Journal article
Appropriate use criteria in dermatopathology: Initial recommendations from the American Society of Dermatopathology
Journal of cutaneous pathology, Vol.45(8), pp.563-580
08/2018
DOI: 10.1111/cup.13142
PMID: 29566273
Abstract
Background
Appropriate use criteria (AUC) provide physicians guidance in test selection, and can affect health care delivery, reimbursement policy and physician decision-making.
Objectives
The American Society of Dermatopathology, with input from the American Academy of Dermatology and the College of American Pathologists, sought to develop AUC in dermatopathology.
Methods
The RAND/UCLA appropriateness methodology, which combines evidence-based medicine, clinical experience and expert judgment, was used to develop AUC in dermatopathology.
Results
With the number of ratings predetermined at 3, AUC were developed for 211 clinical scenarios involving 12 ancillary studies. Consensus was reached for 188 (89%) clinical scenarios, with 93 (44%) considered “usually appropriate,” 52 (25%) “rarely appropriate” and 43 (20%) “uncertain appropriateness.”
Limitations
The methodology requires a focus on appropriateness without comparison between tests and irrespective of cost.
Conclusions
The ultimate decision of when to order specific test rests with the physician and is one where the expected benefit exceeds the negative consequences. This publication outlines the recommendations of appropriateness—AUC for 12 tests used in dermatopathology. Importantly, these recommendations may change considering new evidence. Results deemed “uncertain appropriateness” and where consensus was not reached may benefit from further research.
Details
- Title: Subtitle
- Appropriate use criteria in dermatopathology: Initial recommendations from the American Society of Dermatopathology
- Creators
- Claudia I Vidal - Departments of Dermatology and Pathology; Saint Louis University School of Medicine; St. Louis MissouriEric A Armbrect - Center for Health Outcomes Research; Saint Louis University; St. Louis MissouriAleodor A Andea - Departments of Dermatology and Pathology; University of Michigan Medical Center; Ann Arbor MichiganAngela K Bohlke - Silver Falls Dermatology; Salem OregonNneka I Comfere - Department of Dermatology and Laboratory Medicine and Pathology; Mayo Clinic; Rochester MinnesotaSarah R Hughes - Department of Pathology; Gundersen Health System; La Crosse WisconsinJinah Kim - Departments of Dermatology and Pathology; Stanford University School of Medicine; Stanford CaliforniaJessica A Kozel - Midwest Pathology Associates, LLC; Overland Park KansasJason B Lee - Departments of Dermatology and Cutaneous Biology; Sidney Kimmel Medical College at Thomas Jefferson University; Philadelphia PennsylvaniaKonstantinos Linos - Department of Pathology and Laboratory Medicine; Dartmouth-Hitchcock Medical Center and Geisel School of Medicine at Dartmouth Lebanon; Hanover New HampshireBrandon R Litzner - Departments of Dermatology and Pathology, Via Christi Clinic; Ascension Medical Group; Wichita Kansas, Department of Family Medicine; University of Kansas Medical Center-Wichita; Wichita KansasTricia A Missall - Departments of Dermatology and Pathology; Saint Louis University School of Medicine; St. Louis MissouriRoberto A Novoa - Departments of Dermatology and Pathology; Stanford University School of Medicine; Stanford CaliforniaUma Sundram - Department of Anatomic Pathology; Oakland University William Beaumont School of Medicine and Beaumont Health Systems; Royal Oak MichiganBrian L Swick - Departments of Dermatology and Pathology; University of Iowa; Iowa City IowaMaria Yadira Hurley - Departments of Dermatology and Pathology; Saint Louis University School of Medicine; St. Louis MissouriMurad Alam - Departments of Dermatology Otolaryngology, and Surgery; Feinberg School of Medicine, Northwestern University; Chicago IllinoisZsolt Argenyi - Department of Pathology; University of Washington; Seattle WashingtonLyn M Duncan - Pathology Service and Dermatopathology Unit; Massachusetts General Hospital and Harvard Medical School; Boston MassachusettsDirk M Elston - Department of Dermatology; Dermatologic Surgery, Medical University of SC; Charleston South CarolinaPatrick O Emanuel - Department of Pathology and Molecular Medicine; University of Auckland; Auckland New ZealandTammie Ferringer - Departments of Dermatology and Laboratory Medicine; Geisinger Medical Center; Danville PennsylvaniaMaxwell A Fung - Departments of Dermatology and Pathology and Laboratory Medicine; University of California, Davis School of Medicine; Sacramento CaliforniaGregory A Hosler - ProPath; Departments of Dermatology and Pathology; University of Texas Southwestern Medical Center; Dallas TexasAlexander J Lazar - Departments of Pathology, Dermatology, & Genomic Medicine; The University of Texas MD Anderson Cancer Center; Houston TexasLori Lowe - Departments of Dermatology and Pathology; University of Michigan Medical Center; Ann Arbor MichiganJose A Plaza - Miraca Life Sciences; Irving TexasVictor G Prieto - Departments of Pathology, Dermatology, & Genomic Medicine; The University of Texas MD Anderson Cancer Center; Houston TexasJune K Robinson - Department of Dermatology; Northwestern University; Chicago IllinoisAndras Schaffer - Bey Dermatology and Cosmetic Surgery; Spring Hill FloridaAntonio Subtil - Department of Dermatology; Yale School of Medicine; New Haven ConnecticutWei-Lien Wang - Departments of Pathology and Translational Molecular Pathology, Division of Pathology and Laboratory Medicine; The University of Texas MD Anderson Cancer Center; Houston Texas
- Resource Type
- Journal article
- Publication Details
- Journal of cutaneous pathology, Vol.45(8), pp.563-580
- DOI
- 10.1111/cup.13142
- PMID
- 29566273
- NLM abbreviation
- J Cutan Pathol
- ISSN
- 0303-6987
- eISSN
- 1600-0560
- Language
- English
- Date published
- 08/2018
- Academic Unit
- Dermatology; Pathology
- Record Identifier
- 9984025355402771
Metrics
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