针对结直肠癌、子宫内膜癌、胃食管癌或小肠癌的错配修复或微卫星不稳定性生物标记物检测状况制定质量付费计划衡量标准。

IF 3.7 3区 医学 Q2 MEDICAL LABORATORY TECHNOLOGY Archives of pathology & laboratory medicine Pub Date : 2024-06-01 DOI:10.5858/arpa.2022-0418-OA
Gregary T Bocsi, Jennifer Laudadio, Richa Jain, Sarah M Eakin, Amarpreet Bhalla, Jonathan A Rosenberg, Jennifer K Maratt, Sonia S Kupfer, David A Leiman, Diana M Cardona
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引用次数: 0

摘要

背景:有循证临床实践指南支持的质量测量方法是评估病理学家诊疗质量的首选。对衡量标准进行仔细测试可确保该衡量标准所获得的分数能够反映病理学家的工作质量:明确一项新的质量测量方法,并通过测试证明该方法适用于测量病理学家在结直肠癌、子宫内膜癌、胃食管癌和小肠癌的病理报告中适当纳入微卫星不稳定性(MSI)和/或错配修复(MMR)状态信息的情况:美国病理学家学会与美国胃肠病学协会合作制定并测试了新的测量方法。表面效度测试用于调查测量的有效性。进行了可行性测试,以了解测量规范所要求的数据元素是否易于获取。信噪比分析用于描述测量的可靠性:关于 MSI 和/或 MMR 测试的指南建议支持该指标的规范。表面效度测试表明,该指标可以区分所提供的医疗质量。测量规范所要求的数据元素是可获取的,这支持了测量的可行性。可靠性测试表明,测量得分的差异可归因于绩效的实际差异,而不是评分的随机变化:结直肠癌、子宫内膜癌、胃食管癌或小肠癌中的错配修复或微卫星不稳定性生物标记物检测状态的措施规定适当,测试表明该措施非常适合用于描述病理学家交流 MMR 和/或 MSI 状态的质量。
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Creation of a Quality Payment Program Measure for Mismatch Repair or Microsatellite Instability Biomarker Testing Status in Colorectal, Endometrial, Gastroesophageal, or Small Bowel Carcinoma.

Context.—: Quality measures that are supported by evidence-based clinical practice guidelines are preferred for assessing the quality of pathologists' practices. Careful testing of a measure ensures that scores obtained by that measure reflect the quality of a pathologist's practice.

Objective.—: To specify a new quality measure and to demonstrate through testing that it is suitable for measuring pathologists' appropriate incorporation of information regarding microsatellite instability (MSI) and/or mismatch repair (MMR) status in pathology reports for colorectal, endometrial, gastroesophageal, and small bowel carcinoma.

Design.—: The College of American Pathologists collaborated with the American Gastroenterological Association to specify and test the new measure. Face validity testing was used to investigate the validity of the measure. Feasibility testing was conducted to understand if data elements required by the measure specification were readily accessible. Signal-to-noise analysis was used to characterize the measure's reliability.

Results.—: Guideline recommendations for MSI and/or MMR testing supported specifications for the measure. Face validity testing indicated that the measure could distinguish the quality of care provided. Data elements required by the measure specification were found to be accessible, which supported the measure's feasibility. Reliability testing showed that differences in measure score were attributable to real differences in performance rather than random variation in scoring.

Conclusions.—: The Mismatch Repair or Microsatellite Instability Biomarker Testing Status in Colorectal Carcinoma, Endometrial, Gastroesophageal, or Small Bowel Carcinoma measure was appropriately specified, and testing demonstrated that it is well suited for characterizing the quality of pathologists' communication of MMR and/or MSI status.

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来源期刊
CiteScore
9.20
自引率
2.20%
发文量
369
审稿时长
3-8 weeks
期刊介绍: Welcome to the website of the Archives of Pathology & Laboratory Medicine (APLM). This monthly, peer-reviewed journal of the College of American Pathologists offers global reach and highest measured readership among pathology journals. Published since 1926, ARCHIVES was voted in 2009 the only pathology journal among the top 100 most influential journals of the past 100 years by the BioMedical and Life Sciences Division of the Special Libraries Association. Online access to the full-text and PDF files of APLM articles is free.
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