pathology-2018-keynote

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Research & Reviews: Journal of Medical and Health Sciences
ISSN: 2319-9865
October 08-09, 2018
Edinburgh, Scotland
Pathology 2018
Page 23
17th International Conference on
Pathology & Cancer
Epidemiology
T he detail and accuracy of pathological reporting is becoming
increasingly recognised as important with the introduction
of synoptic reporting (SR). In the Netherlands we started with
the development of SR for Colorectal cancer and for breast
cancer late 2008, based on multidisciplinary guidelines, WHO
classifications and later in 2011 based on the minimal datasets
of the International Collaboration on Cancer Reporting. PALGA
foundation develops, distributes nation wide and maintains
all the national pathology protocols for histology, cytology and
molecular testing in total 27. All the pathology laboratories in
the Netherlands are connected through the PALGA network, this
makes distribution and maintaining on a daily bases possible.
In 2012 PALGA developed a complete new framework for the
use of SR in daily practice PALGA protocol module (PPM), this is
because already 20-25% daily work load of a pathologist is done
with synoptic reporting. With the PPM is possible to combine
different protocols in one pathology report it, for example a
lung resection protocol combined with the molecular testing
protocol, so the clinician will receive one complete pathology
report. Through the accuracy of data elements of SR, the results
are very suitable for different registries. In the Netherlands we
have direct connection with the National Cancer Registry, the
Dutch Institute for Clinical Auditing for quality controls and with
the National Institute for Public Health and the Enviroment for
Population Screening on Colon Cancer and Cervical cancer.
Through interoperability the pathology data are directly filling
these registries without intervention of data managers, this
saves time and registration burden.
Figure 2: Number of SR in our PALGA national data bank, untill week 45,
2017. The estimate for 2017 is > 275000 new entries.
Biography
Paul Seegers completed his education in Pathology and Cytology at the Dr.
Struycken Institute in Etten-Leur and University of Applied Sciences Leiden
in the Netherlands in 1985. He worked for more than 25 years in different
pathology laboratories as Head of the Department of Cytology and has
been Head IT & Quality Assurance Department since 2011, he is also took
up the responsibility as advisor of international expert on synoptic report-
ing at PALGA Foundation. He is a member of the committee of the Dutch
Pathology Society for population screening and co-author of themultidisci-
plinary guideline Cervical Cytology.
Implementation of synoptic reporting – 10
years of experience in the Netherlands
Paul Seegers
PALGA, Netherlands
Paul Seegers, RRJMHS 2018
Volume: 7
Figure 1: Example SR of Breast Biopsy (in dutch)