Adherence to Synoptic Cancer Pathology Reporting Among Pathologists in the National Department of Veterans Affairs Health Care System.
* Context.--Quality communication between clinicians and pathologists is required for optimal cancer care. The College of American Pathologists provides anatomic site--specific cancer protocols that facilitate synoptic reporting for efficient communication, contributing to accuracy and completeness...
| Published in: | Archives of Pathology & Laboratory Medicine Vol. 149; no. 8; pp. 727 - 734 |
|---|---|
| Main Authors: | , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
College of American Pathologists
Aug2025
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187111454&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187111454 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039985 1FS jtl: Archives of Pathology & Laboratory Medicine issn: 00039985 maglogo: N pubinfo: dt: Aug2025 vid: 149 iid: 8 pid: 2550 pub: College of American Pathologists place: Northfield, Illinois artinfo: ui: 187111454 187111454 187111454 10.5858/arpa.2024-0229-OA 187111454 ppf: 727 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Adherence to Synoptic Cancer Pathology Reporting Among Pathologists in the National Department of Veterans Affairs Health Care System. aug: au: Ould Ismail, Abdol Aziz Kale, Soham McGonagle, Kathryn Hill, Brent Pettus, Jason R. DuVall, Scott L. Ferraro, Jeffrey P. Schroeck, Florian R. affil: The White River Junction VA Healthcare System, White River Junction, Vermont sug: subj: United States Department of Veterans Affairs Pathologists Guideline Adherence Neoplasms Pathology Specimen Handling Standards Reports Human Melanoma Pathology Colonic Neoplasms Pathology Bladder Neoplasms Pathology Kidney Neoplasms Pathology Descriptive Statistics Confidence Intervals Lymph Nodes Pathology Funding Source ab: * Context.--Quality communication between clinicians and pathologists is required for optimal cancer care. The College of American Pathologists provides anatomic site--specific cancer protocols that facilitate synoptic reporting for efficient communication, contributing to accuracy and completeness of cancer staging. Objective.--To evaluate synoptic cancer pathology reporting across the Department of Veterans Affairs (VA), the largest integrated health system in the United States, for 4 common cancers: melanoma and colon, bladder, and kidney cancer. Design.--For each cancer type, we investigated at least 200 biopsy and 200 resection reports from 2019 to 2021. In each report, we determined whether a synoptic format was used. The reports were selected using random sampling across all VA health care facilities. We also identified a set of core elements that were underdocumented. Results.--Among 1618 pathology reports, 778 (48%; 95% CI, 46%--50%) were synoptic reports. Synoptic reporting was much more common among resections (621 of 811; 77%; 95% CI, 74%--79%) than among biopsies (157 of 807; 19%; 95% CI, 17%--22%). It was most common in colorectal resections (200 of 206; 97%; 95% CI, 94%--99%) and least common in colon biopsy reports (1 of 200; 0.5%; 95% CI, 0%--3%). Core elements that were underdocumented included procedure and regional lymph nodes for resections of bladder and kidney cancer and of melanoma. Conclusions.--Synoptic reporting was used about three-quarters of the time for resections and about 1 in 5 times for biopsies. Future work should develop implementation strategies to improve synoptic reporting, especially for biopsy specimens and core elements that were relatively underdocumented. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|