Improved cytodiagnostics and quality of patient care through double reading of selected cases by an expert cytopathologist

Virchows Archiv : an International Journal of Pathology
Chantal C H J KuijpersMehdi Jiwa

Abstract

Double reading may be a valuable tool for improving the quality of patient care by restoring diagnostic errors before final sign-out, but standard double reading would significantly increase costs of pathology. The aim of this study was to assess the added value of routine double reading of defined categories of clinical cytology specimens by specialized cytopathologists. Specialized cytopathologists routinely re-diagnosed blinded defined categories of clinical cytology specimens that had been signed out by routine pathologists from January 2012 up to December 2013. Major and minor discordance rates between initial and expert diagnoses were determined, and both diagnoses were validated by comparison with same-site histological follow-up. Initial and expert diagnoses were concordant in 131/218 specimens (60.1 %). Major and minor discordances were present in 28 (12.8 %) and 59 (27.1 %) specimens, respectively. Pleural fluid, thyroid and urine specimens showed the highest major discordance rates (19.4, 19.2 and 16.7 %, respectively). Histological follow-up (where possible) supported the expert diagnosis in 95.5 % of specimens. Our implemented double reading strategy of defined categories of cytology specimens showed major discorda...Continue Reading

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Citations

Apr 21, 2016·Diagnostic Cytopathology·Ivana Kholová
May 5, 2017·Cytopathology : Official Journal of the British Society for Clinical Cytology·C BellevicineG Troncone
May 31, 2018·Environmental Management·Mirjam A F Ros-TonenTerry Sunderland
May 18, 2019·Archives of Pathology & Laboratory Medicine·Daniel D MaisJoseph A Tworek
Sep 13, 2017·Biometrical Journal. Biometrische Zeitschrift·Sotiris BersimisSubha Chakraborti

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