Histopathology reporting in colorectal cancer: a proforma improves quality

Siriwardana, Pulathis N.; Pathmeswaran, A.; Hewavisenthi, J.; Deen, K.I.

doi:10.1111/j.1463-1318.2008.01680.x

Cited by 23 publications

(27 citation statements)

References 12 publications

(15 reference statements)

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“…The format of the histopathology report has traditionally been "free text." Quality studies have however shown that template (or synoptic) reporting is superior in ensuring that key parameters are reported [4][5][6][7][8][9]. Template reporting means that predefined standardized data elements are incorporated in the histopathology report.…”

Section: Introductionmentioning

confidence: 97%

Template reporting matters—a nationwide study on histopathology reporting on colorectal carcinoma resections☆

et al. 2011

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Section: Introductionmentioning

confidence: 97%

Template reporting matters—a nationwide study on histopathology reporting on colorectal carcinoma resections☆

et al. 2011

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“…20 Formal feedback from pathologists to surgeons regarding resection margins and planes of dissection is becoming the norm, 21 and quality of histopathological reports has been improved by introduction of a standardized pro-forma. 22 Clinical audit is well established as a professional requirement, 23 and anonymous reporting in many jurisdictions allows for open and transparent analysis of outcomes. 24 There is widespread awareness of the importance of opportunistic screening (colonoscopy 25 or CT colonography 26 ) resulting in diagnosis at far earlier disease stage.…”

mentioning

confidence: 99%

Complete Mesocolic Excision—A Marker of Surgical Quality?

Hogan

Winter

2009

Journal of Gastrointestinal Surgery

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Quality assurance in surgery has never been more important. As public awareness and lay access to educational resources increase, the onus is on the surgical community to provide a consistently excellent standard of care. Nowhere is this more evident than the field of oncology. The establishment of the multidisciplinary care model ensures that patients are afforded timely and appropriate specialist referral, 1 and an international vogue towards a patient-led service is evident in recent years. 2 While involvement of chemo-and radiation-oncologists undoubtedly improves disease-free survival, there is an increasing body of evidence pointing to the primacy of surgical technique. 3 Natural evolution of practice produced enhanced results, 4 but a more active approach to establishment of guidelines and implementation of strict protocols has been adopted. 5 The concept of variation in outcome dependent upon the individual surgeon performing the operation is not new 6 but certainly adds weight to the argument for subspecialization in the light of the ongoing volume-outcome debate. 7 Heald was first to describe total mesorectal excision, 8 and while the technique may not have been entirely original, there is no doubt but that it has revolutionized the worldwide management of rectal cancer. 9 It involves the formal resection of an intact tumor specimen with its full lymphatic drainage and blood supply within a predefined operative plane. However, until now, it has been difficult to attribute improvement in patient outcome specifically to technique alone, and the contribution of a concurrent global enhancement of rectal cancer care cannot be discounted. A recent study, however, succeeded in isolating adequate plane in rectal cancer surgery as an independent prognostic factor (irrespective of (neo)-adjuvant radiotherapy) and found it to be more important than resection margins, thus challenging traditional dogma. 10 Short-course pre-operative radiotherapy combined with adequate plane surgery almost abolished recurrence at 3 years, thus allowing the consideration of rectal cancer as a curable entity. The authors describe a progressive improvement in technique (and thus outcome) over the study period and suggest that the process of executing the trial alone may have contributed to this. With modification of technique and standardization of adjuvant therapies, rectal cancer now demonstrates an equivalent, if not better, disease-free survival to stageequivalent colon cancer 11 (whose management, until now, has been poorly standardized).The relatively new concept of complete mesocolic excision in the management of colon cancer represents far more than evolution in operative technique. It attempts to extrapolate the advances in rectal cancer management and translate the vast survival advantage to colon cancer. This reflects the vogue towards quality assurance 12 and international standardization of cancer care. While many guidelines govern the diagnosis of colon cancer, 13 far fewer attempt to legislate for specifics of operative ...

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“…Although several studies have shown the positive effects of checklists or templates on the completeness of histopathology reports on colorectal carcinoma resections, [14][15][16][17][18][19][20][21][22][23] just one has included more specific data on the sustainability of template use. 18 In 2003-2006, the Cancer Registry of Norway and the Norwegian Society of Pathology collaborated on a project to develop structured electronic templates for histopathology reporting of cancer.…”

mentioning

confidence: 99%

Structured Electronic Template for Histopathology Reporting on Colorectal Carcinoma Resections: Five-Year Follow-up Shows Sustainable Long-Term Quality Improvement

Casati¹,

Bjugn²

2012

Archives of Pathology &Amp; Laboratory Medicine

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Objective.-To investigate use and long-term effect of this structured template in one of the first laboratories implementing the template for routine diagnostic work.Design.-All histopathology reports (n = 123) in the 1-year period prior to implementation were evaluated with respect to presence of key parameters. Likewise, all histopathology reports (n = 1186) in the 5-year period after implementation were evaluated with respect to template use and presence of key parameters.Results.-The electronic template had been used in 1089 (91.8%) of the 1186 cases. Template use was stable in the entire 5-year period, and had significantly improved upon the presence of data on 7 of 11 key parameters valid for both the preimplementation and the postimplementation period. Eight hundred and twenty-two (75.5%) of the 1089 template reports contained information on all key parameters, compared to just 20 (16.3%) of the 123 free text reports in the 1-year preimplementation period.Conclusion.-Electronic template reporting has a significant and sustainable long-term, positive effect upon the quality of histopathology reports.

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Histopathology reporting in colorectal cancer: a proforma improves quality

Abstract: A template proforma and surgeon's contribution in relation to operative findings improves the quality of the histopathology report in CRC.

Cited by 23 publications

References 12 publications

Template reporting matters—a nationwide study on histopathology reporting on colorectal carcinoma resections☆

Template reporting matters—a nationwide study on histopathology reporting on colorectal carcinoma resections☆

Complete Mesocolic Excision—A Marker of Surgical Quality?

Structured Electronic Template for Histopathology Reporting on Colorectal Carcinoma Resections: Five-Year Follow-up Shows Sustainable Long-Term Quality Improvement

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