Heath A Davis, Donna A Santillan, Chris E Ortman, Asher A Hoberg, Joseph P Hetrick, Charles W McBrearty, Erliang Zeng, Mary S Vaughan Sarrazin, Karen Dunn Lopez, Cole G Chapman, Ryan M Carnahan, Jacob J Michaelson, Boyd M Knosp
The Iowa Health Data Resource (IHDR): an innovative framework for transforming the clinical health data ecosystem
Journal of the American Medical Informatics Association : JAMIA
2024 world health organization scheduled publish reporting system soft tissue cytopathology whorsstc system establishes categories welldefined definitions criteria estimated risks malignancy roms soft tissue tumors estimates rom based relatively small number published studies interobserver reproducibility addressed reporting system even though reproducibility reporting system highly important manual search one authors personal consultation files teaching set ljl conducted cytologic specimens soft tissue tumors accessioned january 1 1985 december 31 2022 cases documented surgical pathology followup included study slides case evaluated independently three cytopathologists case assigned one whorsstc categories rom whorsstc categories calculated interobserver agreement evaluated kappa weighted kappa statistics risk malignancy category category 1 0 category 2 28 category 3 57 category 4 47 category 5 63 category 6 88 kappa statistics agreement raters varied 02183 03465 weighted kappa varied 03778 05217 whorsstc showed progression malignancy risk category benign 28 category malignant 88 interobserver agreement fair