Key result
National expert panel members agreed on 19 of 32 hysterectomy indications (ICC 0.66), whereas community gynecologists agreed on 12 of 32 (ICC 0.50), highlighting large intra-group variation.
Why the study?
How do national expert panel ratings of hysterectomy appropriateness compare to those of practicing community gynecologists?
Population
National expert panel and a random sample of practicing community gynecologists
Comparison
Rating the appropriateness of hysterectomy… vs Expert panel vs community gynecologists
Design
Cross-sectional
Authors
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Community gynecologists may overuse hysterectomy for cervical dysplasia versus expert ratings; challenges guideline alignment and extends research on practice variation.
Cross-Sectional
How do national expert panel ratings of hysterectomy appropriateness compare to those of practicing community gynecologists?
There is significant variation in opinion regarding the appropriateness of hysterectomy both between and within groups of experts and community gynecologists.
Bickell et al. (1995) conducted a cross-sectional in Appropriateness of hysterectomy. Expert panel ratings vs. Community gynecologists' ratings was evaluated on Agreement on appropriateness of hysterectomy indications. National expert panel members agreed on 19 of 32 hysterectomy indications (ICC 0.66), whereas community gynecologists agreed on 12 of 32 (ICC 0.50), highlighting large intra-group variation.
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