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Benchmarking cytology support for ROSE during endoscopic and bronchoscopic procedures
Alayna Anderson1, Edward A Monaco2, Idorenyin F Udoeyo3
1Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Journal of the American Society of Cytopathology
|April 19, 2024
Summary
Rapid on-site evaluation (ROSE) for endoscopic and bronchoscopic biopsies requires significant cytopathology staff time. Bronchoscopy procedures and high-volume practices reduce ROSE time per specimen, aiding in staffing assessments.
Area of Science:
- Cytopathology
- Minimally Invasive Procedures
- Medical Staffing
Background:
- Increasing use of endoscopic and bronchoscopic biopsies for gastrointestinal, pancreatobiliary, thoracic, and mediastinal lesions.
- Need to assess cytopathology laboratory staffing for rapid on-site evaluation (ROSE) support.
Purpose of the Study:
- To analyze the time and volume data for ROSE in endoscopic and bronchoscopic procedures.
- To provide benchmarking data for cytopathology staffing needs.
Main Methods:
- Review of volume and time data from 159 procedures across 2 medical centers over 2 months.
- Inclusion of procedures with on-site or telecytology ROSE support.
- Statistical analysis to identify trends based on procedure type, location, and operator volume.
Main Results:
- ROSE required 109.3 hours total, averaging 0.69 hours per procedure and 0.40 hours per specimen.
- Bronchoscopy procedures (57% of ROSE time) showed the shortest procedure times per sample.
- High-volume proceduralists had shorter average ROSE times per specimen, particularly during bronchoscopy.
Conclusions:
- Endoscopic and bronchoscopic procedures are a major component of cytology team ROSE time.
- ROSE time averages 0.69 hours/procedure or 0.40 hours/specimen, with variations by procedure and operator volume.
- Data supports improved staffing calculations for ROSE services.
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