Table 5.
Agreement between three categories of patient management proposed by surgeons based on outside and second opinion reports, compared with actual patient management as found on the clinical report system (surgery summaries, pathology, blood tests, and additional imaging exams). Weighted kappa with squared weights was used to assess agreement.
| PATIENTS’ CLINICAL MANAGEMENT AFTER 6 MONTHS FROM RADIOLOGIC ASSESSMENT | ||||||||
|---|---|---|---|---|---|---|---|---|
| Surgeon 1 | Surgeon 2 | |||||||
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|
|
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| Surgery | Neoadjuvant chemotherapy | Chemotherapy | Weighted kappa (95% CI) agreement | Surgery | Neoadjuvant chemotherapy | Chemotherapy | Weighted kappa (95% CI) agreement | |
| MANAGEMENT AS PROPOSED AFTER READING OUTSIDE REPORTS | ||||||||
|
| ||||||||
| Surgery | 6 | 2 | 10 | 3 | 2 | 6 | ||
| Neoadjuvant chemotherapy | 1 | 0 | 8 | 0.426 (0,2489–0,6031) | 3 | 0 | 7 | 0.4136 (0,2149–0,6129) |
| Chemotherapy | 0 | 0 | 38 | 1 | 0 | 43 | ||
|
| ||||||||
| MANAGEMENT AS PROPOSED AFTER READING SECOND OPINION REPORTS | ||||||||
|
| ||||||||
| Surgery | 3 | 0 | 1 | 5 | 0 | 3 | ||
| Neoadjuvant chemotherapy | 3 | 2 | 7 | 0.6467 (0.4014–0.892) | 2 | 2 | 9 | 0.6262 (0.3954–0.857) |
| Chemotherapy | 1 | 0 | 48 | 0 | 0 | 44 | ||