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Intra-observer agre...
Intra-observer agreements in multidisciplinary team assessments of pancreatic cancer patients
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Kirkegård, J. (author)
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Al-Saiddi, M. (author)
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Bratlie, S. O. (author)
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Coolsen, M. (author)
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de Haas, R. J. (author)
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den Dulk, M. (author)
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Fristrup, C. (author)
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Greve, O. J. (author)
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Harrison, E. (author)
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- Koutouzi, Giasemi, 1984 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för radiologi,Institute of Clinical Sciences, Department of Radiology
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Miclea, R. L. (author)
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Mortensen, M. B. (author)
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Nijkamp, M. W. (author)
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Persson, J. (author)
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Robertson, F. P. (author)
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Slangen, J. J. G. (author)
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Søreide, J. A. (author)
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Wigmore, S. J. (author)
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Mortensen, F. V. (author)
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(creator_code:org_t)
- 2021-09-07
- 2021
- English.
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In: Journal of Surgical Oncology. - : Wiley. - 0022-4790 .- 1096-9098. ; 124:8, s. 1402-1408
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Abstract
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- Background and Methods: Treatment strategies for pancreatic cancer patients are made by a multidisciplinary team (MDT) board. We aimed to assess intra-observer variance at MDT boards. Participating units staged, assessed resectability, and made treatment allocations for the same patients as they did two years earlier. We disseminated clinical information and CT images of pancreatic cancer patients judged by one MDT board to have nonmetastatic pancreatic cancer to the participating units. All units were asked to re-assess the TNM stage, resectability, and treatment allocation for each patient. To assess intra-observer variance, we computed %-agreements for each participating unit, defined as low (<50%), moderate (50%–75%), and high (>75%) agreement. Results: Eighteen patients were re-assessed by six MDT boards. The overall agreement was moderate for TNM-stage (ranging from 50%–70%) and resectability assessment (53%) but low for treatment allocation (46%). Agreement on resectability assessments was low to moderate. Findings were similar but more pronounced for treatment allocation. We observed a shift in treatment strategy towards increasing use of neoadjuvant chemotherapy, particularly in patients with borderline resectable and locally advanced tumors. Conclusions: We found substantial intra-observer agreement variations across six different MDT boards of 18 pancreatic cancer patients with two years between the first and second assessment. © 2021 Wiley Periodicals LLC
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
Keyword
- neoadjuvant chemotherapy
- pancreatic cancer
- resectability
- treatment allocation
- variation
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Kirkegård, J.
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Al-Saiddi, M.
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Bratlie, S. O.
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Coolsen, M.
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de Haas, R. J.
-
den Dulk, M.
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show more...
-
Fristrup, C.
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Greve, O. J.
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Harrison, E.
-
Koutouzi, Giasem ...
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Miclea, R. L.
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Mortensen, M. B.
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Nijkamp, M. W.
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Persson, J.
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Robertson, F. P.
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Slangen, J. J. G ...
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Søreide, J. A.
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Wigmore, S. J.
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Mortensen, F. V.
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cancer and Oncol ...
- Articles in the publication
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Journal of Surgi ...
- By the university
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University of Gothenburg