伊朗全国人口癌症登记系统中结直肠癌病理报告的完整性

IF 0.4 Q4 ONCOLOGY

International Journal of Cancer Management Pub Date : 2024-03-11 DOI:10.5812/ijcm-137805

Nazanin Azmi-Naei, A. Ghanbari-Motlagh, A. Ostovar, Yousef Moradi, Mohsen Asadi-Lari

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引用次数: 0

摘要

背景：结直肠癌是伊朗五大常见癌症之一，新增病例超过 190 万例。病理报告的完整性是癌症护理管理的关键因素之一。因此，充分报告病理因素对于优化诊断、预测预后和患者护理至关重要。目标：为了支持流行病学研究，我们测定了全国范围内结直肠癌病理报告的完整性。方法：访问病理报告文本：从伊朗国家人口癌症登记处 (INPCR) 创建的网络应用程序中获取病理报告文本被认为是最完整、最可靠的方法。我们要求 INPCR 提取其病理记录，以便对结直肠癌（ICD-10 代码'C18'、'C19'、'C20'和'C21'）进行人工审核。结果采用排除标准分析了 2092 份病理报告。患者的平均年龄为 61 岁，56% 为男性。大量结直肠癌病例处于 T3 阶段（结肠 68.4%，直肠 58.6%）和 N0 阶段（结肠 55.7%，直肠 57%）。淋巴管和神经周围等关键预后因素的信息经常缺失（分别缺失 22.7% 和 35.7%）。另一方面，肿瘤类型和肿瘤分级的报告率较高（分别为 100%和 100%）。此外，我们的研究还发现总体完整报告率较低（结肠 0.2%，直肠 1.1%）。结论最佳诊断、预后预测和患者护理需要充分的病理因素报告，因此应努力提高结直肠癌（CRC）总体病理因素的报告率。

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Completeness of Colorectal Cancer Pathology Reports in Iranian National Population-Based Cancer Registry System

Background: Colorectal cancer is one of the top 5 common cancers in Iran with over 1.9 million new cases. Completeness of pathology reports is one of the key factors of cancer care management. So, sufficient reporting of pathological factors is vital for optimum diagnosis, projection of prognosis and patient care. Objectives: To support epidemiological research, we determined the completeness of colorectal cancer pathology reports at the nationwide level. Methods: Accessing to the text of pathology reports from a web-based application that was created by the Iranian National Population-Based Cancer Registry (INPCR) was considered the most complete and reliable. We requested that the INPCR extracts their pathology records for manual review for colorectal cancer (ICD-10 code ‘C18’, ‘C19’, ‘C20’, and 'C21'). Results: Exclusion criteria were applied and 2092 pathology reports were analyzed. The mean age of patients was 61 years; 56% were male. A vast number of colorectal cancer cases were at T3-stage (colon 68.4%, rectal 58.6%) and N0-stage (colon 55.7%, rectal 57%). Information on key prognostic factors, such as lymphovascular and perineural was frequently lacking (22.7% and 35.7% missing, respectively). On the other hand, Tumor type and tumor grade had a high percentage of reporting (100% and 100%, respectively). In addition, our study revealed a low rate of overall complete reporting (colon 0.2%, rectal 1.1%). Conclusions: Optimum diagnosis, prediction of prognosis, and patient care require sufficient reporting of pathological factors, so efforts should be made to improve the reporting of overall pathology factors of Colorectal cancer (CRC).

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来源期刊

International Journal of Cancer Management ONCOLOGY-

CiteScore

1.10

自引率

0.00%

发文量

期刊介绍： International Journal of Cancer Management (IJCM) publishes peer-reviewed original studies and reviews on cancer etiology, epidemiology and risk factors, novel approach to cancer management including prevention, diagnosis, surgery, radiotherapy, medical oncology, and issues regarding cancer survivorship and palliative care. The scope spans the spectrum of cancer research from the laboratory to the clinic, with special emphasis on translational cancer research that bridge the laboratory and clinic. We also consider original case reports that expand clinical cancer knowledge and convey important best practice messages.