- 1. School of Basic Medicine, Gansu University of Chinese Medicine, Lanzhou 730000, P.R.China;
- 2. Department of Epidemiology and Health Statistics, West China School of Public Health and West China Forth Hospital, Sichuan University, Chengdu 610044, P.R.China;
- 3. Evidence-based Social Sciences Research Center, Lanzhou University, Lanzhou 730000, P.R.China;
- 4. Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou 730000, P.R.China;
- 5. Evidence-based Medicine Center, School of Basic Medical Sciences, Lanzhou 730000, P.R.China;
- 6. School of Public Health, Lanzhou University, Lanzhou 730000, P.R.China;
- 7. Department of Pathology, Gansu Provincial Hospital, Lanzhou 730000, P.R.China;
Fleming proposed the concept of evidence-based pathology (EBP) in 1996. In recent years, there have been a lot of evidence-based studies on the diagnosis and prognosis of diseases. However, there are still limitations and challenges in the development, and the growth in application of evidence-based medicine in the pathology is still slow. This study introduced the history of evidence-based pathology, summarized the primary application areas and the latest research progress, analyzed current opportunities and challenges of evidence-based pathology, and provided some suggestions.
Citation: HE Tingting, YAN Peijing, YANG Kehu, ZHANG Min. Evidence-based pathology. Chinese Journal of Evidence-Based Medicine, 2020, 20(10): 1214-1220. doi: 10.7507/1672-2531.202006140 Copy
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- 2. Fassan M. Molecular diagnostics in pathology: time for a next-generation pathologist? Arch Pathol Lab Med, 2018, 142(3): 313-320.
- 3. Bhargava R, Madabhushi A. Emerging themes in image informatics and molecular analysis for digital pathology. Annu Rev Biomed Eng, 2016, 18: 387-412.
- 4. Crawford JM. Original research in pathology: judgment, or evidence-based medicine? J Tech Method Path, 2007, 87(2): 104-114.
- 5. Evidence-Based Medicine Working Group. Evidence-based medicine. A new approach to teaching the practice of medicine. JAMA, 1992, 268(17): 2420-2425.
- 6. Fleming KA. Evidence-based pathology. J Pathol, 1996, 179(2): 127-128.
- 7. Malats N, Bustos A, Nascimento CM, et al. P53 as a prognostic marker for bladder cancer: a meta-analysis and review. Lancet Oncol, 2005, 6(9): 678-686.
- 8. Wells WA, Carney PA, Eliassen MS, et al. Pathologists' agreement with experts and reproducibility of breast ductal carcinoma-in-situ classification schemes. Am J Surg Pathol, 2000, 24(5): 651-659.
- 9. Schmitt AR, Brewer JD, Bordeaux JS, et al. Staging for cutaneous squamous cell carcinoma as a predictor of sentinel lymph node biopsy results: meta-analysis of American Joint Committee on Cancer criteria and a proposed alternative system. JAMA Dermatol, 2014, 150(1): 19-24.
- 10. de Haas V, Ismaila N, Advani A, et al. Initial diagnostic work-up of acute leukemia: ASCO clinical practice guideline endorsement of the college of american pathologists and american society of hematology guideline. J Clin Oncol, 2019, 37(3): 239-253.
- 11. Fakhry C, Lacchetti C, Rooper LM, et al. Human papillomavirus testing in head and neck carcinomas: ASCO clinical practice guideline endorsement of the college of american pathologists guideline. J Clin Oncol, 2018, 36(31): 3152-3161.
- 12. Maghami E, Ismaila N, Alvarez A, et al. Diagnosis and management of squamous cell carcinoma of unknown primary in the head and neck: ASCO Guideline. J Clin Oncol, 2020, 38(22): 2570-2596.
- 13. Lindeman NI, Cagle PT, Beasley MB, et al. Molecular testing guideline for selection of lung cancer patients for EGFR and ALK tyrosine kinase inhibitors: guideline from the College of American Pathologists, International Association for the Study of Lung Cancer, and Association for Molecular Pathology. Arch Pathol Lab Med, 2013, 137(6): 828-860.
- 14. Wolff AC, Hammond MEH, Allison KH, et al. Human epidermal growth factor receptor 2 testing in breast cancer: American society of clinical oncology/College of American pathologists clinical practice guideline focused update. J Clin Oncol, 2018, 36(20): 2105-2122.
- 15. Pantanowitz L, Sinard JH, Henricks WH, et al. Validating whole slide imaging for diagnostic purposes in pathology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center. Arch Pathol Lab Med, 2013, 137(12): 1710-1722.
- 16. Sekhar H, Zwahlen M, Trelle S, et al. Nodal stage migration and prognosis in anal cancer: a systematic review, meta-regression, and simulation study. Lancet Oncol, 2017, 18(10): 1348-1359.
- 17. Kumarasamy C, Madhav MR, Sabarimurugan S, et al. Prognostic value of mirnas in head and neck cancers: a comprehensive systematic and meta-analysis. Cells, 2019, 8(8): 772.
- 18. Islam MM, Poly TN, Walther BA, et al. Artificial intelligence in ophthalmology: A meta-analysis of deep learning models for retinal vessels segmentation. J Clin Med, 2020, 9(4): 1018.
- 19. 何以丰, 徐丛剑, 冯令达. Her-2/neu 与上皮性卵巢癌术后生存率相关性的 Meta 分析. 中国循证医学杂志, 2007, 7(6): 420-432.
- 20. 田跃军, 刘伟, 景锁世, 等. 缺氧诱导因子-1α 蛋白表达与前列腺癌风险相关性的 Meta 分析. 循证医学, 2016, 16(5): 294-300.
- 21. 王青松, 尹旭, 徐文硕, 等. 基质金属蛋白酶 2 高表达与骨肉瘤预后关系的 Meta 分析. 中国全科医学, 2016, 19(25): 3112-3119.
- 22. 郭丹, 宋锦宁, 黄廷钦, 等. Hmgb1 基因在人脑胶质瘤中的表达及临床意义 Meta 分析. 中华神经外科疾病研究杂志, 2018, 17(1): 23-26.
- 23. 朱磊, 李育平, 张恒柱. Ykl-40 表达与脑胶质瘤诊断和预后相关性的 Meta 分析. 中华神经外科杂志, 2019, 35(8): 844-849.
- 24. 步宏, 魏兵. 循证医学与病理学实践. 中华病理学杂志, 2003, 32(1): 92-94.
- 25. 陈俊颖, 曾敏. 循证病理学的基本原则及其应用. 临床与实验病理学杂志, 2012, 28(6): 664-665.
- 26. Montori VM, Guyatt GH. Progress in evidence-based medicine. JAMA, 2008, 300(15): 1814-1816.
- 27. Evidence-Based Radiology Working Group. Evidence-based radiology: a new approach to the practice of radiology. Radiology, 2001, 220(3): 566-575.
- 28. Zietman A. Evidence-based medicine, conscience-based medicine, and the management of low-risk prostate cancer. J Clin Oncol, 2009, 27(30): 4935-4936.
- 29. Cook SC, Schwartz AC, Kaslow NJ. Evidence-based psychotherapy: advantages and challenges. Neurotherapeutics, 2017, 14(3): 537-545.
- 30. Shank CD, Lepard JR, Walters BC, et al. Towards evidence-based guidelines in neurological surgery. Neurosurgery, 2019, 85(5): 613-621.
- 31. 杨克虎. 循证社会科学研究方法: 系统评价与 Meta 分析. 兰州: 兰州大学出版社, 2018.
- 32. 杨克虎. 循证社会科学的产生、发展与未来. 图书与情报, 2018, (3): 1-10.
- 33. Wick MR, Marchevsky AM. Evidence-based principles in pathology: existing problem areas and the development of "quality" practice patterns. Arch Pathol Lab Med, 2011, 135(11): 1398-1404.
- 34. Gurevitch J, Koricheva J, Nakagawa S, et al. Meta-analysis and the science of research synthesis. Nature, 2018, 555(7695): 175-182.
- 35. 吴景玲, 葛龙, 张俊华, 等. 多个诊断性试验准确性的比较: 网状 Meta 分析方法介绍. 中国循证医学杂志, 2017, 17(8): 987-992.
- 36. Shen M, Wang H, Wei K, et al. Five common tumor biomarkers and cea for diagnosing early gastric cancer: A protocol for a network meta-analysis of diagnostic test accuracy. Medicine, 2018, 97(19): e0577.
- 37. Schünemann HJ, Oxman AD, Brozek J, et al. Grading quality of evidence and strength of recommendations for diagnostic tests and strategies. BMJ, 2008, 336(7653): 1106-1110.
- 38. Bossuyt PM, Reitsma JB, Bruns DE, et al. Towards complete and accurate reporting of studies of diagnostic accuracy: the STARD initiative. BMJ, 2003, 326(7379): 41-44.
- 39. 刘海宁, 吴昊, 张宁萍, 等. 诊断准确性试验 Meta 分析四格表数据的提取方法. 中国循证医学杂志, 2018, 18(9): 995-1000.
- 40. Di Leo A, Desmedt C, Bartlett JM, et al. HER2 and TOP2A as predictive markers for anthracycline-containing chemotherapy regimens as adjuvant treatment of breast cancer: a meta-analysis of individual patient data. Lancet Oncol, 2011, 12(12): 1134-1142.
- 41. Feng W, Zhai C, Shi W, et al. Clinicopathological and prognostic value of LINC01296 in cancers: a meta-analysis. Artif Cells Nanomed Biotechnol, 2019, 47(1): 3315-3321.
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