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首页> 美国卫生研究院文献>Clinical Molecular Pathology >Proactive management of histopathology workloads: analysis of the UK Royal College of Pathologists’ recommendations on specimens of limited or no clinical value on the workload of a teaching hospital gastrointestinal pathology service
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Proactive management of histopathology workloads: analysis of the UK Royal College of Pathologists’ recommendations on specimens of limited or no clinical value on the workload of a teaching hospital gastrointestinal pathology service

机译：主动管理组织病理学工作量：分析英国皇家病理学院对医院教学中胃肠病理学服务工作量有限或无临床价值的标本的建议

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>Aims: To investigate the effect on the workload of a gastrointestinal pathology service of implementing the recommendations of the Royal College of Pathologists’ (RCPath) working party on specimens of limited or no clinical value (LONCV).>Methods: All endoscopic gastrointestinal pathology reports for the first three months of 2001 at a large teaching hospital were reviewed against the RCPath recommendations. Specimens in the category of LONCV were recorded and the final histopathology diagnosis noted.>Results: The biopsies in the LONCV category were 30% of oesophageal, 61% of gastric, 0.5% of duodenal, and 7% of colorectal origin.>Conclusions: Implementing the RCPath recommendations would reduce the number of requests for the examination of gastrointestinal endoscopic specimens by 3500 specimens each year in this department. None of the specimens in the LONCV category showed an abnormality that could not have been detected by a more efficient and less invasive method. In the UK, where there is a severe shortage of trained histopathologists, the implementation of these recommendations would ensure that these scarce resources are not misused.
机译：>目标：调查实施皇家病理学家学院（RCPath）工作组对临床价值有限或无临床价值（LONCV）的标本的建议对胃肠道病理服务工作量的影响。< strong>方法：根据RCPath的建议，对2001年头三个月在一家大型教学医院进行的所有内镜胃肠道病理报告进行了审查。记录LONCV类别的标本并记录最终的组织病理学诊断。>结果： LONCV类别的活检样本为食管的30％，胃的61％，十二指肠的0.5％和食管的7％。 >结论：实施RCPath建议将使该部门每年减少3500个胃肠道内窥镜检查标本的请求数量。 LONCV类别的所有标本均未显示出异常，而该异常无法通过更有效且侵入性较小的方法来检测。在英国，训练有素的组织病理学家严重短缺，执行这些建议将确保不会滥用这些稀缺的资源。

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