Reporting Gleason grade/score in synoptic reports of radical prostatectomies.
Reporting Gleason grade/score in synoptic reports of radical prostatectomies.
复制标题
报告根治性前列切除术的概要报告中的格里森等级/得分。
DOI：
10.4103/2153-3539.197201
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发表时间：
2016
影响因子：
--
通讯作者：
Gould EW
中科院分区：
文献类型：
--
作者：
Renshaw AA;Mena-Allauca M;Gould EW
摘要报告的格式会显著影响读者检索信息的准确性、速度和偏好。本研究的目的是比较不同格式的Gleason分级/评分在根治性前列腺切除术的概要报告。16名非病理学家（癌症登记员、医学博士、医学非医学博士和非医学）在使用计算机测验识别各种格式的概要报告中的特定信息时的表现，该测验测量准确性和速度。与标准格式（小学、中学、大学等级和总分单独列出）相比，当不适用时省略大学等级降低了准确性（72 vs. 97%，P < 0.001），并增加了63%的检索信息时间（P < 0.001）。没有用户愿意省略第三级。活检格式（第一+第二=总分，第三在单独的线上）和单线格式（第一+第二+（第三）->总分）与数据提取速度的增加相关（分别为18%和24%，P < 0.001）。单线格式更准确（100% vs. 97%，P = 0.02）。没有用户喜欢活检格式，只有7/16的用户喜欢单线格式。格里森分级的不同报告格式显著影响用户的速度、准确性和偏好;用户并不总是喜欢速度或准确性。
The format of a synoptic report can significantly affect the accuracy, speed, and preference with which a reader can retrieve information. The objective of this study is to compare different formats of Gleason grading/score in synoptic reports of radical prostatectomies. The performance of 16 nonpathologists (cancer registrars, MDs, medical non-MDs, and nonmedical) at identifying specific information in various formatted synoptic reports using a computerized quiz that measured both accuracy and speed. Compared to the standard format (primary, secondary, tertiary grades, and total score on separate lines), omitting tertiary grade when Not applicable reduced accuracy (72 vs. 97%, P < 0.001) and increased time to retrieve information 63% (P < 0.001). No user preferred to have tertiary grade omitted. Both the biopsy format (primary + secondary = total score, tertiary on a separate line) and the single line format (primary + secondary + (tertiary) -> total score) were associated with increased speed of data extraction (18 and 24%, respectively, P < 0.001). The single line format was more accurate (100% vs. 97%, P = 0.02). No user preferred the biopsy format, and only 7/16 users preferred the single line format. Different report formats for Gleason grading significantly affect users speed, accuracy, and preference; users do not always prefer either speed or accuracy.