Agreement on classification of clinical photographs of pigmentary lesions: exercise after a training course with young dermatologists.

Agreement Classification Melanoma Skin cancer Teledermatology

Journal

Dermatology reports
ISSN: 2036-7392
Titre abrégé: Dermatol Reports
Pays: Italy
ID NLM: 101566470

Informations de publication

Date de publication:
07 Mar 2023
Historique:
received: 17 03 2022
accepted: 25 04 2022
medline: 18 4 2023
entrez: 17 4 2023
pubmed: 18 4 2023
Statut: epublish

Résumé

Smartphone apps may help promoting the early diagnosis of melanoma. The reliability of specialist judgment on lesions should be assessed. Hereby, we evaluated the agreement of 6 young dermatologists, after a specific training. Clinical judgment was evaluated during 2 online sessions, 1 month apart, on a series of 45 pigmentary lesions. Lesions were classified as highly suspicious, suspicious, non-suspicious or not assessable. Cohen's and Fleiss' kappa were used to calculate intra- and inter-rater agreement. The overall intra-rater agreement was 0.42 (95% confidence interval - CI: 0.33-0.50), varying between 0.12-0.59 on single raters. The inter-rater agreement during the first phase was 0.29 (95% CI: 0.24-0.34). When considering the agreement for each category of judgment, kappa varied from 0.19 for not assessable to 0.48 for highly suspicious lesions. Similar results were obtained in the second exercise. The study showed a less than satisfactory agreement among young dermatologists. Our data point to the need for improving the reliability of the clinical diagnoses of melanoma especially when assessing small lesions and when dealing with thin melanomas at a population level.

Identifiants

pubmed: 37063404
doi: 10.4081/dr.2022.9500
pmc: PMC10099286
doi:

Types de publication

Journal Article

Langues

eng

Pagination

9500

Informations de copyright

©Copyright: the Author(s).

Déclaration de conflit d'intérêts

Conflict of interest: The authors declare no potential conflict of interest

Références

Br J Cancer. 1991 Aug;64(2):373-6
pubmed: 1892767
Dermatol Clin. 2017 Oct;35(4):xv-xvi
pubmed: 28886816
Int J Med Inform. 2020 Jan;133:104001
pubmed: 31706229
Lancet Oncol. 2002 Mar;3(3):159-65
pubmed: 11902502
Tumori. 2002 May-Jun;88(3):234-8
pubmed: 12195762
Patient Educ Couns. 2020 May;103(5):1013-1026
pubmed: 31917011
JAMA Dermatol. 2016 Jul 1;152(7):798-806
pubmed: 27074267
J Am Acad Dermatol. 2019 Jul;81(1):257-260
pubmed: 30797846
Sensors (Basel). 2022 Jan 10;22(2):
pubmed: 35062458
Cochrane Database Syst Rev. 2018 Dec 04;12:CD013192
pubmed: 30521685
J Dtsch Dermatol Ges. 2021 Aug;19(8):1178-1184
pubmed: 34096688
Skin Res Technol. 2019 Nov;25(6):777-786
pubmed: 31119807
Ont Health Technol Assess Ser. 2021 Jun 04;21(5):1-81
pubmed: 34188732
Eur J Cancer Prev. 1998 Oct;7(5):397-402
pubmed: 9884886

Auteurs

Simone Cazzaniga (S)

Centro Studi GISED, Bergamo, Italy.
Department of Dermatology, Inselspital University Hospital of Bern, Switzerland.

Lucia De Ponti (L)

Italian League for the Fight Against Cancer (LILT), section of Bergamo, Italy.

Giorgio Maria Baratelli (GM)

LILT, section of Como, Italy.

Salvatore Francione (S)

LILT, section of Benevento, Italy.

Carlo La Vecchia (C)

LILT, section of Milan, Italy.
Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.

Anna Di Landro (A)

Centro Studi GISED, Bergamo, Italy.

Andrea Carugno (A)

Dermatology Unit, ASST Papa Giovanni XXIII Hospital, Bergamo, Italy.
Ph.D. Program in Molecular and Translational Medicine (DIMET), University of Milano Bicocca, Milan, Italy.

Marco Di Mercurio (M)

Dermatology Unit, ASST Papa Giovanni XXIII Hospital, Bergamo, Italy.

Lerica Germi (L)

Dermatology Unit, San Bortolo Hospital, Azienda ULSS8 Berica, Vicenza, Italy.

Giampaolo Trevisan (G)

Dermatology Unit, San Bortolo Hospital, Azienda ULSS8 Berica, Vicenza, Italy.

Mirko Fenaroli (M)

LILT, section of Como, Italy.

Claudia Capasso (C)

LILT, section of Benevento, Italy.

Michele Pezza (M)

LILT, section of Benevento, Italy.

Pietro Dri (P)

Zadig, Scientific Publisher, Milan, Italy.

Emanuele Castelli (E)

Sistemi e Progetti Software (SPS), Bergamo, Italy.

Luigi Naldi (L)

Centro Studi GISED, Bergamo, Italy.
Dermatology Unit, San Bortolo Hospital, Azienda ULSS8 Berica, Vicenza, Italy.

Classifications MeSH