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


ABSTRACT:

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.

SUBMITTER: Navarrete-Dechent C 

PROVIDER: S-EPMC8236240 | biostudies-literature |

REPOSITORIES: biostudies-literature

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