J Thorac Oncol: Changes in the accuracy and completeness of NSCLC pathology reports over time in 17 years

A complete and accurate pathology report is very important for the management of the operation and the prediction of the prognosis
.
This study aims to evaluate the impact of three interventions in different types of hospitals on pathological reports of non-small cell lung cancer ( NSCLC ) after surgical resection

Trends in Accuracy and Comprehensiveness of Pathology Reports for Resected Non-small Cell Lung Cancer (NSCLC) in a High Mortality Area of ​​the United States

Researchers evaluated the completeness and accuracy of pathology reports of patients undergoing radical NSCLC resection in 11 medical institutions in 4 states in the United States from 2004 to 2020 before and after the implementation of three quality improvement interventions: education (feedback improvement Awareness), weather report and lymph node specimen collection kit
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The researchers compared the proportion of pathology reports with the six most important items of postoperative management (specimen type, tumor size, histology, pathology (p) T classification, pN classification, and margin status) in six patient cohorts

Changes in the integrity of the six key items over time

In the post-intervention era, the completeness probability of reporting all key items is 8 times that of the pre-intervention era (OR 8.
3; 95% CI 6.
7-10.
2; p<0.
0001)
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Compared with the pre-intervention era, the accuracy of pT and pN classification in the post-intervention era increased by 6 times and 8 times, respectively (pT OR: 5.

Changes in the accuracy of pT and pN classification over time

In summary, the results of this study show that through rationally designed interventions, the quality of NSCLC pathology reports can be effectively identified, quantified, and improved

Smeltzer Matthew P, Lee Yu-Sheng, Faris Nicholas R et al.