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Preferences of clinical pathologists for probability-modifying terms describing cytologic sample evaluations: A
Mark Rishniw1,2, Kathleen P Freeman1
1Veterinary Information Network, Davis, California, USA.
Veterinary Clinical Pathology
|July 27, 2023
Summary
This study identified preferred terms for probability ranges in veterinary cytology reports, aiming to improve communication. The findings establish standardized language for better clinical pathology reporting.
Area of Science:
- Veterinary Medicine
- Clinical Pathology
- Scientific Communication
Background:
- Previous research identified 7 probability ranges and qualitative terms in cytology reports.
- Agreement exists that fewer terms could improve communication between pathologists and clinicians.
- Preferred terms for each probability range were not yet determined.
Purpose of the Study:
- To determine a single, globally adoptable term for each probability range in veterinary clinical pathology.
- To enhance standardized communication within the veterinary community.
Main Methods:
- A global survey was distributed to clinical pathologists.
- Participants ranked predefined terms for 7 probability ranges.
- The highest-ranked term for each range was selected based on summed preferences.
Main Results:
- "No evidence for" (0%-20%), "cannot rule out" (20%-50%), "possible" (50%-65%), "suspicious for" (65%-75%), "most likely" (75%-85%), and "most consistent with" (85%-95%) were selected.
- No modifier was chosen for the 95%-100% range.
Conclusions:
- This study provides a foundation for standardizing qualitative terms used in veterinary cytology reports.
- The identified terms aim to improve clarity and agreement between clinicians and clinical pathologists.
- Limiting terms will enhance diagnostic communication globally.

