Evidence map›Paper›PMID 39039698›Full record

ArticleOral diseases2025

Understanding interobserver variability of pathologists to improve oral epithelial dysplasia grading.

Grace Tze Ern Ng, Sarah Carmen Phang, Kae Shyang Yu, Lalima Tiwari, Syed Ali Khurram, Philip Sloan, Omar Kujan

Abstract read
In one paragraph

Article in Oral diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

7 authors.

Grace Tze Ern NgUWA Dental School, The University of Western Australia, Nedlands, Western Australia, Australia.
Sarah Carmen PhangUWA Dental School, The University of Western Australia, Nedlands, Western Australia, Australia.
Kae Shyang YuUWA Dental School, The University of Western Australia, Nedlands, Western Australia, Australia.
Lalima TiwariUWA Dental School, The University of Western Australia, Nedlands, Western Australia, Australia.ORCID https://orcid.org/0000-0001-5305-2953
Syed Ali KhurramUnit of Oral & Maxillofacial Pathology, School of Clinical Dentistry, University of Sheffield, Sheffield, UK.ORCID https://orcid.org/0000-0002-0378-9380
Philip SloanSchool of Dental Sciences, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Omar KujanUWA Dental School, The University of Western Australia, Nedlands, Western Australia, Australia.ORCID https://orcid.org/0000-0002-5951-8280

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to understand reasons for interobserver variability in the grading of oral epithelial dysplasia (OED) through a survey of pathologists to provide insight for improvements in the reliability and reproducibility of OED diagnoses.

methodsThe study design included quantitative and qualitative methodology. A pre-validated 31-item questionnaire was distributed to general, head and neck, and oral and maxillofacial histopathology specialists worldwide.

resultsA total of 132 pathologists participated and completed the questionnaire. Over two-thirds used the three-tier grading system for OED, while about a third used both binary and three-tier systems. Regular reporters of OED preferred the three-tier system and grading architectural features. Continuing education significantly aided recognition of architectural and cytological changes. Irregular epithelial stratification and drop-shaped rete ridges had the lowest prognostic value and recognition scores, while loss of epithelial cell cohesion had the highest. Most participants used clinical information and often sought a second opinion when grading OED.

conclusionOur study has found that frequency of OED reporting and attendance of CME/CPD can play an important role in grading OED. Variations in the prognostic value of individual histological features and the use of clinical information may further contribute to interobserver variability.

Indexed as

Mouth MucosaMouth NeoplasmsPathologistsPrecancerous ConditionsFemaleHumansMaleNeoplasm GradingObserver VariationReproducibility of ResultsSurveys and Questionnairesgradinginterobserver variabilityintra‐observeroral epithelial dysplasiasurvey

Identifiers

PMID39039698
PMCPMC12021307

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Registered trials

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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.