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Changes in Surgical Pathology Case Volume and Amendment Rates During the COVID-19 Pandemic.

Cynthia K Harris1, J Y Kwong2, M H Cohen2

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This summary is machine-generated.

Surgical pathology volume decreased during COVID-19, yet amendment rates increased by 65.5%. Reduced workload did not improve error rates, highlighting multifactorial causes for errors in surgical pathology.

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Area of Science:

  • Pathology
  • Medical diagnostics

Background:

  • The coronavirus disease 2019 (COVID-19) pandemic significantly impacted healthcare, leading to reduced surgical pathology volumes.
  • Understanding the effect of this reduced workload on the quality of pathology reports is crucial.

Purpose of the Study:

  • To compare surgical pathology specimen volume and amendment rates between pre-pandemic (2019) and pandemic (2020) periods.
  • To analyze changes in the types of amendments issued, specifically identification (ID), report defect (RD), and diagnostic information (DI).

Main Methods:

  • Retrospective analysis of pathology reports from March to June 2019 and March to June 2020.
  • Extraction and subclassification of all issued amendments by two pathologists.

Main Results:

  • A 52.1% reduction in surgical pathology volume was observed in 2020 compared to 2019.
  • The overall amendment rate increased by 65.5% (0.9% in 2019 vs. 1.4% in 2020).
  • Amendments for diagnostic information (DI) increased by 23.2%, while identification (ID) and report defect (RD) amendments decreased.

Conclusions:

  • Reduced surgical pathology workload during the pandemic did not correlate with improved error rates.
  • Pandemic-related circumstances underscore the complex factors influencing error rates in surgical pathology.