Research Article
Influence of Resident Education in Correctly Diagnosing Extremity Soft Tissue Sarcoma
Table 5
Bivariate analyses for selecting correct clinical decision for general 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 | 1.04 (0.95, 1.13) | .45 | Depth of the mass | 1.07 (0.90, 1.27) | .48 | Rate of growth | 0.89 (0.75, 1.04) | .15 | Imaging characteristics | 0.88 (0.73, 1.05) | .16 | Location of the mass | 0.96 (0.81, 1.15) | .67 | Mobility of the mass | 0.91 (0.79, 1.05) | .19 | Age of the patient | 0.91 (0.79, 1.05) | .19 | Factors impeding decision to perform a biopsy | | | I have decreased access to persons performing needle biopsy | 1.02 (0.92, 1.13) | .74 | I do not want to inconvenience the pathologist | 1.03 (0.87, 1.21) | .77 | I have a lack of confidence in pathology to make a diagnosis on a FNA/core biopsy | 0.93 (0.83, 1.05) | .23 | I feel that whole specimen will lead to a more accurate diagnosis | 0.94 (0.84, 1.06) | .35 | I feel that the likelihood of a soft tissue mass being malignant is low | 0.94 (0.83, 1.05) | .28 | I have concerns about the risks associated with biopsies | 0.97 (0.86, 1.08) | .57 | I am not extensively trained on the use of biopsies in residency or fellowship | 0.96 (0.86, 1.06) | .40 | Resident characteristics | | | Age | 1.03 (0.98, 1.08) | .30 | Gender | 1.12 (0.81, 1.55) | .49 | How many years of training have you completed? | 1.11 (1.00, 1.23) | .04* | Dedicated STS rotation | 0.96 (0.70, 1.32) | .81 | Dedicated STS teaching component | 0.85 (0.61, 1.17) | .32 |
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CI: confidence interval. Significance denoted by *.
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