Standardization of terminology in dermoscopy/dermatoscopy: Results of the third consensus conference of the International Society of Dermoscopy.

Standardization of terminology in dermoscopy/dermatoscopy: Results of the third consensus conference of the International Society of Dermoscopy.
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DOI:
10.1016/j.jaad.2015.12.038
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发表时间:
2016-06
影响因子:
13.8
通讯作者:
Halpern A
Halpern A
中科院分区:
医学1区
文献类型:
--
作者:
Kittler H;Marghoob AA;Argenziano G;Carrera C;Curiel-Lewandrowski C;Hofmann-Wellenhof R;Malvehy J;Menzies S;Puig S;Rabinovitz H;Stolz W;Saida T;Soyer HP;Siegel E;Stoecker WV;Scope A;Tanaka M;Thomas L;Tschandl P;Zalaudek I;Halpern A

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不断发展的皮肤镜术语促使我们达成新的共识。我们试图建立标准化术语词典。我们查阅了医学文献,进行了调查,并召开了专家讨论。存在两种竞争性术语,一种是包含大量术语的隐喻性术语,另一种是基于 5 个基本术语的描述性术语。在国际皮肤镜学会 (IDS) 成员中进行的一项调查中,23.5% (n = 201) 的参与者优先使用描述性术语,20.1% (n = 172) 使用隐喻术语,484 (56.5%) 的参与者同时使用这两种术语。更多最初接受过隐喻术语培训的参与者更喜欢使用描述性术语,反之亦然(9.7% vs 2.6%,P < .001)。自 2003 年上次共识会议以来发布的大多数新术语对于大多数参与者来说都是未知的。人们一致认为这两种术语都是合适的,隐喻术语需要定义,应该避免同义词,并且应该阻止创建新的隐喻术语。专家小组提出了一个考虑到隐喻性和描述性术语的标准化术语词典。共识寻求可行的妥协,但并不保证其实施。新共识提供了修订后的标准化术语框架,以增强皮肤镜术语的一致使用。
Evolving dermoscopic terminology motivated us to initiate a new consensus. We sought to establish a dictionary of standardized terms. We reviewed the medical literature, conducted a survey, and convened a discussion among experts. Two competitive terminologies exist, a more metaphoric terminology that includes numerous terms and a descriptive terminology based on 5 basic terms. In a survey among members of the International Society of Dermoscopy (IDS) 23.5% (n = 201) participants preferentially use descriptive terminology, 20.1% (n = 172) use metaphoric terminology, and 484 (56.5%) use both. More participants who had been initially trained by metaphoric terminology prefer using descriptive terminology than vice versa (9.7% vs 2.6%, P < .001). Most new terms that were published since the last consensus conference in 2003 were unknown to the majority of the participants. There was uniform consensus that both terminologies are suitable, that metaphoric terms need definitions, that synonyms should be avoided, and that the creation of new metaphoric terms should be discouraged. The expert panel proposed a dictionary of standardized terms taking account of metaphoric and descriptive terms. A consensus seeks a workable compromise but does not guarantee its implementation. The new consensus provides a revised framework of standardized terms to enhance the consistent use of dermoscopic terminology.
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