A study of Gleason score interpretation in different groups of UK pathologists; techniques for improving reproducibility.
OBJECTIVE
To test the effectiveness of a teaching resource (a decision tree with diagnostic criteria based on published literature) in improving the proficiency of Gleason grading of prostatic cancer by general pathologists.


METHODS
A decision tree with diagnostic criteria was developed by a panel of urological pathologists during a reproducibility study. Twenty-four general histopathologists tested this teaching resource. Twenty slides were selected to include a range of Gleason score groups 2-4, 5-6, 7 and 8-10. Interobserver agreement was studied before and after a presentation of the decision tree and criteria. The results were compared with those of the panel of urological pathologists.


RESULTS
Before the teaching session, 83% of readings agreed within +/- 1 of the panel's consensus scores. Interobserver agreement was low (kappa = 0.33) compared with that for the panel (kappa = 0.62). After the presentation, 90% of readings agreed within +/- 1 of the panel's consensus scores and interobserver agreement amongst the pathologists increased to kappa = 0.41. Most improvement in agreement was seen for the Gleason score group 5-6.


CONCLUSIONS
The lower level of agreement among general pathologists highlights the need to improve observer reproducibility. Improvement associated with a single training session is likely to be limited. Additional strategies include external quality assurance and second opinion within cancer networks.
Griffiths
D F R
DF
Department of Pathology, Cardiff University, Cardiff, UK. griffithsdr@cf.ac.uk
Melia
J
J
McWilliam
L J
LJ
Ball
R Y
RY
Grigor
K
K
Harnden
P
P
Jarmulowicz
M
M
Montironi
R
R
Moseley
R
R
Waller
M
M
Moss
S
S
Parkinson
M C
MC