{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T09:24:20Z","timestamp":1761989060334,"version":"build-2065373602"},"reference-count":13,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,3,27]],"date-time":"2017-03-27T00:00:00Z","timestamp":1490572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer Cytopathology"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Although objective measures of cytotechnologist (CT) and cytopathologist (CP) performance exist, challenges remain. Two assumptions deserve examination: CPs' interpretations are correct, and CTs and CPs render interpretations independently of each other. This study presents a CT\u2010CP interpretation comparison and provides insight into these assumptions.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Every gynecologic cytology specimen examined by both a CT and a CP from December 2004 to March 2015 was extracted from the laboratory information system; glandular interpretations were excluded. Excel and SAS were used for CT\u2010CP pair analysis. CT\u2010CP pairs with fewer than 32 specimens (the lowest quartile) were excluded. For the remaining CT\u2010CP pairs, 30 specimens or 10% of the specimens (whichever was higher) were randomly selected for comparison by a weighted \u03ba statistic. \u03ba values greater than 0.6 represented good agreement within CT\u2010CP pairs.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>This study evaluated 7116 of 53,241 gynecologic cytology specimens (13.4%) that received CT and CP interpretations. This resulted in 155 pair\u2010specific \u03ba values from 15 CTs and 16 CPs. In aggregate, the \u03ba values had a mean of 0.64, a standard deviation of 0.14, a median of 0.65, and a range of 0.27 to 0.91. Nine CTs exhibited good agreement in the majority of their pair\u2010specific \u03ba values with CPs (high\u2010concordance CTs; 88 pair\u2010specific \u03ba values). This allowed us to identify outlier CPs who did not demonstrate good agreement with high\u2010concordance CTs (16 of 88 pair\u2010specific \u03ba values [18.2%]).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Laboratories can use this \u03ba to determine when CP levels of agreement with CTs depart from those of their peers. Adding this to established metrics can give a more nuanced impression of CP performance. <jats:bold><jats:italic>Cancer Cytopathol<\/jats:italic> 2017;125:576\u201380<\/jats:bold>. \u00a9 <jats:italic>2017 American Cancer Society<\/jats:italic>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncy.21856","type":"journal-article","created":{"date-parts":[[2017,3,27]],"date-time":"2017-03-27T16:10:03Z","timestamp":1490631003000},"page":"576-580","source":"Crossref","is-referenced-by-count":3,"title":["Agreement between cytotechnologists and cytopathologists as a new measure of cytopathologist performance in gynecologic cytology"],"prefix":"10.1002","volume":"125","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2076-2304","authenticated-orcid":false,"given":"Andrew M.","family":"Quinn","sequence":"first","affiliation":[{"name":"Department of Pathology University of Texas Southwestern Medical Center Dallas Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abu T.","family":"Minhajuddin","sequence":"additional","affiliation":[{"name":"Division of Biostatistics, Department of Clinical Sciences University of Texas Southwestern Medical Center Dallas Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda S.","family":"Hynan","sequence":"additional","affiliation":[{"name":"Division of Biostatistics, Department of Clinical Sciences University of Texas Southwestern Medical Center Dallas Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan S.","family":"Reisch","sequence":"additional","affiliation":[{"name":"Division of Biostatistics, Department of Clinical Sciences University of Texas Southwestern Medical Center Dallas Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1987-2004","authenticated-orcid":false,"given":"Edmund S.","family":"Cibas","sequence":"additional","affiliation":[{"name":"Department of Pathology Brigham and Women's Hospital and Harvard Medical School Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,3,27]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"518","volume-title":"Cytology: Diagnostic Principles and Clinical Correlates","author":"Cibas E","year":"2014"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1309\/BHGR-GPH0-UMBM-49VQ"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.5858\/arpa.2012-0120-CC"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.5858\/arpa.2012-0178-OA"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.5858\/arpa.2012-0117-CC"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/94.6.754"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.5858\/2003-127-946-FTDFTA"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.11.1500"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.23640"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.5858\/arpa.2010-0739-OA"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/dc.21167"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1309\/AJCPXANG59GPHJNU"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-2712(03)00054-4"}],"container-title":["Cancer Cytopathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fcncy.21856","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cncy.21856","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T11:07:22Z","timestamp":1760267242000},"score":1,"resource":{"primary":{"URL":"https:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/10.1002\/cncy.21856"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,27]]},"references-count":13,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2017,7]]}},"alternative-id":["10.1002\/cncy.21856"],"URL":"https:\/\/doi.org\/10.1002\/cncy.21856","archive":["Portico"],"relation":{},"ISSN":["1934-662X","1934-6638"],"issn-type":[{"type":"print","value":"1934-662X"},{"type":"electronic","value":"1934-6638"}],"subject":[],"published":{"date-parts":[[2017,3,27]]}}}