Research Article
Influence of Resident Education in Correctly Diagnosing Extremity Soft Tissue Sarcoma
Table 6
Bivariate analyses for selecting correct clinical decision for orthopaedic surgery residents.
| Variable | OR (95% CI) | value |
| Factors raising suspicion for malignancy | | | Largest size tumor that you would be comfortable with excising without a biopsy | 0.94 (0.89, 0.99) | .02* | Depth of the mass | 1.05 (0.93, 1.18) | .44 | Rate of growth | 1.14 (0.95, 1.36) | .15 | Imaging characteristics | 1.00 (0.83, 1.22) | .97 | Location of the mass | 1.02 (0.91, 1.14) | .72 | Mobility of the mass | 0.91 (0.82, 1.01) | .08 | Age of the patient | 0.86 (0.77, 0.96) | .006* | Factors impeding decision to perform a biopsy | | | I have decreased access to persons performing needle biopsy | 0.98 (0.91, 1.06) | .69 | I do not want to inconvenience the pathologist | 0.84 (0.72, 0.98) | .03* | I have a lack of confidence in pathology to make a diagnosis on a FNA/core biopsy | 1.00 (0.92, 1.08) | .91 | I feel that whole specimen will lead to a more accurate diagnosis | 0.95 (0.87, 1.03) | .19 | I feel that the likelihood of a soft tissue mass being malignant is low | 0.91 (0.83, 1.00) | .05 | I have concerns about the risks associated with biopsies | 0.91 (0.86, 1.03) | .18 | I am not extensively trained on the use of biopsies in residency or fellowship | 0.96 (0.89, 1.04) | .34 | Resident characteristics | | | Age | 1.00 (0.97, 1.03) | .94 | Gender | 0.98 (0.74, 1.30) | .90 | How many years of training have you completed? | 1.10 (1.02, 1.19) | .01* | Dedicated STS rotation | 0.92 (0.67, 1.25) | .58 | Dedicated STS teaching component | 0.72 (0.37, 1.14) | .34 |
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CI: confidence interval. Significance denoted by *.
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