Evidence map›Paper›PMID 30407751›Full record

ArticleThe journal of pathology. Clinical research2019

Quality assurance guidance for scoring and reporting for pathologists and laboratories undertaking clinical trial work.

Max Robinson, Jacqueline James, Gareth Thomas, Nicholas West, Louise Jones, Jessica Lee, Karin Oien, Alex Freeman, Clare Craig, Philip Sloan and 5 more

Open access · goldAbstract read
In one paragraph

Article in The journal of pathology. Clinical research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
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  13. The use of digital pathology and image analysis in clinical trials.The journal of pathology. Clinical research · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 13 institutions in 1 country.

Max RobinsonCentre for Oral Health Research, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0003-4491-6865
Jacqueline JamesSchool of Medicine, Dentistry and Biomedical Sciences, Centre for Cancer Research and Cell Biology, Institute for Health Sciences, Queen's University Belfast, Belfast, UK.
Gareth ThomasFaculty of Medicine Cancer Sciences Unit, Southampton University, Southampton, UK.
Nicholas WestPathology and Tumour Biology, Leeds Institute of Cancer and Pathology, University of Leeds, Leeds, UK.ORCID 0000-0002-0346-6709
Louise JonesCentre for Tumour Biology, Barts Cancer Institute, Barts and the London School of Medicine and Dentistry, London, UK.
Jessica LeeStrategy and Initiatives, National Cancer Research Institute, London, UK.
Karin OienInstitute of Cancer Sciences - Pathology, University of Glasgow, Glasgow, UK.
Alex FreemanDepartment of Pathology, University College London Hospitals NHS Foundation Trust, London, UK.
Clare CraigGenomics England, London, UK.
Philip SloanDepartment of Cellular Pathology, Newcastle upon Tyne Hospitals NHS Trust, Newcastle upon Tyne, UK.
Philip ElliotCentre for Tumour Biology, Barts Cancer Institute, Barts and the London School of Medicine and Dentistry, London, UK.
Maggie CheangInstitute of Cancer Research Clinical Trials and Statistics Unit, The Institute of Cancer Research, Surrey, UK.
Manuel Rodriguez-JustoDepartment of Gastroenterology, University College Hospitals London, London, UK.
Clare VerrillNuffield Department of Surgical Sciences, University of Oxford, and Oxford NIHR Biomedical Research Centre, Oxford, UK.
UK National Cancer Research Institute (NCRI) Cellular-Molecular Pathology (CM-Path) clinical trials working group
Queen Mary University of London · GBDevelopment Initiatives · GBGenomics England · GBInstitute of Cancer Research · GBNewcastle University · GBNewcastle upon Tyne Hospital · GBQueen's University Belfast · GBUniversity College Hospital · GBUniversity College London Hospitals NHS Foundation Trust · GBUniversity of Glasgow · GBUniversity of Leeds · GBUniversity of Oxford · GBUniversity of Southampton · GB

Funding

Cancer Research UK 25351Medical Research Council MR/N005813/1Medical Research Council MR/N005872/1
6 · The paper itself

Abstract

While pathologists have always played a pivotal role in clinical trials ensuring accurate diagnosis and staging, pathology data from prognostic and predictive tests are increasingly being used to enrol, stratify and randomise patients to experimental treatments. The use of pathological parameters as primary and secondary outcome measures, either as standalone classifiers or in combination with clinical data, is also becoming more common. Moreover, reporting of estimates of residual disease, termed 'pathological complete response', have been incorporated into neoadjuvant clinical trials. Pathologists have the expertise to deliver this essential information and they also understand the requirements and limitations of laboratory testing. Quality assurance of pathology-derived data builds confidence around trial-specific findings and is necessarily focused on the reproducibility of pathological data, including 'estimates of uncertainty of measurement', emphasising the importance of pathologist education, training, calibration and demonstration of satisfactory inter-observer agreement. There are also opportunities to validate objective image analysis tools alongside conventional histological assessments. The ever-expanding portfolio of clinical trials will demand more pathologist engagement to deliver the reliable evidence-base required for new treatments. We provide guidance for quality assurance of pathology scoring and reporting in clinical trials.

Indexed as

PathologistsQuality Assurance, Health CareHumansLaboratoriesNeoplasm, ResidualPathology, ClinicalReproducibility of Resultsbiomarkersclinical trialsimmunohistochemistrypathologyquality assurance

Identifiers

PMID30407751
PMCPMC6463860
OpenAlexW2899903128

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.