Document Detail

Completeness of histopathology reporting of melanoma in a high-incidence geographical region.
MedLine Citation:
PMID:  18832807     Owner:  NLM     Status:  MEDLINE    
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.
B Thompson; R Austin; M Coory; J F Aitken; E Walpole; G Francis; L Fritschi
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2008-10-02
Journal Detail:
Title:  Dermatology (Basel, Switzerland)     Volume:  218     ISSN:  1421-9832     ISO Abbreviation:  Dermatology (Basel)     Publication Date:  2009  
Date Detail:
Created Date:  2008-12-19     Completed Date:  2009-03-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203244     Medline TA:  Dermatology     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  7-14     Citation Subset:  IM    
Copyright Information:
Copyright 2008 S. Karger AG, Basel.
Viertel Centre for Research in Cancer Control, Cancer Council Queensland, Spring Hill, Qld., Australia.
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MeSH Terms
Aged, 80 and over
Cohort Studies
Medical Audit
Medical Records / standards*
Melanoma / diagnosis,  epidemiology,  pathology*,  surgery
Middle Aged
Multivariate Analysis
Practice Guidelines as Topic
Queensland / epidemiology
Research Design
Skin Neoplasms / diagnosis,  epidemiology,  pathology*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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