Veenhuizen 1997 Retrospective review of Skin lesions Initial diagnosis EEO provided by the Initial SO consultation rate (number of 1069 consecutive lesions or no diagnosis pathology panel of the diagnosis N=1069 cases cases referred per institution; size sent to the pathology panel rendered Dutch Melanoma Working of requesting institutions) of the Dutch Melanoma Group when a primary Nature of initial pathology opinion Working Group for expert pathologist encountered (no/differential/provisional review between 1992 and difficulties in making an diagnosis) 1994. Cases were referred unequivocal diagnosis of a Patient characteristics of submitted from hospitals and institutes potential cutaneous cases (age, gender) throughout The Netherlands melanocytic lesion. One of Diagnostic accuracy (concordance; and from some pathologists the three members of the over- and under-diagnosis) abroad. pathology panel provided Number of cases in which expert the EEO. Where doubt The Netherlands panel made an unequivocal remained, the case was sent diagnosis to other panel members and/or reviewed at monthly panel meetings. If panel discussion led to a clinically relevant change in the original expert diagnosis, an additional report was promptly issued. LUNG - - - - - - Hutton Klein 2010 Prospective study of 100 Granulomatous or Initial diagnosis EEO provided by one or Initial Nature of initial pathology opinion consecutive lung biopsies giant cell reactions or no diagnosis more of three pulmonary diagnosis (no diagnosis/provisional diagnosis) referred to a pulmonary in the lung rendered pathologists at the Mayo Diagnostic accuracy pathology consultation Clinic Scottsdale Pulmonary N=80 casesf (agreement/disagreement) service by a pathologist or Pathology Consult Service, Nature of specimens (not reported clinician over a 7-week using an algorithmic separately for requests initiated by period in 2008. approach to diagnosis. pathologist) United States Clinical follow-up (not reported separately for requests initiated by pathologist) ORAL AND - - - - - - MAXILLOFACIAL Jones 2010 Retrospective review of Oral and Initial diagnosis EEO provided by an OMP Initial Nature of initial pathology opinion
Veenhuizen 1997 Retrospective review of 1069 consecutive lesions sent to the pathology panel of the Dutch Melanoma Working Group for expert review between 1992 and 1994. Cases were referred from hospitals and institutes throughout The Netherlands and from some pathologists abroad. The Netherlands Skin lesions N=1069 cases Initial diagnosis or no diagnosis rendered EEO provided by the pathology panel of the Dutch Melanoma Working Group when a primary pathologist encountered difficulties in making an unequivocal diagnosis of a potential cutaneous melanocytic lesion. One of the three members of the pathology panel provided the EEO. Where doubt remained, the case was sent to other panel members and/or reviewed at panel meetings. If panel discussion led to a clinically relevant change in the original expert diagnosis, an additional report was promptly issued. Initial diagnosis SO consultation rate (number of cases referred per institution; size of requesting institutions) Nature of initial pathology opinion (no/differential/provisional diagnosis) Patient characteristics of submitted cases (age, gender) Diagnostic accuracy (concordance; over- and under-diagnosis) Number of cases in which expert panel made an unequivocal diagnosis LUNG - - - - - - Hutton Klein 2010 Prospective study of 100 consecutive lung biopsies referred to a pulmonary pathology consultation service by a pathologist or clinician over a 7-week period in 2008. United States Granulomatous or giant cell reactions in the lung N=80 casesf Initial diagnosis or no diagnosis rendered EEO provided by one or more of three pulmonary pathologists at the Mayo Clinic Scottsdale Pulmonary Pathology Consult Service, using an algorithmic approach to diagnosis. Initial diagnosis Nature of initial pathology opinion (no diagnosis/provisional diagnosis) Diagnostic accuracy (agreement/disagreement) Nature of specimens (not reported separately for requests initiated by pathologist) Clinical follow-up (not reported separately for requests initiated by pathologist) ORAL AND MAXILLOFACIAL - - - - - - Jones 2010 Retrospective review of Oral and Initial diagnosis EEO provided by an OMP Initial Nature of initial pathology opinion monthly
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