二进制分级是否比世卫组织对表皮质质变形的分级系统更好? 一个系统的审查和元分析
Divya Gopinath1, Cheng Yung On2, Sajesh Kalkandi Veettil3
1Basic Medical and Dental Sciences Department, College of Dentistry, Ajman University, Ajman, UAE.
Oral diseases
|November 6, 2024
概括
与世卫组织系统相比,二进制分级系统表明病理学家在评估上皮质发育不良 (ED) 方面达成了更好的协议. 需要进一步的研究来确认临床相关性.
科学领域:
- 病理学 病理学 病理学
- 医学诊断 医学诊断 医学诊断
- 组织病理学 组织病理学
背景情况:
- 额外皮质质变形症 (ED) 的评估依赖于分级系统.
- 世界卫生组织 (WHO) 和二进制系统是常用的.
- 在ED分级的变化影响患者管理.
研究的目的:
- 系统地评估和比较世卫组织的内部和观察者之间的协议和ED的二进制分级系统.
- 通过元分析来综合现有证据.
主要方法:
- 在Medline,Scopus和EBSCOhost进行了系统的文献搜索.
- 包括了比较世卫组织和二元ED分级协议的观察性研究.
- 在元分析中使用了kappa (κ) 值和标准误差 (SE) 来进行聚合估计.
主要成果:
- 二进制系统显示了比世卫组织系统 (κ = 0.14) 显著更好的观察者间协议 (κ = 0.31).
- 与世卫组织系统 (κ = 0.25) 相比,对二进制系统 (κ = 0.44) 的观察者内部一致性也更高.
- 分析包括8项研究中的46名病理学家的数据.
结论:
- 二元分级系统为ED评估提供了比世卫组织系统更好的观察者内部和观察者间协议.
- 目前的证据表明,二进制系统的优势,但更大的队列研究是必要的确定的临床结论.
相关概念视频
Classification of Epithelial Tissues: Overview
Epithelial tissues are classified according to the shape of the cells and the number of cell layers formed. Cell shapes can be squamous (flattened and thin), cuboidal (square-like, as wide as it is tall), or columnar (rectangular, taller than it is wide). Additionally, the nucleus shape helps identify the type of epithelial cells. Squamous cells have flattened disc-shaped nuclei, cuboidal cells have spherical nuclei, and columnar cells have elongated nuclei.
Based on the number of cell layers,...
Based on the number of cell layers,...
Classification of Epithelial Tissues: Simple Epithelium
Simple epithelium consists of a single layer of cells that lines body cavities and blood vessels. The shape of the cells in the epithelium reflects the function of the tissue. Cells in simple squamous epithelium appear as thin scales with flat, elliptical nuclei that mirror the form of the cell.
Because of the thinness of the cells, simple squamous epithelium is present where the rapid passage of chemical compounds is observed. For example, the endothelium that lines the capillaries and vessels...
Because of the thinness of the cells, simple squamous epithelium is present where the rapid passage of chemical compounds is observed. For example, the endothelium that lines the capillaries and vessels...
Classification of Epithelial Tissues: Stratified Epithelium
Stratified epithelium consists of several stacked layers of cells. They provide the durability to withstand constant physical and chemical attacks. Stratified epithelium is named after the shape of the most apical layer of cells. Stratified squamous epithelium is the most common type found in the human body. In this tissue, the apical cells are squamous, whereas the basal layer contains either columnar or cuboidal cells. The basal cells divide to form new daughter cells, which gradually become...
Classification of Epithelial Tissues: Glandular Epithelium
The glandular epithelium is made of one or more epithelial cells modified to synthesize and secrete chemical substances. Glandular epithelia can be classified based on cell number. Unicellular glands have individual secretory cells scattered across the epithelial monolayer. In contrast, multicellular glands consist of a hollow tubular duct attached to the cluster of secretory cells located in the deep pockets.
Multicellular glands are formed during early development when epithelial budding...
Multicellular glands are formed during early development when epithelial budding...
Cellular Adaptation IV: Dysplasia and Metaplasia
DysplasiaDysplasia refers to abnormal changes in the size, shape, and organization of mature cells, characterized by pleomorphism, nuclear abnormalities, and increased mitotic activity. It commonly affects epithelial tissues, including the cervix, gastrointestinal tract, respiratory mucosa, and endometrium. Although it may occur alongside hyperplasia, dysplasia is not a true adaptive response but a preneoplastic change with potential to progress to cancer.When confined above the basement...


