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BIB_407

Alexander/Chen 2026 JAAD (Washington Univ St. Louis, n=1491) — empirical interobserver-variability evidence that ANCHORS the brief's pre-stated specialist-dermatopathology / second-opinion rule (TASK24a §24a.4.8), which previously listed second-opinion services (BIB186 MIA, BIB187 MSK) but had NO discordance-magnitude evidence beneath it. KEY: overall melanocytic-diagnosis discordance on expert re-review = 33%; for INDETERMINATE-risk lesions (MELTUMP-type) with explicit treatment recommendations, discordance = 79.2%, of which 72.1% were DOWNGRADED to benign. Directly patient-relevant: the w…

Evidence grade

A

Tier

1 (J Am Acad Dermatol — peer-reviewed; lar

Cited by tasks

1, 19, 24, 24a

Identifiers

DOI:10.1016/j · PMID:41419136

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Full extracted findings & patient-implication analysis: bibliography/BIB_407/findings.md (research corpus). This page is a short context summary — not individualised medical advice.