Web based pathology assessment in RTOG 98-04 Journal Article
| Authors: | Woodward, W. A.; Sneige, N.; Winter, K.; Kuerer, H. M.; Hudis, C.; Rakovitch, E.; Smith, B. L.; Pierce, L. J.; Germano, I.; Pu, A. T.; Walker, E. M.; Grisell, D. L.; White, J. R.; McCormick, B. |
| Article Title: | Web based pathology assessment in RTOG 98-04 |
| Abstract: | Aims: Radiation Therapy Oncology Group 98-04 sought to identify women with 'good risk' ductal carcinoma in situ (DCIS) who receive no significant benefit from radiation. Enrolment criteria excluded close or positive margins and grade 3 disease. To ensure reproducibility in identifying good risk pathology, an optional web based teaching tool was developed and a random sampling of 10% of submitted slides were reviewed by a central pathologist. Methods: Submitting pathologists were asked to use the web based teaching tool and submit an assessment of the tool along with the pathology specimen form and DCIS H&E stained slide. Per protocol pathology was centrally reviewed for 10% of the cases. Results: Of the 55 DCIS cases reviewed, three had close or positive margins and three were assessed to include grade 3 DCIS, therefore 95% of DCIS cases reviewed were correctly graded, and 89% reviewed were pathologically appropriate for enrolment. Regarding the teaching tool, 13% of DCIS cases included forms that indicated the website was used. One of these seven who used the website submitted DCIS of grade 3. Conclusions: Central review demonstrates high pathological concordance with enrolment eligibility, particularly with regard to accurate grading. The teaching tool appeared to be underused. |
| Keywords: | cancer radiotherapy; cancer grading; internet; teaching; pathology; intraductal carcinoma; human; priority journal; article |
| Journal Title: | Journal of Clinical Pathology |
| Volume: | 67 |
| Issue: | 9 |
| ISSN: | 0021-9746 |
| Publisher: | BMJ Publishing Group Ltd. |
| Date Published: | 2014-09-01 |
| Start Page: | 777 |
| End Page: | 780 |
| Language: | English |
| DOI: | 10.1136/jclinpath-2014-202370 |
| PROVIDER: | scopus |
| PMCID: | PMC4145412 |
| PUBMED: | 24989024 |
| DOI/URL: | |
| Notes: | Export Date: 1 October 2014 -- Source: Scopus |
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