A 20-year and 46,000-specimen journey to Paris reveals the influence of reporting systems and passive peer feedback on pathologist practice patterns

Cancer Cytopathology
Christopher J VandenBusscheDorothy L Rosenthal

Abstract

An important goal of The Paris System for Reporting Urinary Cytology (TPS) is to reduce unnecessary atypical diagnoses given to urinary tract cytology (UTC) specimens. Since implementation of TPS at the study institution in 2016, the institutional atypical rate has declined only slightly. The authors speculated that TPS might not have had an immediate impact because several faculty members were involved in TPS committees and because TPS contains elements that already had been integrated into institutional practice. To identify factors contributing to alterations in the institutional atypical rate, the authors examined their practice over the last 22 years. UTC specimens submitted to the study laboratory between August 11, 1995, and August 10, 2017, were identified. Specimens were linked to the responsible pathologist, specimen diagnosis and type, association with high-grade urothelial carcinoma, and relevant cytomorphologic features. An increase in the institutional atypical rate occurred between 2002 and 2005. The atypical rate among individual pathologists also peaked during this same time. The increase coincided with an increase in the use of UTC and the arrival of a pathologist with a higher rate of atypical diagnoses. A su...Continue Reading

References

Feb 19, 2010·Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada·Saad Aldousari, Wassim Kassouf
Nov 30, 2012·Cancer Cytopathology·Christopher L OwensDorothy L Rosenthal
Nov 30, 2012·Cancer Cytopathology·Dorothy L RosenthalChristopher Owens
Mar 2, 2016·Cancer Cytopathology·Derek B AllisonChristopher J VandenBussche
May 26, 2016·Cytopathology : Official Journal of the British Society for Clinical Cytology·C J VandenBussche
Jun 20, 2016·Acta Cytologica·Güliz A BarkanDorothy L Rosenthal
Sep 8, 2016·Cytopathology : Official Journal of the British Society for Clinical Cytology·Y MikiA Chandra
Apr 6, 2017·Acta Cytologica·Kiran MalviyaMona Agnihotri
Jul 12, 2017·Acta Cytologica·Ritu Nayar, David C Wilbur
Aug 24, 2017·Cytopathology : Official Journal of the British Society for Clinical Cytology·M RoyS R Mathur
Jan 1, 2015·Journal of the American Society of Cytopathology : JASC·Eva M Wojcik
Jan 1, 2014·Journal of the American Society of Cytopathology : JASC·Matthew T OlsonDorothy L Rosenthal

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Citations

May 15, 2018·Cancer Cytopathology·Güliz A BarkanStefan E Pambuccian
Jul 12, 2019·Archives of Pathology & Laboratory Medicine·Güliz A BarkanCharles D Sturgis
Aug 11, 2020·Journal of the American Society of Cytopathology : JASC·Margaret L ComptonKim A Ely
Sep 23, 2020·Journal of the American Society of Cytopathology : JASC·Patrick J McIntireMomin T Siddiqui
Aug 15, 2020·Journal of the American Society of Cytopathology : JASC·M Lisa ZhangPoonam Vohra
Nov 9, 2020·Journal of the American Society of Cytopathology : JASC·Ricardo G PastorelloMauro Saieg
Feb 19, 2021·Diagnostic Cytopathology·Prih RohraJi-Weon Park
Jan 1, 2018·Journal of the American Society of Cytopathology : JASC·Morgan L Cowan, Christopher J VandenBussche
May 7, 2019·Acta Cytologica·Derek B Allison, Christopher J VandenBussche
Dec 7, 2021·Diagnostic Cytopathology·Derek B AllisonChristopher J VandenBussche

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