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Updated: Aug 30, 2025
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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
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Rapid On-site Evaluation Practice Variability Appraisal (ROSE PETAL) survey
Sameer K Avasarala1, Maroun Matta1, Jaspal Singh2
1Division of Pulmonary, Critical Care, and Sleep Medicine, University Hospitals - Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
Cancer Cytopathology
|September 1, 2022
Summary
Rapid on-site evaluation (ROSE) use in lung cancer diagnosis varies among bronchoscopists. Discussion of ROSE results also differs significantly, impacting patient care and diagnostic accuracy.
Area of Science:
- Pulmonology
- Oncology
- Medical Diagnostics
Background:
- Rapid on-site evaluation (ROSE) is integral to lung cancer diagnostic procedures.
- Practices and result disclosure of ROSE vary among bronchoscopists.
- ROSE discussions significantly impact patient management.
Purpose of the Study:
- To define current Rapid on-site evaluation (ROSE) practices.
- To investigate patterns in disclosing ROSE results to patients.
- To identify barriers to ROSE utilization.
Main Methods:
- Cross-sectional study utilizing an electronic survey.
- Survey distributed to members of the American Association for Bronchology and Interventional Pulmonology and the Society for Advanced Bronchoscopy.
- Questions focused on ROSE availability, utilization, barriers, and result disclosure.
Main Results:
- 137 interventional pulmonologists responded, mostly from academic settings.
- ROSE availability was high (88%), but barriers included time constraints (28%) and cytology availability (22%).
- Significant heterogeneity observed in discussing ROSE results with patients (ranging from always to never).
Conclusions:
- Confirms significant heterogeneity in Rapid on-site evaluation (ROSE) practice patterns.
- ROSE-final cytology concordance estimates were lower than previously reported.
- Disclosure of ROSE results to patients is highly variable and warrants further investigation.
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