ROSE: Alternative for Cancelled and Inconclusive Cytopathologic Examinations, as Well as Professional Training at the UNESP-Botucatu Veterinary Hospital

Fabiane Andrade Correia Neiva, Eduardo Eburnio, Paula de Sanctis, Nayara Maria Gil Mazzante, N. Rocha
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Abstract

ROSE is a method for fast sample evaluation that does not compromise sensitivity and specificity in the hospital environment when establishing the diagnosis and the therapeutic protocol. The technique is already well-established in human medicine as it operates within the standard operational procedure, reducing the rates of inconclusive results and cancelled cytopathology assays in the hospital environment. However, its application is scarce in Veterinary Medicine, including in hospitals where intensive care is available. This study aims at conducting a case-by-case assessment of inconclusive and cancelled examinations in the Cytopathology Outpatient Clinic at UNESP (HV), Botucatu, Brazil, from 2012 to 2016 and ascertains the causes. For this purpose, a retrospective study was conducted for 9587 examinations in canines, of which 4.1% and 10.44% were inconclusive and cancelled, respectively. These results are not in line with ROSE, which foresees a total rate of 5% for these occurrences. The reasons for these high rates in the outpatient clinic were the lack of a Standard Operating Procedure (SOP) and the relative inexperience of the residents in a university hospital. Therefore, with the adoption of the ROSE protocol for veterinary cytopathological examinations, together with adequate training for the outpatient professionals responsible for the examinations, the goals set forth by the ROSE protocol would be met and the rates of inconclusive and cancelled examinations would decrease considerably. Lastly, this study hopes to contribute towards the diagnosis and therapeutic protocols of the main diseases affecting dogs.
ROSE:取消和不确定的细胞病理学检查的替代方案,以及联合国教科文组织博图卡图兽医医院的专业培训
ROSE是一种快速样本评估方法,在制定诊断和治疗方案时,不会影响医院环境中的敏感性和特异性。这项技术在人类医学中已经得到了广泛的应用,因为它在标准操作程序中运行,降低了医院环境中不确定结果的发生率,并取消了细胞病理学检测。然而,它在兽医学中的应用很少,包括在有重症监护的医院。本研究旨在对2012年至2016年在巴西博图卡图UNESP(HV)的细胞病理学门诊进行的不确定和取消的检查进行个案评估,并确定原因。为此,对9587只犬的检查进行了回顾性研究,其中分别有4.1%和10.44%的检查没有结论并被取消。这些结果与ROSE不一致,ROSE预计这些事件的总发生率为5%。门诊率高的原因是缺乏标准操作程序(SOP)和大学医院住院人员相对缺乏经验。因此,通过ROSE方案进行兽医细胞病理学检查,并对负责检查的门诊专业人员进行充分培训,将实现ROSE方案规定的目标,不确定和取消检查的比率将大幅下降。最后,本研究希望为影响狗的主要疾病的诊断和治疗方案做出贡献。
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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