Assessment of Breast Pathology Reporting Needs and Development of Tumor Synoptic Templates in Sub-Saharan Africa

被引:0
作者
Nkya, Gilbert Z. [1 ]
Omoyiola, Oluwatosin Zainab [2 ]
Betiku, Omolade Adefolabi [2 ]
Ng, Dianna L. [3 ]
Fernandes, Fabiola Couto [5 ]
Tacula, Neybi Stella [5 ]
Carrilho, Carla [5 ]
Pallangyo, Angela Elisha [1 ]
Adegoke, Omolade O. [6 ]
Gilliland, Jamie L. [4 ]
Mremi, Alex Richard [1 ]
Edelweiss, Marcia [3 ]
机构
[1] Kilimanjaro Christian Med Ctr, Dept Pathol, Moshi, Tanzania
[2] Obafemi Awolowo Univ Teaching Hosp Complex, Dept Morbid Anat & Forens Med, Ife, Nigeria
[3] Mem Sloan Kettering Canc Ctr, Dept Pathol & Lab Med, 1275 York Ave, New York, NY 10065 USA
[4] Mem Sloan Kettering Canc Ctr, Dept Psychiat & Behav Sci, New York, NY USA
[5] Maputo Cent Hosp, Dept Pathol, Maputo, Mozambique
[6] Univ Ibadan, Coll Med, Dept Pathol, Ibadan, Nigeria
关键词
CANCER; IMPACT; DIAGNOSIS; QUALITY;
D O I
10.5858/arpa.2024-0101-OA
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
center dot Context.-Breast pathology reports include many important details to guide clinical management. Reports with missing critical data elements are commonly seen in nonsubspecialized pathology practices. The use of synoptic templates has been shown to improve pathology reports. Although synoptic templates are readily available from professional societies, many are not tailored to low-resource settings. Objective.-To perform an assessment of current breast pathology reporting at 3 referral hospitals in sub-Saharan Africa and design a locally adapted breast cancer synoptic template. Design.-We conducted semi-structured interviews with key stakeholders involved in breast cancer care, including pathologists, radiologists, oncologists, and surgeons, from Nigeria, Tanzania, and Mozambique. Moreover, each stakeholder reviewed a preliminary synoptic template that was compiled by using templates from the College of American Pathologists, Royal College of Pathologists, and International Collaboration on Cancer Reporting and was asked to score each data element as essential, optional, or exclude. A locally adapted synoptic template was then designed from the needs assessment. Using the adapted templates, a retrospective review of breast cancer pathology reports from 2020 to 2022 was conducted to determine the completeness of reports at the 3 institutions. Results.-A total of 17 physicians were interviewed. Review of pathology reports revealed that none of the reports across all 3 sites contained all data elements considered essential by local physicians. Conclusions.-There is an urgent need to improve breast pathology reporting in sub-Saharan Africa. Development and implementation of synoptic templates in collaboration with key stakeholders has the potential to improve pathology reporting practices in low-resource settings. (Arch Pathol Lab Med. 2025;149:340-346; doi: 10.5858/ arpa.2024-0101-OA)
引用
收藏
页码:340 / 346
页数:7
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