ArticleJournal of clinical pathology2014
Second opinion in breast pathology: policy, practice and perception.
Article in Journal of clinical pathology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 32 citations in OpenAlex.
- Improving the Quality of Care for Cancer Patients through Oncological Second Opinions in a Comprehensive Cancer Center: Feasibility of Patient-Initiated Second Opinions through a Health-Insurance Service Point.Diagnostics (Basel, Switzerland) · 2023Article
- Eye tracking reveals expertise-related differences in the time-course of medical image inspection and diagnosis.Journal of medical imaging (Bellingham, Wash.) · 2020Article
- A review of eye tracking for understanding and improving diagnostic interpretation.Cognitive research: principles and implications · 2019Article
- Breast Cancer Prognostic Factors in the Digital Era: Comparison of Nottingham Grade using Whole Slide Images and Glass Slides.Journal of pathology informatics · 2019Article
- Complexities of perceived and actual performance in pathology interpretation: A comparison of cutaneous melanocytic skin and breast interpretations.Journal of cutaneous pathology · 2018Observational
- Pathologists' Use of Second Opinions in Interpretation of Melanocytic Cutaneous Lesions: Policies, Practices, and Perceptions.Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2018Article
- Second opinion strategies in breast pathology: a decision analysis addressing over-treatment, under-treatment, and care costs.Breast cancer research and treatment · 2018Article
- Characteristics associated with requests by pathologists for second opinions on breast biopsies.Journal of clinical pathology · 2017Observational
- Automated Classification of Benign and Malignant Proliferative Breast Lesions.Scientific reports · 2017Article
- Diagnostic Reproducibility: What Happens When the Same Pathologist Interprets the Same Breast Biopsy Specimen at Two Points in Time?Annals of surgical oncology · 2017Article
- Second Opinions From Medical Oncologists for Early-Stage Breast Cancer: Prevalence, Correlates, and Consequences.JAMA oncology · 2017Article
- Accuracy is in the eyes of the pathologist: The visual interpretive process and diagnostic accuracy with digital whole slide images.Journal of biomedical informatics · 2017Article
- A Randomized Study Comparing Digital Imaging to Traditional Glass Slide Microscopy for Breast Biopsy and Cancer Diagnosis.Journal of pathology informatics · 2017Article
- Histological features associated with diagnostic agreement in atypical ductal hyperplasia of the breast: illustrative cases from the B-Path study.Histopathology · 2016Article
- Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study.BMJ (Clinical research ed.) · 2016Article
- Medical malpractice concerns and defensive medicine: a nationwide survey of breast pathologists.American journal of clinical pathology · 2015Article
- Variation in Additional Breast Imaging Orders and Impact on Surgical Wait Times at a Comprehensive Cancer Center.Annals of surgical oncology · 2015Article
- The Influence of Radiology Image Consultation in the Surgical Management of Breast Cancer Patients.Annals of surgical oncology · 2015Article
- Extracting knowledge from chemical imaging data using computational algorithms for digital cancer diagnosis.The Yale journal of biology and medicine · 2015Review
- Computational pathology to discriminate benign from malignant intraductal proliferations of the breast.PloS one · 2014Article
Corrections and comments
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Authors and funding
9 authors at 6 institutions in 2 countries.
Funding
Abstract
aimsTo assess the laboratory policies, pathologists' clinical practice and perceptions about the value of second opinions for breast pathology cases among pathologists practising in the USA.
methodsCross-sectional data were collected from 252 pathologists who interpret breast specimens in eight states using a web-based survey. Descriptive statistics were used to characterise findings.
resultsMost participants had >10 years of experience interpreting breast specimens (64%), were not affiliated with academic centres (73%) and were not considered experts by their peers (79%). Laboratory policies mandating second opinions varied by diagnosis: invasive cancer 65%; ductal carcinoma in situ (DCIS) 56%; atypical ductal hyperplasia 36% and other benign cases 33%. 81% obtained second opinions in the absence of policies. Participants believed they improve diagnostic accuracy (96%) and protect from malpractice suits (83%), and were easy to obtain, did not take too much time and did not make them look less adequate. The most common (60%) approach to resolving differences between the first and second opinion is to ask for a third opinion, followed by reaching a consensus.
conclusionsLaboratory-based second opinion policies vary for breast pathology but are most common for invasive cancer and DCIS cases. Pathologists have favourable attitudes towards second opinions, adhere to policies and obtain them even when policies are absent. Those without a formal policy may benefit from supportive clinical practices and systems that help obtain second opinions.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.