【胃肠肿瘤标准化结构化报告】。

4区 医学 Q3 Medicine Pathologe Pub Date : 2022-02-01 Epub Date: 2021-10-05 DOI:10.1007/s00292-021-00986-x
Ekkehard Hewer, Anna Rump, Rupert Langer
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引用次数: 0

摘要

病理学的概要报告与传统的叙述性报告相反,是由类似实验室价值的格式和标准化清单的使用来定义的。它有助于病理报告的完整性和可理解性,并最终对患者进行护理。时至今日,美国病理学家学会(CAP)和国际癌症报告合作组织(ICCR)这两个主要机构发布了概要性报告模板。所有主要癌症类型均可使用概要性协议,不仅提供标准化术语和报告完整性清单,而且还有助于统一使用诊断标准。此外,CAP和ICCR协议都附有详细和最新的参考清单,因此即使在不使用概要报告的情况下,也代表了有价值的信息来源。讨论了实施概要报告的好处和挑战,特别是关于用德语报告。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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[Standardized structured reports for gastrointestinal tumors].

Synoptic reporting in pathology as opposed to traditional narrative reporting is defined by a laboratory value-like format and use of standardized checklists. It contributes to completeness and comprehensibility of pathology reports and ultimately patient care. As of today, two major institutions publish synoptic reporting templates, the College of American Pathologists (CAP) and the International Collaboration for Cancer Reporting (ICCR). Synoptic protocols are available for all major cancer types and provide not only a standardized terminology and a checklist for completeness of reports, but also facilitate uniform utilization of diagnostic criteria. Additionally, both CAP and ICCR protocols are accompanied by detailed and up-to-date reference lists and thereby represent a valuable source of information even when synoptic reporting is not used. The benefits and challenges of implementation of synoptic reporting are discussed, in particular with regard to reporting in German.

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来源期刊
Pathologe
Pathologe 医学-病理学
CiteScore
1.50
自引率
0.00%
发文量
40
审稿时长
4-8 weeks
期刊介绍: Der Pathologe is an internationally recognized journal and combines practical relevance with scientific competence. The journal informs all pathologists working on departments and institutes as well as morphologically interested scientists about developments in the field of pathology. The journal serves both the scientific exchange and the continuing education of pathologists. Comprehensive reviews on a specific topical issue focus on providing evidenced based information under consideration of practical experience. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange.
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