,191 outside SP cases reviewed, the overall discordance rate (DR) was 14.2% (2.2% major, 12.0% minor). Specifically, neuropathology had the highest DR (10.9%), cutaneous and breast the lowest (1.1% each). Among 1,098 CP cases, the total DR was 13.7% (3.0% major, 10.7% minor). The majority of CP cases (1,066) were non-gynecological and had a total DR of 13.4% (2.7% major, 10.7% minor). CONCLUSION: While major DR was low, certain subspecialties had high DRs. This project can help identify areas where focused education could help improve pathological diagnostic accuracy for cancer. Copyright
Authors: Shivam Kalra; H R Tizhoosh; Sultaan Shah; Charles Choi; Savvas Damaskinos; Amir Safarpoor; Sobhan Shafiei; Morteza Babaie; Phedias Diamandis; Clinton J V Campbell; Liron Pantanowitz Journal: NPJ Digit Med Date: 2020-03-10
Authors: Bin Xu; Ronald Ghossein; Alan Ho; Kartik Viswanathan; Anjanie Khimraj; Maelle Saliba; Jennifer R Cracchiolo; Nora Katabi Journal: Head Neck Date: 2021-04-24 Impact factor: 3.821
Authors: Shivam Kalra; H R Tizhoosh; Sultaan Shah; Charles Choi; Savvas Damaskinos; Amir Safarpoor; Sobhan Shafiei; Morteza Babaie; Phedias Diamandis; Clinton J V Campbell; Liron Pantanowitz Journal: NPJ Digit Med Date: 2020-03-10