Dermatopathology Appropriate Use Criteria

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In 2015, under the vision of then Society President, Dr. Dirk Elston, the Appropriate Use Criteria (AUC) Task Force was created to help guide dermatopathologists and inform their clinical colleagues in their use of ancillary studies performed in dermatopathology in specific clinical scenarios with overarching goal of producing high quality care, lowering costs and ensuring efficient use of laboratory resources.

The Task Force identified ancillary studies performed in dermatopathology encompassing four broad areas in which AUC could be developed. These included: lymphoproliferative, melanocytic, soft tissue, and other, which includes entities that do not fit into one of the aforementioned groups. Using the methodology developed by RAND/ UCLA, which combines best scientific evidence with expert opinion to develop patient-centered guidelines (appropriateness ratings), the Task Force explored 12 ancillary studies used in dermatopathology and 211 clinical scenarios that are commonly encountered in dermatopathology.

Appropriateness recommendations are published in the Journal of Cutaneous Pathology with an abbreviated version published in the Journal of the American Academy of Dermatology. The intent of the AUC is to provide guidance to physicians' in test selection in commonly encountered clinical scenarios. Still, the selected wording of the appropriateness ratings allows for individualization in diagnostic test selection, which is dependent on the clinical scenario at hand.

The Task Force was transitioned to a standing Committee in 2017, and along with working on dissemination of the developed AUC, the committee identified areas, which have a potential for misuse and are supported by evidence, which could be converted into recommendations for the Choosing Wisely Campaign. The recommended list was reviewed and approved by the ASDP Ethics Committee and Board of Directors.

Since then, the ASDP’s AUC in dermatopathology have been published in multiple peer-reviewed journals, in medical blogs and used to create recommendations that can be found on the on the Choosing Wisely website.

The ASDP is committed to making sure the AUC  stay relevant to dermatopathology and updates are already in the works.

Manuscripts with appropriateness recommendations:

Journal of Cutaneous Pathology

Journal of the American Academy of Dermatology 

Literature review manuscripts:

View all AUC publications in the Journal of Cutaneous Pathology

AUC Committee

Full NamePosition
Maxwell A. Fung, MDChair
Aleodor A. Andea, MD, MBAVice-Chair
Rami N. Al-Rohil, MBBSMember
David S. Cassarino, MD, PhDMember
Jeffrey M. Cloutier, MD, PhDMember
Patrick O. Emanuel, MBChB, Dip ArtsMember
Tammie C. Ferringer, MDMember
Alexandra C. Hristov, MDMember
Jennifer Susan Ko, MD, PhDMember
Konstantinos D. Linos, MDMember
Tricia Missall, MD, PhDMember
Kiran Motaparthi, MDMember
Roberto Novoa, MDMember
Rajiv Michael Patel, MDMember
Kerri E. Rieger, MD, PhDMember
Sara C. Shalin, MD, PhDMember
Michi M. Shinohara, MDMember
Uma N. Sundram, MD, PhDMember
Carlos Torres-Cabala, MDMember

Interested in joining the ASDP Appropriate Use Criteria Committee? 
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