+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Mammographically directed breast biopsies: a College of American Pathologists Q-Probes study of clinical physician expectations and of specimen handling and reporting characteristics in 434 institutions



Mammographically directed breast biopsies: a College of American Pathologists Q-Probes study of clinical physician expectations and of specimen handling and reporting characteristics in 434 institutions



Archives of Pathology & Laboratory Medicine 121(1): 11-18



Objectives: To determine (1) the information that clinical physicians want in surgical pathology reports of biopsies performed for mammographic abnormalities, (2) how specimens are received and processed, and (3) what information is actually present in pathology reports. Design: The standard data collection and questionnaire format of the College of American Pathologists' Q-Probes quality improvement program was used. Laboratories (1) surveyed clinical physicians working in selected specialties involved in the care of patients with breast disease concerning what information they wanted in a surgical pathology report, (2) documented laboratory specimen handling for 20 consecutive breast biopsy tissues obtained to investigate mammographic abnormalities, and (3) documented the information content of surgical pathology reports of these cases. Participants: Four hundred thirty-four participating laboratories surveyed 1469 clinical physicians and collected information on 7300 cases regarding specimen processing and report content. Results: Clinical physicians were unanimous in the majority of items they desired for patient care. The information, however, differed depending on the diagnosis. In processing of tissues, 89% of specimens were received without fixative. In 83% of cases, radiographs were performed. Eighty-two percent of specimens were marked in some manner, but in only 45% of cases was a report of the radiographic abnormality given to the Pathology Department. The median number of blocks used to sample the lesion and the whole specimen was three and six blocks, respectively. The latter correlated with specimen size. Fifty-seven (13%) surgical pathology laboratories had radiography equipment. Radiographs of specimens and tissue blocks were made in 5% and 4% of cases, respectively. Correlation of a mammographic abnormality with a microscopic finding was documented in 62% of reports. In 92% of malignant cases the margin status was reported, and 77% of reports contained the lesion size. Eighty-three percent of reports with invasive carcinoma stated the tumor grade, and 76% stated the extent of intraductal carcinoma. The percentage of reports containing information items was significantly higher (P lt .05) for institutions using checklists. Summary: This multi-institutional Q-Probes study describes the current clinical expectations and laboratory practices associated with mammographically directed biopsies. Disparities between pathology reporting and clinician desires, as well as radiology and laboratory specimen handling practices, have been identified and may help focus future quality improvement efforts.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 008988838

Download citation: RISBibTeXText

PMID: 9111087


Related references

Physician satisfaction with clinical laboratory services: a College of American Pathologists Q-probes study of 138 institutions. Archives of Pathology & Laboratory Medicine 133(1): 38-43, 2009

Physician Satisfaction With Clinical Laboratory Services: A College of American Pathologists Q-Probes Study of 81 Institutions. Archives of Pathology & Laboratory Medicine 140(10): 1098-1103, 2016

Physician Satisfaction With Clinical Laboratory Services: A College of American Pathologists Q-Probes Study of 138 Institutions. Yearbook of Pathology and Laboratory Medicine 2010: 267-269, 2010

Surgical pathology specimen identification and accessioning: A College of American Pathologists Q-Probes Study of 1 004 115 cases from 417 institutions. Archives of Pathology & Laboratory Medicine 120(3): 227-233, 1996

Adequacy of Surgical Pathology Reporting of Cancer: A College of American Pathologists Q-Probes Study of 86 Institutions. Yearbook of Pathology and Laboratory Medicine 2011: 7-8, 2011

Adequacy of surgical pathology reporting of cancer: a College of American Pathologists Q-Probes study of 86 institutions. Archives of Pathology & Laboratory Medicine 134(7): 969-974, 2010

Timeliness and accuracy of reporting preliminary blood culture results: a College of American Pathologists Q-probes study of 65 institutions. Archives of Pathology & Laboratory Medicine 139(5): 621-626, 2015

Quality improvement practices in clinical and anatomic pathology services. A College of American Pathologists Q-probes study of the program characteristics and performance in 580 institutions. American Journal of Clinical Pathology 102(5): 567-571, 1994

Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions. Archives of Pathology & Laboratory Medicine 130(8): 1106-1113, 2006

Physician goals and laboratory test turnaround times. A College of American Pathologists Q-Probes study of 2763 clinicians and 722 institutions. Archives of Pathology & Laboratory Medicine 117(1): 22-28, 1993

Diagnostic uncertainty expressed in prostate needle biopsies. A College of American Pathologists Q-probes Study of 15,753 prostate needle biopsies in 332 institutions. Archives of Pathology & Laboratory Medicine 123(8): 687-692, 1999

Pathologic diagnostic correlation with breast imaging findings: a College of American Pathologists Q-Probes study of 48 institutions. Archives of Pathology & Laboratory Medicine 136(1): 53-60, 2012

Bedside glucose monitoring. A College of American Pathologists Q-Probes study of the program characteristics and performance in 605 institutions. Archives of Pathology & Laboratory Medicine 117(11): 1080-1087, 1993

Utilization of stat test priority in the clinical laboratory: a College of American Pathologists q-probes study of 52 institutions. Archives of Pathology & Laboratory Medicine 137(2): 220-227, 2013

Hospital nursing satisfaction with clinical laboratory services: a College of American Pathologists Q-Probes study of 162 institutions. Archives of Pathology & Laboratory Medicine 130(12): 1756-1761, 2006