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- Title
Impact of Consensus Conference Review on Diagnostic Disagreements in the Evaluation of Cervical Biopsy Specimens.
- Authors
Layfield, Lester J.; Hammer, Richard D.; Frazier, Shellaine R.; Esebua, Magda; Bivin, William W.; Laziuk, Katsiaryna; Nguyen, Van T.; Johannesen, Eric; Schmidt, Robert L.
- Abstract
<bold>Objectives: </bold>To determine the impact of consensus conferences on the frequency of discrepant cases in a surgical pathology practice.<bold>Methods: </bold>The percentage of discrepancies in cases reviewed at a weekly consensus conference was calculated for the first and last months of a 13-month period. Both interrater agreement and agreement with the consensus diagnoses were assessed. A total of 309 diagnoses were performed for the first month and 518 for the last month. Both absolute and chance-corrected agreement were calculated for each period.<bold>Results: </bold>Absolute agreement rate increased from 91.2% in the first month to 98.2% in the final month. Chance-corrected agreement increased from 0.80 in the first month to 0.97 in the final month.<bold>Conclusions: </bold>The consensus conference technique appears to be a useful method to reduce intradepartmental diagnostic discrepancies. Both absolute and chance-corrected agreement are improved by using consensus conferences.
- Subjects
SURGICAL pathology; CERVIX uteri disease diagnosis; DIAGNOSTIC errors
- Publication
American Journal of Clinical Pathology, 2017, Vol 147, Issue 5, p473
- ISSN
0002-9173
- Publication type
journal article
- DOI
10.1093/ajcp/aqx024