Development of an equine endometrial histology scoring system to complement the Kenney–Doig scale

Kenney–Doig scale is considered the international standard method for classifying uterine biopsies in mares; however, its objectivity has been questioned by various studies. In the present study, we analysed the degree of agreement between two pathologists when assessing the same set of 201 uterine...

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Detalles Bibliográficos
Autores: Martínez Bartolomé, I., Masot, J., Serres Dalmau, María Consolacion
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/109745
Acceso en línea:https://hdl.handle.net/20.500.14352/109745
Access Level:acceso abierto
Palabra clave:636.1.09:611
Endometrial biopsy
Equine
Kenney–Doig
Pathologist variation
Repeatability
Veterinaria
3109 Ciencias Veterinarias
Descripción
Sumario:Kenney–Doig scale is considered the international standard method for classifying uterine biopsies in mares; however, its objectivity has been questioned by various studies. In the present study, we analysed the degree of agreement between two pathologists when assessing the same set of 201 uterine biopsies, obtaining a slight to moderate level of agreement (κ = .34/κw = .57). Subsequently, we developed a numerical scale based on the evaluation of histological parameters, including inflammation, fibrosis, glandular density and lymphatic lacunae. Partial scores were summed to obtain a fifth parameter called Summation. The correlation between both scales was demonstrated (p < .0001), and their combined use resulted in a notable increase in the degree of agreement between the two pathologists (κ = .53/κw = .67).