Sources of interobserver variation in histopathological grading of cervical dysplasia
作者： Henrica C.W. De Vet , Paul G. Knipschild , Hubert J.A. Schouten , Johan Koudstaal , Wie-Sien Kwee
DOI: 10.1016/0895-4356(92)90056-S
关键词:
摘要: The present study aimed to assess where the interobserver variation in grading cervical dysplasia stems from. Four experienced pathologists examined 93 histological slides, after they agreed on which morphological characteristics should be considered relevant for grading. They scored 6 each slide and assigned it a degree of dysplasia. Compared previous study, showed statistically significant improvement: weighted group kappa value increased from 0.55 0.69. For scores individual considerable was observed: values ranged 0.28 0.49. slightly differed most important their agreement turned out better than this diagnosis is based. In discussion, few explanations paradoxical finding are put forward.
vumc.nl
narcis.nl参考文章(7)
Henrica C.W. de Vet, Paul G. Knipschild, Hubert J.A. Schouten, Johan Koudstaal, Wie-Seen Kwee, Dirk Willebrand, Ferd Sturmans, Jan Willem Arends, Interobserver variation in histopathological grading of cervical dysplasia Journal of Clinical Epidemiology. ,vol. 43, pp. 1395- 1398 ,(1990) , 10.1016/0895-4356(90)90107-Z
J. Ringsted, F. Amtrup, C. Asklund, P. Baunsgaard, H. E. Christensen, L. Hansen, C. Jakobsen, N. K. Jensen, J. Moesner, J. Rasmussen, I. Reintoft, J. Rolschau, H. Starklint, N. Thommesen, J. Vrang, Reliability of histo-pathological diagnosis of squamous epithelial changes of the uterine cervix. Acta Pathologica Microbiologica Scandinavica Section A Pathology. ,vol. 86, pp. 273- 278 ,(2009) , 10.1111/J.1699-0463.1978.TB02043.X
S. M. Ismail, A. B. Colclough, J. S. Dinnen, D. Eakins, D. M. Evans, E. Gradwell, J. P. O'Sullivan, J. M. Summerell, R. G. Newcombe, Observer variation in histopathological diagnosis and grading of cervical intraepithelial neoplasia. BMJ. ,vol. 298, pp. 707- 710 ,(1989) , 10.1136/BMJ.298.6675.707
Jacob Cohen, Weighted kappa: Nominal scale agreement provision for scaled disagreement or partial credit. Psychological Bulletin. ,vol. 70, pp. 213- 220 ,(1968) , 10.1037/H0026256
Jacob Cohen, A Coefficient of agreement for nominal Scales Educational and Psychological Measurement. ,vol. 20, pp. 37- 46 ,(1960) , 10.1177/001316446002000104
Hubert J. A. Schouten, Nominal scale agreement among observers Psychometrika. ,vol. 51, pp. 453- 466 ,(1986) , 10.1007/BF02294066
A J Robertson, J M Anderson, J S Beck, R A Burnett, S R Howatson, F D Lee, A M Lessells, K M McLaren, S M Moss, J G Simpson, Observer variability in histopathological reporting of cervical biopsy specimens. Journal of Clinical Pathology. ,vol. 42, pp. 231- 238 ,(1989) , 10.1136/JCP.42.3.231