Completeness of histopathology reporting of melanoma in a high-incidence geographical region

Thompson, B., Austin, R., Coory, M., Aitken, J. F., Walpole, E., Francis, G. and Fritschi, L. (2008) Completeness of histopathology reporting of melanoma in a high-incidence geographical region. Dermatology, 218 1: 7-14. doi:10.1159/000161116


Author Thompson, B.
Austin, R.
Coory, M.
Aitken, J. F.
Walpole, E.
Francis, G.
Fritschi, L.
Title Completeness of histopathology reporting of melanoma in a high-incidence geographical region
Journal name Dermatology   Check publisher's open access policy
ISSN 1018-8665
Publication date 2008-12-01
Year available 2008
Sub-type Article (original research)
DOI 10.1159/000161116
Open Access Status
Volume 218
Issue 1
Start page 7
End page 14
Total pages 8
Editor J.-H. Saurat
Sandra Leggat
Christine Binskin
Place of publication Basel, Switzerland
Publisher Karger
Language eng
Subject C1
920102 Cancer and Related Disorders
111711 Health Information Systems (incl. Surveillance)
Abstract Background: Appropriate histopathology reporting helps to ensure effective therapy and prognosis. Objective: To examine compliance with clinical practice guidelines for histopathology reports of melanomas. Methods: A sample of melanoma histopathology reports in Queensland was audited for inclusion of recommended information. The quality of documentation was constructed and multivariate analysis used to determine factors affecting the quality of reporting practices. Results: Documentation of the most important features of melanoma was high: clear diagnosis (99.8%; 95% CI 98.6-100), thickness (99.8%; 95% CI 98.6-100), comment on adequacy of excision (87.9%; 95% CI 84.9-91.0) and measurement of margins (91.9%; 95% CI 88.8-91.4). Overall reporting of ulceration and regression was of lesser completeness (83.0 and 77.8%, respectively) and these features were more likely to be reported by high-volume laboratories (p < 0.001 and p = 0.037, respectively). This trend was not apparent for other features. Fewer than 50% of reports documented mitotic rate per square millimetre, predominant cell type, microsatellites, growth phase and desmoplasia. Conclusion: Awareness of current reporting practices and identification of areas in which insufficiencies exist enable the revision of systems and potential improvements to the transfer of information to treating clinicians. Copyright (C) 2008 S. Karger AG, Basel
Formatted abstract
Background:
Appropriate histopathology reporting helps to ensure effective therapy and prognosis. Objective: To examine compliance with clinical practice guidelines for histopathology reports of melanomas.

Methods:
A sample of melanoma histopathology reports in Queensland was audited for inclusion of recommended information. The quality of documentation was constructed and multivariate analysis used to determine factors affecting the quality of reporting practices.

Results:
Documentation of the most important features of melanoma was high: clear diagnosis (99.8%; 95% CI 98.6-100), thickness (99.8%; 95% CI 98.6-100), comment on adequacy of excision (87.9%; 95% CI 84.9-91.0) and measurement of margins (91.9%; 95% CI 88.8-91.4). Overall reporting of ulceration and regression was of lesser completeness (83.0 and 77.8%, respectively) and these features were more likely to be reported by high-volume laboratories (p < 0.001 and p = 0.037, respectively). This trend was not apparent for other features. Fewer than 50% of reports documented mitotic rate per square millimetre, predominant cell type, microsatellites, growth phase and desmoplasia.

Conclusion:
Awareness of current reporting practices and identification of areas in which insufficiencies exist enable the revision of systems and potential improvements to the transfer of information to treating clinicians. Copyright (C) 2008 S. Karger AG, Basel
Keyword Melanoma
Histopathology report
Clinical practice guidelines
Laboratory melanoma reporting volume
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Faculty of Health and Behavioural Sciences -- Publications
2009 Higher Education Research Data Collection
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 11 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 10 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Thu, 19 Mar 2009, 00:53:07 EST by Geraldine Fitzgerald on behalf of School of Public Health