Intra- and inter-rater agreement for the detection of band neutrophils and toxic change in horses

© 2019 American Society for Veterinary Clinical Pathology.

Bibliographische Detailangaben
Veröffentlicht in:Veterinary clinical pathology. - 1975. - 48(2019), 4 vom: 11. Dez., Seite 668-676
1. Verfasser: Fernandez, Nicole J (VerfasserIn)
Weitere Verfasser: Gilroy, Cornelia V, Wagg, Catherine R, Kwong, Grace P S, Roy, Marie-France
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2019
Zugriff auf das übergeordnete Werk:Veterinary clinical pathology
Schlagworte:Journal Article ProCyte Dx agreement hematology leukocyte morphology
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520 |a © 2019 American Society for Veterinary Clinical Pathology. 
520 |a BACKGROUND: The detection of band neutrophils and toxic change via microscopic blood smear review is vitally important, as their presence indicates systemic inflammation. However, in-clinic evaluation of WBC morphology is often limited 
520 |a OBJECTIVE: We aimed to determine the agreement between expert raters in the detection of bands and toxic change 
520 |a METHODS: Three board-certified clinical pathologists each evaluated 109 blood smears from horses with acute disease, and 19 control smears from healthy horses. The pathologists determined if bands were present, and if so, the percentage of bands present. They also determined if toxic change was present, and if so, the grade of toxic change. Intra-rater agreement was evaluated using 12 duplicate blood smears. Agreement on the presence of bands between pathologists and an in-clinic hematology analyzer was evaluated 
520 |a RESULTS: Intra-rater agreement was substantial to almost perfect. Agreement between pathologists for the detection of bands was moderate, but when pathologists agreed bands were present, there was excellent agreement on the percentage of bands and mature neutrophils. Agreement between pathologists for the detection of high-grade, clinically relevant toxic change was fair. When pathologists agreed high-grade toxic change was present, there was fair agreement on Döhle bodies and cytoplasmic basophilia and poor agreement on cytoplasmic vacuolation. Agreement between individual pathologists and the in-clinic hematology analyzer for the indication of bands was fair to moderate 
520 |a CONCLUSIONS: Consistent identification of bands and toxic change is challenging, even for highly trained personnel. It is, thus,not surprising that in-clinic blood smear evaluation of WBC morphology by non-experts could be inadequate 
650 4 |a Journal Article 
650 4 |a ProCyte Dx 
650 4 |a agreement 
650 4 |a hematology 
650 4 |a leukocyte 
650 4 |a morphology 
700 1 |a Gilroy, Cornelia V  |e verfasserin  |4 aut 
700 1 |a Wagg, Catherine R  |e verfasserin  |4 aut 
700 1 |a Kwong, Grace P S  |e verfasserin  |4 aut 
700 1 |a Roy, Marie-France  |e verfasserin  |4 aut 
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773 1 8 |g volume:48  |g year:2019  |g number:4  |g day:11  |g month:12  |g pages:668-676 
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