The implementation of guidelines and computerised forms improves the completeness of cancer pathology reporting. The CROPS project: a randomised controlled trial in pathology
The implementation of guidelines and computerised forms improves the completeness of cancer pathology reporting. The CROPS project: a randomised controlled trial in pathology
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DOI：
10.1016/s0959-8049(01)00258-1
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发表时间：
2002-04-01
影响因子：
8.4
通讯作者：
Williams, GT
中科院分区：
文献类型：
--
作者：
Branston, LK;Greening, S;Williams, GT
本研究的目的是确定报告指南和基于计算机化表格的报告是否提高了可用于患者管理和人群癌症登记的组织病理学癌症数据的完整性，并评估干预的可接受性。本研究是一项随机对照试验，采用分裂单元设计和分层整群随机化。威尔士所有16家医院病理实验室被随机分配，通过计算机化表格或传统的自由文本报告乳腺或结直肠切除标本。研究组分析了1044份报告，对照组分析了998份报告。（95%置信区间（CI）：15.7-41.2%）癌症登记所需最低数据集的完整报告增加24.5%，（95% CI：11.0-38.0%）患者管理所需最低数据的完整报告增加。病理学家可接受基于表格的报告，临床医生更喜欢这种报告。总之，指南和计算机化表格显著提高了组织病理学报告的质量。(C)2002爱思唯尔科技有限公司。保留所有权利。
The aim of this study, was to determine whether reporting guidelines and computerised form-based reports improve the completeness of histopathological cancer data available for patient management and population cancer registration and to evaluate the acceptability of the intervention. The study was a randomised controlled trial with a split unit design and stratified cluster randomisation. All 16 hospital pathology laboratories in Wales were randomly allocated to report either breast or colorectal resection specimens by computerised form or conventional free text. 1044 reports were analysed in the study arm, 998 in the control arm. Use of pre-defined forms led to a 28.4% (95% confidence interval (CI): 15.7-41.2%) increase in complete reporting of a minimum dataset required for cancer registration and a 24.5% (95% CI: 11.0-38.0%) increase in complete reporting of minimum data required for patient management. Form-based reporting was acceptable to pathologists and preferred by clinicians. In conclusion, guidelines and computerised forms significantly improve the quality of histopathology, reporting. (C) 2002 Elsevier Science Ltd. All rights reserved.