دورية أكاديمية

Intra-observer and inter-observer variability in two grading systems for oral epithelial dysplasia: A multi-centre study in India.

التفاصيل البيبلوغرافية
العنوان: Intra-observer and inter-observer variability in two grading systems for oral epithelial dysplasia: A multi-centre study in India.
المؤلفون: Ranganathan K; Department of Oral and Maxillofacial Pathology, Ragas Dental College and Hospital, Chennai, India.; The Tamil Nadu Dr. MGR Medical University, Chennai, India., Kavitha L; Department of Oral and Maxillofacial Pathology, Ragas Dental College and Hospital, Chennai, India.; The Tamil Nadu Dr. MGR Medical University, Chennai, India., Sharada P; Department of Oral and Maxillo Facial Pathology, AECS Maaruti College of Dental Sciences, Bengaluru, India., Bavle RM; Department of Oral and Maxillofacial Pathology, Krishnadevaraya College of Dental Sciences, Bengaluru, India., Rao RS; Department of Oral Pathology, Faculty of Dental Sciences, Ramaiah University of Applied Sciences, Bangaluru, India., Pattanshetty SM; Maratha Mandal's NGH Institute of Dental Sciences & Research Centre, Belagavi, India., Hazarey VK; Datta Meghe Institute of Medical Sciences, Wardha, India., Madhura MG; Department of Oral Pathology and Microbiology, DAPM R V Dental College and Hospital, Bengaluru, India., Nagaraj T; Sri Rajiv Gandhi College of Dental sciences & Hospital, Bengaluru, India., Lingappa A; Bapuji Dental College & Hospital, Davangere, India., Warnakulasuriya S; Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, WHO Collaborating Centre for Oral Cancer, London, UK.
المصدر: Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology [J Oral Pathol Med] 2020 Oct; Vol. 49 (9), pp. 948-955. Date of Electronic Publication: 2020 Jul 09.
نوع المنشور: Journal Article; Multicenter Study
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: Denmark NLM ID: 8911934 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1600-0714 (Electronic) Linking ISSN: 09042512 NLM ISO Abbreviation: J Oral Pathol Med Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford, UK : Wiley-Blackwell
Original Publication: Copenhagen : Munksgaard, c1989-
مواضيع طبية MeSH: Carcinoma in Situ*, Humans ; Hyperplasia ; India ; Observer Variation ; Reproducibility of Results
مستخلص: Background: The presence and grading of oral epithelial dysplasia (OED) are considered the gold standard for predicting the malignant risk of oral potentially malignant disorders. However, inter-observer and intra-observer agreement in the context of reporting on OED grading has been reputedly considered unreliable.
Methods: We undertook a multi-centre study of six Indian oral pathologists to assess variations in reporting OED using the World Health Organization (WHO; 2005) system and also the recently introduced binary system. The observer variability was assessed with the use of kappa statistics.
Results: The weighted kappa intra-observer agreement scores improved (κ w  = 0.5012) on grouping by two grades as no and mild dysplasia versus moderate and severe dysplasia compared to binary grading system (κ = 0.1563) and WHO grading system (κ w  = 0.4297). Poor to fair inter-observer agreement scores were seen between the principal investigator (PI) and the other five observers using the WHO grading system (κ = 0.051-0.231; κ w  = 0.145 to 0.361; 35% to 46%) and binary grading system (κ = 0.049 to 0.326; 50 to 65%).
Conclusions: There is considerable room for improvement in the assessment of OED using either system to help in standardised reporting. The professional pathology organisations in India should take steps to provide external quality assessment in reporting OED among oral and general pathologists who are engaged in routine reporting of head and neck specimens.
(© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
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فهرسة مساهمة: Keywords: dysplasia; epithelial; grading; inter-observer; potentially malignant
تواريخ الأحداث: Date Created: 20200610 Date Completed: 20201221 Latest Revision: 20201221
رمز التحديث: 20221213
DOI: 10.1111/jop.13056
PMID: 32516857
قاعدة البيانات: MEDLINE
الوصف
تدمد:1600-0714
DOI:10.1111/jop.13056