Reid W A, Harkin P J, Jack A S
Department of Pathology, University of Leeds, U.K.
J Pathol. 1987 Oct;153(2):99-107. doi: 10.1002/path.1711530203.
In a prospective study of 592 autopsy cases, correlations between clinical and pathological data were made by computer from a novel protocol on which morphological and functional diagnoses were separated. The accuracy of diagnosis was analysed with respect to time in hospital, specialty, consultant in charge, and other criteria. Overall, there were 168 clinical 'overdiagnoses', not confirmed at autopsy; 492 'underdiagnoses', not made clinically; and 432 'agreements' between clinical and pathological diagnoses. The computer program allows the data to be analysed at any time as the number of cases increases. Entry of information entails comparatively little extra work and a similar system could be incorporated into the service commitment of any pathology department with a suitable microcomputer and access to a mainframe computer.
在一项对592例尸检病例的前瞻性研究中，临床数据与病理数据之间的相关性通过计算机依据一种新方案得出，该方案将形态学诊断和功能诊断区分开来。针对住院时间、专业、负责的会诊医生以及其他标准对诊断准确性进行了分析。总体而言，有168例临床“过度诊断”，尸检未证实；492例“诊断不足”，临床未做出；临床诊断与病理诊断之间有432例“一致”。随着病例数量增加，该计算机程序允许随时对数据进行分析。信息录入所需的额外工作量相对较少，并且任何拥有合适微机并能访问主机的病理科，都可将类似系统纳入其服务流程。
