urmjУральский медицинский журналUral Medical Journal2949-4389Ural State Medical Universityurmj-71Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ И ПРАКТИКАКонсенсус как способ оценки воспроизводимости диагноза интраэпителиальной неоплазии/дисплазии слизистой оболочки желудка: возможности использования в процессе непрерывного профессионального образования врачей-патологоанатомовConsensus as a method for evaluating the reproducibility of gastric intraepithelial neoplasia/dysplasia: possibility of using in the process of continuing professional education of pathologistsМозговойС. И.MozgovoiS. I.simozgovoy@yandex.ruШиманскаяА. Г.ShimanskayaA. G.noemail@neicon.ruКерученкоМ. А.KeruchenkoM. A.noemail@neicon.ruРубцовВ. А.RubtsovV. A.noemail@neicon.ruПарыгинаМ. Н.ParyginaM. N.noemail@neicon.ruКазанцеваИ. А.KazantsevaI. A.noemail@neicon.ruЛинингД. А.LiningD. A.noemail@neicon.ruКононовА. В.KononovA. V.noemail@neicon.ruФГБОУ ВО ОмГМУ Минздрава РоссииRussian FederationГБУЗ МО МОНИКИ им. М.Ф. Владимирского» Минздрава РоссииRussian FederationБУ "Сургутская окружная клиническая больница"Russian Federation201814042021028490Copyright © Мозговой С.И., Шиманская А.Г., Керученко М.А., Рубцов В.А., Парыгина М.Н., Казанцева И.А., Лининг Д.А., Кононов А.В., 20212021Мозговой С.И., Шиманская А.Г., Керученко М.А., Рубцов В.А., Парыгина М.Н., Казанцева И.А., Лининг Д.А., Кононов А.В.Mozgovoi S.I., Shimanskaya A.G., Keruchenko M.A., Rubtsov V.A., Parygina M.N., Kazantseva I.A., Lining D.A., Kononov A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.umjusmu.ru/jour/article/view/71

Методами каппа-статистики проведена оценка воспроизводимости Модифицированной Венской классификации неоплазий пищеварительного тракта на материале биопсий слизистой оболочки желудка. В дистанционном режиме организована работа группы патологоанатомов-экспертов с демонстрацией 26 наблюдений (98 фотографий) с оценкой диагностической категории интраэпителиальной неоплазии/дисплазии слизистой оболочки желудка. Установлены различные уровни совпадения мнения участвовавших экспертов в зависимости от сложности диагностической задачи. Уровень каппа колебался от 0,2 (плохое согласие) до 0,66 (хорошее согласие) в зависимости от выбранного метода коррекции результата, что способствовало формированию мнения о наиболее сложных с точки зрения согласованного мнения диагностических категориях, находящихся в ряду неопределенная неоплазия/ дисплазия - неоплазия/дисплазия низкой и высокой степени. Обсуждаются возможные причины, снижающие уровень согласованности патологоанатомов-экспертов.

The reproducibility of the Modified Vienna classification of gastrointestinal neoplasia on the gastric mucosal biopsies was evaluated by using the kappa statistic. The work of a group of pathologists-experts was organized in the remote access mode with a demonstration of 26 cases (98 microphotographs) and an evaluation of the diagnostic category of gastric intraepithelial neoplasia/dysplasia. Different levels of agreement between the opinions of the participating experts have been established in depending on the diagnostic difficulty level. The kappa level ranged from 0.2 (poor agreement) to 0.66 (good agreement) and was depending from the chosen method of correction of the result. , This circumstance contributed to the formation of opinion that the diagnoses indefinite neoplasia/dysplasia-low and high grade neoplasia/dysplasia were the most difficult decisions. Possible reasons which reduce the level of consistency of pathologists are discussed.

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The authors declare that there are no conflicts of interest present.