Evidence map›Paper›PMID 32935869›Full record

ArticleJournal of cutaneous pathology2021

Terminology for melanocytic skin lesions and the MPATH-Dx classification schema: A survey of dermatopathologists.

Andrea C Radick, Lisa M Reisch, Hannah L Shucard, Michael W Piepkorn, Kathleen F Kerr, David E Elder, Raymond L Barnhill, Stevan R Knezevich, Natalia Oster, Joann G Elmore

Abstract read
In one paragraph

Article in Journal of cutaneous pathology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Re: Obligate and Potential Precursors of Melanoma.Journal of the National Cancer Institute · 2023
    Article
  5. Article
  6. Article
  7. Relevance of BRAF Subcellular Localization and Its Interaction withInternational journal of molecular sciences · 2021
    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

10 authors.

Andrea C RadickDepartment of Biostatistics, University of Washington, Seattle, Washington, USA.ORCID https://orcid.org/0000-0003-2183-6539
Lisa M ReischDepartment of Biostatistics, University of Washington, Seattle, Washington, USA.
Hannah L ShucardDepartment of Biostatistics, University of Washington, Seattle, Washington, USA.
Michael W PiepkornDivision of Dermatology, Department of Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
Kathleen F KerrDepartment of Biostatistics, University of Washington, Seattle, Washington, USA.
David E ElderDepartment of Pathology and Laboratory Medicine, Division of Anatomic Pathology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Raymond L BarnhillDepartment of Pathology, Institut Curie, Paris Sciences and Letters Research University, Paris, France.
Stevan R KnezevichPathology Associates, Clovis, California, USA.
Natalia OsterDepartment of Biostatistics, University of Washington, Seattle, Washington, USA.
Joann G ElmoreDepartment of Medicine, University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, California, USA.ORCID https://orcid.org/0000-0002-7311-6835

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Marian Esvelt · 1985 to 2026
$296.4M
Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Reducing Errors in the Diagnosis of Melanoma and Melanocytic LesionsR01CA201376 · NCI · UNIVERSITY OF WASHINGTON · PI ELMORE, JOANN G, KERR, KATHLEEN F. · 2016 to 2020
$3.2M
NCATS NIH HHS UL1 TR002319NCI NIH HHS P30 CA015704NCI NIH HHS R01 CA201376NCI NIH HHS R01CA201376The content is solely the responsibility of the authors. The NCI had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication
6 · The paper itself

Abstract

backgroundDiagnostic terms used in histopathology reports of cutaneous melanocytic lesions are not standardized. We describe dermatopathologists' views regarding diverse diagnostic terminology and the utility of the Melanocytic Pathology Assessment Tool and Hierarchy for Diagnosis (MPATH-Dx) for categorizing melanocytic lesions.

methodsJuly 2018-2019 survey of board-certified and/or fellowship-trained dermatopathologists with experience interpreting melanocytic lesions.

resultsAmong 160 participants, 99% reported witnessing different terminology being used for the same melanocytic lesion. Most viewed diverse terminology as confusing to primary care physicians (98%), frustrating to pathologists (83%), requiring more of their time as a consultant (64%), and providing necessary clinical information (52%). Most perceived that adoption of the MPATH-Dx would: improve communication with other pathologists and treating physicians (87%), generally be a change for the better (80%), improve patient care (79%), be acceptable to clinical colleagues (68%), save time in pathology report documentation (53%), and protect from malpractice (51%).

conclusionsMost dermatopathologists view diverse terminology as contributing to miscommunication with clinicians and patients, adversely impacting patient care. They view the MPATH-Dx as a promising tool to standardize terminology and improve communication. The MPATH-Dx may be a useful supplement to conventional pathology reports. Further revision and refinement are necessary for widespread clinical use.

Indexed as

AdultClassificationDermatologistsDiagnostic ErrorsFellowships and ScholarshipsFemaleHumansInterdisciplinary CommunicationMaleMalpracticeMelanocytesMelanomaMiddle AgedPathologistsPhysicians, Primary CareReference Standardsdermatopathologydiagnosismelanocytic lesionsstandardizationterminology

Identifiers

PMID32935869
PMCPMC7960566

What OpenQuestion holds

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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.