Journal article
Appropriate use criteria in dermatopathology: Initial recommendations from the American Society of Dermatopathology
Journal of the American Academy of Dermatology, Vol.80(1), pp.189-207.e11
01/2019
DOI: 10.1016/j.jaad.2018.04.033
PMID: 29689323
Abstract
Appropriate use criteria (AUC) provide physicians guidance in test selection, and can affect health care delivery, reimbursement policy, and physician decision-making.
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.
The RAND/UCLA appropriateness methodology, which combines evidence-based medicine, clinical experience, and expert judgment, was used to develop AUC in dermatopathology.
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” and 52 (25%) “rarely appropriate” and 43 (20%) having “uncertain appropriateness.”
The methodology requires a focus on appropriateness without comparison between tests and irrespective of cost.
The ultimate decision to order specific tests rests with the physician and is one where the expected benefit exceeds the negative consequences. This publication outlines the recommendations of appropriateness—the 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 - Saint Louis UniversityEric A. Armbrect - Saint Louis UniversityAleodor A. Andea - University of MichiganAngela K. Bohlke - Silver Spring NetworksNneka I. Comfere - Mayo ClinicSarah R. Hughes - Gundersen Health SystemJinah Kim - Stanford UniversityJessica A. KozelJason B. Lee - Thomas Jefferson UniversityKonstantinos Linos - Dartmouth–Hitchcock Medical CenterBrandon R. Litzner - University of Kansas Medical CenterTricia A. Missall - Saint Louis UniversityRoberto A. Novoa - Stanford UniversityUma Sundram - Oakland UniversityBrian L. Swick - University of IowaM. Yadira Hurley - Saint Louis UniversityMurad Alam - Northwestern UniversityZsolt Argenyi - University of WashingtonLyn M. Duncan - Massachusetts General HospitalDirk M. Elston - Medical University of South CarolinaPatrick O. Emanuel - University of AucklandTammie Ferringer - Geisinger Medical CenterMaxwell A. Fung - University of California, DavisGregory A. Hosler - The University of Texas Southwestern Medical CenterAlexander J. Lazar - The University of Texas MD Anderson Cancer CenterLori Lowe - University of MichiganJose A. Plaza - Irving Convention and Visitors BureauVictor G. Prieto - The University of Texas MD Anderson Cancer CenterJune K. Robinson - Northwestern UniversityAndras SchafferAntonio Subtil - Yale UniversityWei-Lien Wang - The University of Texas MD Anderson Cancer Center
- Resource Type
- Journal article
- Publication Details
- Journal of the American Academy of Dermatology, Vol.80(1), pp.189-207.e11
- DOI
- 10.1016/j.jaad.2018.04.033
- PMID
- 29689323
- NLM abbreviation
- J Am Acad Dermatol
- ISSN
- 0190-9622
- eISSN
- 1097-6787
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 01/2019
- Academic Unit
- Dermatology; Pathology
- Record Identifier
- 9984296306902771
Metrics
23 Record Views