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. Author manuscript; available in PMC: 2013 Sep 15.
Published in final edited form as: Prostate. 2012 Jan 6;72(13):1389–1398. doi: 10.1002/pros.22484

Table 3.

Agreement between Gleason patterns and scores assigned by final expert review and those documented in pathology reports

A. BIOPSY SPECIMENS (n=264)
Pathology Report
1+2=3 3+3=6 3+4=7 4+3=7 3+5=8 4+4=8 5+3=8 4+5=9 5+4=9 5+5=10
Final Expert Review 1+2=3 0 0 0 0 0 0 0 0 0 0

3+3=6 0 87 5 0 0 0 0 0 0 0

3+4=7 0 43 40 8 1 1 0 0 1 0
4+3=7 1 7 14 4 0 8 0 1 1 0

3+5=8 0 0 0 0 0 0 0 1 0 0
4+4=8 0 1 4 2 0 9 0 3 0 0
5+3=8 0 0 0 0 0 0 0 0 0 0

4+5=9 0 0 2 1 0 5 1 8 1 3
5+4=9 0 0 0 0 0 0 0 0 0 1

5+5=10 0 0 0 0 0 0 0 0 0 0
Weighted kappa for Gleason patterns: 0.61 (95% CI: 0.54, 0.68)
Weighted kappa for total Gleason score: 0.60 (95% CI: 0.53, 0.67)
Kappa for Gleason score ≤7 versus ≥8: 0.58 (95% CI: 0.48, 0.67)
B. PROSTATECTOMY SPECIMENS (n=120)
Pathology Report
3+2=5 2+4=6 3+3=6 3+4=7 4+3=7 3+5=8 4+4=8 4+5=9 5+4=9 5+5=10
Final Expert Review 3+2=5 0 0 0 0 0 0 0 0 0 0

2+4=6 0 0 0 0 0 0 0 0 0 0
3+3=6 1 0 36 6 0 0 0 1 0 0

3+4=7 1 1 24 24 0 2 1 1 0 1
4+3=7 0 0 2 9 1 0 1 1 0 0

3+5=8 0 0 0 2 0 0 0 0 0 0
4+4=8 0 0 0 0 0 0 1 0 0 0

4+5=9 0 0 0 1 0 0 2 0 1 0
5+4=9 0 0 0 0 0 0 0 0 0 0

5+5=10 0 0 0 0 0 0 0 0 0 0
Weighted kappa for Gleason patterns: 0.37 (95% CI: 0.23, 0.51)
Weighted kappa for total Gleason score: 0.38 (95% CI: 0.26, 0.51)
Kappa for Gleason score ≤ 7 versus ≥8: 0.43 (95% CI: 0.28, 0.58)