Qureshi Asim, Lakhtakia Ritu, AL Bahri Maiya, Al Haddabi Ibrahim, Saparamadu Anna, Shalaby Asem, Al Riyami Marwa, Rizvi Gauhar
Pathology Department, Sultan Qaboos University Hospital, Muscat, Oman. Email:
Asian Pac J Cancer Prev. 2016 Nov 1;17(11):4867-4868. doi: 10.22034/APJCP.2016.17.11.4867.
Prostatic adenocarcinoma is the commonest solid malignancy seen in Omani elderly males 60-80 years of age. The Gleason grade is the most widely used grading system for prostatic carcinoma and is recommended by the World Health Organization. A peer review was carried out at the Pathology Department of Sultan Qaboos University Hospital (SQUH), Oman, to assess the quality of reporting at the center. The aim of this study was to determine inter-observer variation among 7 pathologists working at a tertiary care center in Oman. A total of 47 consecutive prostatic biopsies were interdependently reviewed by seven pathologists and the results obtained were compared with each other and the original diagnosis. This peer review indicated a fair inter-observer agreement (0.482) among 7 pathologists in the department, with fair to moderate agreement when the results were compared to the reported diagnosis, comparable to the published literature. Dual and sub-specialty reporting are being instituted to improve the performance in this vital aspect of pathology.
前列腺腺癌是阿曼60至80岁老年男性中最常见的实体恶性肿瘤。格里森分级是前列腺癌最广泛使用的分级系统，也是世界卫生组织推荐的分级系统。阿曼苏丹卡布斯大学医院（SQUH）病理科进行了一次同行评审，以评估该中心的报告质量。本研究的目的是确定在阿曼一家三级护理中心工作的7名病理学家之间的观察者间差异。7名病理学家对47例连续的前列腺活检进行了相互独立的评审，并将所得结果相互比较，并与原始诊断进行比较。此次同行评审表明，该科室7名病理学家之间的观察者间一致性尚可（0.482），与报告诊断结果相比，一致性为尚可至中等，与已发表的文献相当。目前正在实行双人及亚专业报告制度，以改善病理学这一重要方面的表现。
