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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Improving the quality of processing gastric cancer specimens: The pathologist's perspective
Journal of Surgical Oncology, Volume 101, No. 3, Year 2010
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Description
Background and Objectives: Research into surgeon and pathologist knowledge of guidelines for lymph node (LN) assessment in gastric cancer demonstrated a knowledge deficit. To understand factors affecting optimal assessment we surveyed pathologists to identify external barriers. Methods: Pathologists were identified using two Ontario physician databases and surveyed online or by mail, with a 40% response rate. Results: The majority (56%) of pathologists stated assessing an additional five LNs would not be a burden. Most (80%) pathologists disagreed with pay for performance for achieving quality standards. Qualitative analysis determined the majority of pathologists believed achieving quality standards was inherent to their profession and should not require incentives. Poor surgical specimen was identified as a barrier and underscores the importance of aiming quality improvement initiatives at the multidisciplinary team. Conclusion: In addition to education, tailoring an intervention to address all barriers, including laboratory constraints may be an effective means of improving gastric cancer care. © 2010 Wiley-Liss, Inc.
Authors & Co-Authors
Mahar, Alyson L.
Canada, Toronto
Sunnybrook Health Sciences Centre
Chetty, Runjan M.
Canada, Toronto
University Health Network University of Toronto
Pollett, Aaron F.
Canada, Toronto
Mount Sinai Hospital of University of Toronto
Coburn, Natalie Groce
Canada, Toronto
University of Toronto
Canada, Toronto
Sunnybrook Health Sciences Centre
Statistics
Citations: 3
Authors: 4
Affiliations: 4
Identifiers
Doi:
10.1002/jso.21468
ISSN:
10969098
Research Areas
Cancer
Health System And Policy
Study Design
Randomised Control Trial
Study Approach
Qualitative