Better retrieval of lymph nodes in colorectal resection specimens by pathologists' assistants

C. C H J Kuijpers; H. J. Van Slooten; W. H. Schreurs; G. R H M Moormann; M. A. Abtahi; A. Slappendel; V. Cliteur; P. J. Van Diest; N. M. Jiwa

doi:10.1136/jclinpath-2012-201089

Better retrieval of lymph nodes in colorectal resection specimens by pathologists' assistants

C. C H J Kuijpers, H. J. Van Slooten, W. H. Schreurs, G. R H M Moormann, M. A. Abtahi, A. Slappendel, V. Cliteur, P. J. Van Diest, N. M. Jiwa

Research output: Contribution to journal › Article › peer-review

21 Scopus citations

Abstract

Background: Errors in surgical pathology are partly due to the increasing workload of pathologists. To reduce this workload, 'pathologists' assistants' (PAs) have been trained to take over some of the pathologists' recurrent tasks. One of these tasks is the precise examination of ≥10 lymph nodes (LNs), which is of paramount importance to reduce the risk of understaging of colorectal cancer patients. Aims: To evaluate the role of PAs in harvesting LNs in colorectal resection specimens and, by doing so, in improving patient safety. Methods: LN harvest was retrospectively reviewed in 557 pathology reports on colorectal resection specimens collected in two Dutch hospitals from 2008 until 2011. Results: PAs sampled ≥10 LNs in significantly more cases than pathologists did (83.2% vs 60.9% in hospital A and 79.2% vs 67.6% in hospital B) and recovered on average significantly more LNs than pathologists did (18.5 vs 12.2 in hospital A and 16.6 vs 13.2 in hospital B). PAs harvested a significantly higher percentage of LNs

Original language	English (US)
Pages (from-to)	18-23
Number of pages	6
Journal	Journal of Clinical Pathology
Volume	66
Issue number	1
DOIs	https://doi.org/10.1136/jclinpath-2012-201089
State	Published - Jan 2013
Externally published	Yes

ASJC Scopus subject areas

Pathology and Forensic Medicine

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title = "Better retrieval of lymph nodes in colorectal resection specimens by pathologists' assistants",

abstract = "Background: Errors in surgical pathology are partly due to the increasing workload of pathologists. To reduce this workload, 'pathologists' assistants' (PAs) have been trained to take over some of the pathologists' recurrent tasks. One of these tasks is the precise examination of ≥10 lymph nodes (LNs), which is of paramount importance to reduce the risk of understaging of colorectal cancer patients. Aims: To evaluate the role of PAs in harvesting LNs in colorectal resection specimens and, by doing so, in improving patient safety. Methods: LN harvest was retrospectively reviewed in 557 pathology reports on colorectal resection specimens collected in two Dutch hospitals from 2008 until 2011. Results: PAs sampled ≥10 LNs in significantly more cases than pathologists did (83.2% vs 60.9% in hospital A and 79.2% vs 67.6% in hospital B) and recovered on average significantly more LNs than pathologists did (18.5 vs 12.2 in hospital A and 16.6 vs 13.2 in hospital B). PAs harvested a significantly higher percentage of LNs ",

author = "Kuijpers, {C. C H J} and {Van Slooten}, {H. J.} and Schreurs, {W. H.} and Moormann, {G. R H M} and Abtahi, {M. A.} and A. Slappendel and V. Cliteur and {Van Diest}, {P. J.} and Jiwa, {N. M.}",

year = "2013",

month = jan,

doi = "10.1136/jclinpath-2012-201089",

language = "English (US)",

volume = "66",

pages = "18--23",

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T1 - Better retrieval of lymph nodes in colorectal resection specimens by pathologists' assistants

AU - Kuijpers, C. C H J

AU - Van Slooten, H. J.

AU - Schreurs, W. H.

AU - Moormann, G. R H M

AU - Abtahi, M. A.

AU - Slappendel, A.

AU - Cliteur, V.

AU - Van Diest, P. J.

AU - Jiwa, N. M.

PY - 2013/1

Y1 - 2013/1

N2 - Background: Errors in surgical pathology are partly due to the increasing workload of pathologists. To reduce this workload, 'pathologists' assistants' (PAs) have been trained to take over some of the pathologists' recurrent tasks. One of these tasks is the precise examination of ≥10 lymph nodes (LNs), which is of paramount importance to reduce the risk of understaging of colorectal cancer patients. Aims: To evaluate the role of PAs in harvesting LNs in colorectal resection specimens and, by doing so, in improving patient safety. Methods: LN harvest was retrospectively reviewed in 557 pathology reports on colorectal resection specimens collected in two Dutch hospitals from 2008 until 2011. Results: PAs sampled ≥10 LNs in significantly more cases than pathologists did (83.2% vs 60.9% in hospital A and 79.2% vs 67.6% in hospital B) and recovered on average significantly more LNs than pathologists did (18.5 vs 12.2 in hospital A and 16.6 vs 13.2 in hospital B). PAs harvested a significantly higher percentage of LNs

AB - Background: Errors in surgical pathology are partly due to the increasing workload of pathologists. To reduce this workload, 'pathologists' assistants' (PAs) have been trained to take over some of the pathologists' recurrent tasks. One of these tasks is the precise examination of ≥10 lymph nodes (LNs), which is of paramount importance to reduce the risk of understaging of colorectal cancer patients. Aims: To evaluate the role of PAs in harvesting LNs in colorectal resection specimens and, by doing so, in improving patient safety. Methods: LN harvest was retrospectively reviewed in 557 pathology reports on colorectal resection specimens collected in two Dutch hospitals from 2008 until 2011. Results: PAs sampled ≥10 LNs in significantly more cases than pathologists did (83.2% vs 60.9% in hospital A and 79.2% vs 67.6% in hospital B) and recovered on average significantly more LNs than pathologists did (18.5 vs 12.2 in hospital A and 16.6 vs 13.2 in hospital B). PAs harvested a significantly higher percentage of LNs

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Better retrieval of lymph nodes in colorectal resection specimens by pathologists' assistants

Abstract

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