Developing an international standard for the classification of surface anatomic location for use in clinical practice and epidemiologic research

Kenneweg, Katherine A.; Halpern, Allan C.; Chalmers, R.J.G.; Soyer, H. Peter; Weichenthal, Michael; Molenda, Matthew A.

doi:10.1016/j.jaad.2018.08.035

Cited by 17 publications

(19 citation statements)

References 0 publications

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“…The presented terminology is comparable with the recently published ICD-ST list of terms. 5 However, the Delphi process identified 94 ICD-ST terms that were modified, 28 that were eliminated and 22 extra terms that were added by the experts in the different surveys. Notably, the 144 discrepancies between the Delphi and ICD-ST represent~30% of all the ICD-ST published terms.…”

Section: Discussionmentioning

confidence: 99%

“…These systems can benefit from adding anatomic location as metadata point for calculating diagnosis and prognosis. 5,10,[16][17][18][19][20] Our study has strengths. The list of terms presented herein was vetted by a group of experts in which >70% have more than 10 years of experience evaluating and imaging skin lesions.…”

Section: Discussionmentioning

confidence: 99%

“…In preparation for the present study, Kenneweg et al 5 conducted a formal comparison of available systems of surface anatomy including Systematized Nomenclature of Medicine, International Classification of Diseases (ICD)-10 and Foundational Model of Anatomy Ontology (FMA). This resulted in an initial hierarchical list of 385 anatomic sites, which was used as the Delphi starting list of terms.…”

Section: Preliminary Surveymentioning

confidence: 99%

“…Existing surface anatomy terminologies tend to be incomplete, overlapping or ambiguous for use by clinical dermatologists. [1][2][3][4][5] This can create a practice gap with potentially detrimental implications, for example difficulty in identifying prior surgery site, 6 leading to wrong site of surgery and other complications. Documentation in dermatology is becoming increasingly image-based.…”

Section: Introductionmentioning

confidence: 99%

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Human surface anatomy terminology for dermatology: a Delphi consensus from the International Skin Imaging Collaboration

Navarrete‐Dechent

Liopyris

Molenda³

et al. 2020

Acad Dermatol Venereol

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Background There is no internationally vetted set of anatomic terms to describe human surface anatomy. Objective To establish expert consensus on a standardized set of terms that describe clinically relevant human surface anatomy. Methods We conducted a Delphi consensus on surface anatomy terminology between July 2017 and July 2019. The initial survey included 385 anatomic terms, organized in seven levels of hierarchy. If agreement exceeded the 75% established threshold, the term was considered 'accepted' and included in the final list. Terms added by the participants were passed on to the next round of consensus. Terms with <75% agreement were included in subsequent surveys along with alternative terms proposed by participants until agreement was reached on all terms. Results The Delphi included 21 participants. We found consensus (≥75% agreement) on 361/385 (93.8%) terms and eliminated one term in the first round. Of 49 new terms suggested by participants, 45 were added via consensus. To adjust for a recently published International Classification of Diseases-Surface Topography list of terms, a third survey including 111 discrepant terms was sent to participants. Finally, a total of 513 terms reached agreement via the Delphi method. Conclusions We have established a set of 513 clinically relevant terms for denoting human surface anatomy, towards the use of standardized terminology in dermatologic documentation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Preliminary Surveymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Human surface anatomy terminology for dermatology: a Delphi consensus from the International Skin Imaging Collaboration

Navarrete‐Dechent

Liopyris

Molenda³

et al. 2020

Acad Dermatol Venereol

View full text Add to dashboard Cite

show abstract

“…To the Editor: We appreciate the interest shown by Sarhan and Mikailov 1 in our recently published article. 2 We feel, however, that there are good grounds not to alter the term ''lower leg.'' Our terminology set was reviewed and refined by clinicians from 10 nations in an international Delphi consensus exercise in which the term ''lower leg'' had an 80% acceptance rate.…”

mentioning

confidence: 98%