Audit
The degree of compliance with the guidelines provided by the Royal College of Pathologists (UK) inreporting adult renal parenchyma neoplasms in a tertiary care centre in Sri Lanka
Authors:
I. W. G. A. L. Malhasi ,
University of Colombo, LK
About I. W. G. A. L.
Department of Pathology, Faculty of Medicine
H. D. Wijesinghe,
University of Colombo, LK
About H. D.
Department of Pathology, Faculty of Medicine
M. D. S. Lokuhetty
University of Colombo, LK
About M. D. S.
Department of Pathology, Faculty of Medicine
Abstract
Introduction and objectives: Renal cell carcinomas comprise approximately 3% of all adult malignancies. The Royal College of Pathologists (RCPath) dataset for histopathological reporting of adult renal neoplasms recommends including a set of minimum clinical details, appropriate sampling, and macroscopic and microscopic core-data items in renal tumour reports. The aim of this audit was to assess compliance with recommended sampling and core data items as per the RCPath datasets in a tertiary care centre and to assess whether the quality of reporting was improved with the introduction of a reporting proforma.
Methodology: The data from 25 nephrectomy specimens, including eight partial and 17 radical nephrectomies, were included in the initial audit. The level of compliance with 45 core-data items was recorded as percentages. A re-audit was performed on 23 random nephrectomy specimens (seven partial and 16 radical) reported in 2021 after introducing a reporting proforma which was used as a checklist for handling and reporting nephrectomy specimens. The same data collection sheet was used in both audits.
Results: A significant improvement in both gross examination and histopathological reporting of nephrectomy specimens, including 100% compliance with two-thirds of data items, was noted after the introduction of the reporting proforma. A few data items, such as clinical details regarding the presence of the adrenal gland, need further improvement.
Discussion and conclusion: Using a reporting proforma on gross examination and reporting of nephrectomy specimens and performing periodic audits are recommended to deliver a good quality histopathology report, which is crucial for clinical management and decision-making.
How to Cite:
Malhasi, I.W.G.A.L., Wijesinghe, H.D. and Lokuhetty, M.D.S., 2022. The degree of compliance with the guidelines provided by the Royal College of Pathologists (UK) inreporting adult renal parenchyma neoplasms in a tertiary care centre in Sri Lanka. Journal of Diagnostic Pathology, 17(1), pp.11–17. DOI: http://doi.org/10.4038/jdp.v17i1.7821
Published on
31 Dec 2022.
Peer Reviewed
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