INTEROBSERVER VARIATION IN HISTOPATHOLOGICAL GRADING OF CERVICAL DYSPLASIA

被引：71

作者：

DEVET, HCW

KNIPSCHILD, PG

SCHOUTEN, HJA

KOUDSTAAL, J

KWEE, WS

WILLEBRAND, D

STURMANS, F

ARENDS, JW

机构：

[1] STATE UNIV LIMBURG,DEPT MED INFORMAT & STAT,6200 MD MAASTRICHT,NETHERLANDS

[2] DE WEVER HOSP,DEPT PATHOL,HEERLEN,NETHERLANDS

[3] ST LAURENTIUS HOSP,DEPT PATHOL,ROERMOND,NETHERLANDS

[4] STATE UNIV LIMBURG,DEPT PATHOL,6200 MD MAASTRICHT,NETHERLANDS

来源：

JOURNAL OF CLINICAL EPIDEMIOLOGY | 1990年 / 43卷 / 12期

关键词：

CERVIX DYSPLASIA; HISTOLOGY; CONCORDANCE;

D O I：

10.1016/0895-4356(90)90107-Z

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

In order to assess the variability among histopathologists in grading cervical dysplasia, four experienced histopathologists examined the same set of 106 biopsy specimens and assigned them to one of five diagnostic categories. These were: no dysplasia, mild dysplasia, moderate dysplasia, severe dysplasia and carcinoma in situ. The histopathologists did not discuss the grading criteria beforehand. There was considerable disagreement among the pathologists: unweighted group kappa 0.28, weighted group-kappa-0.56. It appeared that all grades of dysplasia were equally difficult to distinguish from adjacent categories. Various explanations for this interobserver variation are put forward.

引用

页码：1395 / 1398

页数：4

共 9 条

[1] WEIGHTED KAPPA - NOMINAL SCALE AGREEMENT WITH PROVISION FOR SCALED DISAGREEMENT OR PARTIAL CREDIT [J].