Cytologic-Histologic Correlation Practices for Nongynecologic Cytology Specimens: A Survey by the College of American Pathologists Cytopathology Committee.

Context.--: Cytologic-histologic correlation (CHC) is a Clinical Laboratory Improvement Amendments-mandated requirement for gynecologic cytology, but no similar requirement exists for nongynecologic cytology. This study presents the findings from a College of American Pathologists survey of nongynec...

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Publicado en:Archives of Pathology & Laboratory Medicine Vol. 148; no. 8; pp. 871 - 880
Autores principales: Nguyen, Lananh N., Crothers, Barbara A., Souers, Rhona J., Barkan, Güliz A., Brainard, Jennifer, Nassar, Aziza, Rollins, Susan, Tabatabai, Z. Laura, Tabbara, Sana, Witt, Benjamin, Booth, Christine N.
Formato: research tables/charts Journal Article
Publicado: College of American Pathologists Aug2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2024
      vid: 148
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      pub: College of American Pathologists
      place: Northfield, Illinois
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        10.5858/arpa.2023-0140-CP
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        atl: Cytologic-Histologic Correlation Practices for Nongynecologic Cytology Specimens: A Survey by the College of American Pathologists Cytopathology Committee.
      aug:
        au:
          Nguyen, Lananh N.
          Crothers, Barbara A.
          Souers, Rhona J.
          Barkan, Güliz A.
          Brainard, Jennifer
          Nassar, Aziza
          Rollins, Susan
          Tabatabai, Z. Laura
          Tabbara, Sana
          Witt, Benjamin
          Booth, Christine N.
        affil: Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada
      sug:
        subj:
          Histological Techniques Standards
          Cytological Techniques Standards
          Practice Patterns
          Specimen Handling
          Human
          Descriptive Statistics
          Clinical Laboratories
          Pathologists
          Biopsy
          Predictive Value of Tests
      ab: Context.--: Cytologic-histologic correlation (CHC) is a Clinical Laboratory Improvement Amendments-mandated requirement for gynecologic cytology, but no similar requirement exists for nongynecologic cytology. This study presents the findings from a College of American Pathologists survey of nongynecologic cytology practice patterns. Objective.--: To survey the current CHC practices for nongynecologic cytology. Design.--: Data were analyzed from a survey developed by the committee and distributed to participants in the Nongynecologic Cytopathology Education Program mailing. Results.--: Adoption of CHC for nongynecologic cytology cases is worldwide, with 88.5% of institutions performing CHC on these specimens, a substantial increase from previous years. Performance of CHC varied by institution type, with clinic or regional/local independent laboratories and national/corporate laboratories performing CHC significantly less frequently than hospitals, university hospitals/academic medical centers, and Veterans Administration/Department of Defense hospital institutions. Most CHC was performed concurrently in real time, when the corresponding surgical specimen was reviewed. Selection for real-time concurrent CHC was by the interpreting pathologist, the pathologist diagnosing the surgical biopsy sample or cytopathology case, or both. Sampling was by far the most common reason for discordance. A 2-step difference was the most frequent threshold for discordance between cytology and surgical specimens, but this criterion varied among institutions, with no majority definition. The positive predictive value of a positive cytology finding was calculated rarely in North American institutions but was calculated more frequently in international institutions. Conclusions.--: CHC practices for nongynecologic cytopathology mirror those found for CHC of gynecologic cytopathology.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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