Trends in Accuracy and Comprehensiveness of Pathology Reports for Resected NSCLC in a High Mortality Area of the United States.
Trends in Accuracy and Comprehensiveness of Pathology Reports for Resected NSCLC in a High Mortality Area of the United States.
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DOI：
10.1016/j.jtho.2021.06.027
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发表时间：
2021-10
影响因子：
20.4
通讯作者：
Osarogiagbon, Raymond U.
中科院分区：
文献类型：
--
作者：
Smeltzer, Matthew P.;Lee, Yu-Sheng;Div, Nicholas R. Faris M.;Fehnel, Carrie;Akinbobola, Olawale;Meadows-Taylor, Meghan;Spencer, David;Sales, Elizabeth;Okun, Sherry;Giampapa, Christopher;Anga, Amal;Pacheco, Alicia;Ray, Meredith A.;Osarogiagbon, Raymond U.
完整准确的病理报告对术后预后和治疗至关重要。我们评估了不同医院的三种干预措施对非小细胞肺癌术后病理报告的影响。我们评估了2004年至2020年期间，在阿肯色州、密西西比州和田纳西州四个相邻达特茅斯医院转诊区的11家机构中，接受以治愈为目的的非小细胞肺癌手术切除的患者病理报告的完整性和准确性，在以下三种质量改善干预措施之前和之后：教育（反馈以提高认识）；天气报告;还有一个淋巴结标本采集包。我们比较了以下六个患者队列中病理报告与术后管理中六个最重要项目（标本类型、肿瘤大小、组织学类型、病理[p] t分类、pn分类、边缘状态）的比例：干预前控制、干预后四种不同干预组合和同期非干预外部控制。在干预后，报告所有关键项目的几率比干预前高8倍（OR = 8.3, 95%可信区间[CI]: 6.7-10.2, p < 0.0001）。与干预前相比，干预后准确报告pT和pN类别的几率分别增加了6倍和8倍（pT OR = 5.7, 95% CI: 4.7-6.9; pN OR = 8.0, 95% CI: 6.5-10.0，均p < 0.0001）。在干预组中，接受所有三种干预的患者报告所有六个关键项目、准确的pT类别和准确的pn类别的几率最高。非小细胞肺癌病理报告质量上的差距可以被识别、量化，并通过合理设计的干预措施加以纠正。
Complete and accurate pathology reports are vital to postoperative prognostication and management. We evaluated the impact of three interventions across a diverse group of hospitals on pathology reports of postresection NSCLC. We evaluated pathology reports for patients who underwent curative-intent surgical resection for NSCLC, at 11 institutions within four contiguous Dartmouth Hospital Referral Regions in Arkansas, Mississippi, and Tennessee from 2004 to 2020, for completeness and accuracy, before and after the following three quality improvement interventions: education (feedback to heighten awareness); synoptic reporting; and a lymph node specimen collection kit. We compared the proportion of pathology reports with the six most important items for postoperative management (specimen type, tumor size, histologic type, pathologic [p] T-category, pN-category, margin status) across the following six patient cohorts: preintervention control, postintervention with four different combinations of interventions, and a contemporaneous nonintervention external control. In the postintervention era, the odds of reporting all key items were eight times higher than those in the preintervention era (OR = 8.3, 95 % confidence interval [CI]: 6.7–10.2, p < 0.0001). There were sixfold and eightfold increases in the odds of accurate pT- and pN-category reporting in the postintervention era compared with the preintervention era (pT OR = 5.7, 95 % CI: 4.7–6.9; pN OR = 8.0, 95 % CI: 6.5–10.0, both p < 0.0001). Within the intervention groups, the odds of reporting all six key items, accurate pT category, and accurate pN-category were highest in patients who received all three interventions. Gaps in the quality of NSCLC pathologic reportage can be identified, quantified, and corrected by rationally designed interventions.
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影响因子：
168.9
作者：
Albain, Kathy S.;Swann, R. Suzanne;Rusch, Valerie W.;Turrisi, Andrew T., III;Shepherd, Frances A.;Smith, Colum;Chen, Yuhchyau;Livingston, Robert B.;Feins, Richard H.;Gandara, David R.;Fry, Willard A.;Darling, Gail;Johnson, David H.;Green, Mark R.;Miller, Robert C.;Ley, Joanne;Sause, Willliam T.;Cox, James D.
通讯作者：
Cox, James D.
影响因子：
5.3
作者：
Aumann, Konrad;Kayser, Gian;Werner, Martin
通讯作者：
Werner, Martin
DOI：
10.1016/j.jtho.2020.12.025
发表时间：
2021-04
期刊：
Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer
影响因子：
--
作者：
Osarogiagbon RU;Smeltzer MP;Faris NR;Ray MA;Fehnel C;Ojeabulu P;Akinbobola O;Meadows-Taylor M;McHugh LM;Halal AM;Levy P;Sachdev V;Talton D;Wiggins L;Shu XO;Shyr Y;Robbins ET;Klesges LM
通讯作者：
Klesges LM
影响因子：
20.4
作者：
Osarogiagbon, Raymond U.;Yu, Xinhua
通讯作者：
Yu, Xinhua
影响因子：
--
作者：
Kris, Mark G.;Gaspar, Laurie E.;Kennedy, Erin B.
通讯作者：
Kennedy, Erin B.