在乳腺非典型导管增生的诊断观察者间的一致性:一个系统的回顾。

Breast disease Pub Date : 2022-01-01 DOI:10.3233/BD-220029

Mario Arturo González Mariño

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引用次数: 0

摘要

目的:探讨乳腺非典型导管增生病理诊断的一致性。方法:系统回顾PubMed数据库中包含“病理学家”和“非典型导管增生”、“非典型导管增生”和“观察者间可变性”的文章，在Embase中包含“观察者间一致的非典型导管增生”，在Lilacs中包含西班牙语“patólogos”和“导管增生atípica”，不使用过滤器。在2022年3月16日至2022年3月26日期间，搜索使用kappa统计评估非典型导管增生诊断中观察者间一致性的文章。综述文章、会议记录和评论被排除在外。结果:在检索条件下，共检索到507篇文献。其中491篇因标题和摘要被排除在筛选之外。在全部阅读的剩余文章中，选取6篇进行定性分析。kappa值从轻微一致(kappa = 0.17)到非常一致(0.69)不等，kappa值来自于专门从事或有经验的乳腺病理学家，他们接受了先前的指导课程，以回顾非典型性的一般标准。结论:本研究回顾了非典型导管增生诊断的可重复性。一个更好的一致性与先前的教学过程提供给病理学家专门或有经验的乳腺病理学。

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Inter-observer agreement in the diagnosis of breast atypical ductal hyperplasia: A systematic review.

Objective: To review the concordance between pathologists in the diagnosis of atypical ductal hyperplasia of the breast.

Methods: Systematic review of articles registered in the PubMed database with the terms "pathologists" and "atypical ductal hyperplasia", "atypical ductal hyperplasia" and "interobserver variability", in Embase with "interobserver agreement in atypical ductal hyperplasia" and Lilacs with the terms in Spanish "patólogos" and "hiperplasia ductal atípica", without the use of filters, between 03/16/2022 and 03/26/2022 searching for articles that assess inter-observer agreement in the diagnosis of atypical ductal hyperplasia by using the kappa statistic. Review articles, conference proceedings, and commentaries were excluded.

Results: With the search terms, 507 publications were found. Of these, 491 were excluded from the screening by title and abstract. Of the full reading of the remaining articles, 6 were selected for qualitative analysis. The kappa values ranged from slight agreement, kappa = 0.17, to substantial agreement, 0.69 obtained from pathologists dedicated or experienced in breast pathology and who received a prior tutorial session to review the general criteria for atypia.

Conclusions: This study reviews the reproducibility in the diagnosis of atypical ductal hyperplasia. A better concordance was obtained with a previous teaching process offered to pathologists dedicated or experienced in breast pathology.

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来源期刊

Breast disease Medicine-Oncology

CiteScore

1.80

自引率

0.00%

发文量

期刊介绍： The recent expansion of work in the field of breast cancer inevitably will hasten discoveries that will have impact on patient outcome. The breadth of this research that spans basic science, clinical medicine, epidemiology, and public policy poses difficulties for investigators. Not only is it necessary to be facile in comprehending ideas from many disciplines, but also important to understand the public implications of these discoveries. Breast Disease publishes review issues devoted to an in-depth analysis of the scientific and public implications of recent research on a specific problem in breast cancer. Thus, the reviews will not only discuss recent discoveries but will also reflect on their impact in breast cancer research or clinical management.