caa a22 4500 445339128 CHVBK 20180317142806.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1245/s10434-011-1916-8 doi (NATIONALLICENCE)springer-10.1245/s10434-011-1916-8 Variability in the Quality of Pathology Reporting of Margin Status Following Breast Cancer Surgery [Elektronische Daten] [Sarah Persing, Ted James, John Mace, Andrew Goodwin, Berta Geller] Background: Accurately determining margin status is important for breast cancer treatment. The College of American Pathologists (CAP) developed guidelines to standardize reporting of margin status. The aim of this study is to determine statewide concordance with CAP breast cancer reporting guidelines for margin status. Methods: The Vermont Breast Cancer Surveillance System (VBCSS) tracks mammography-related services provided to all women treated for breast cancer at hospitals in Vermont. These data include accompanying pathology reports, which were analyzed for descriptions of margin status. The CAP protocols have both requirements and recommendations for margin status reporting. Reports were "minimally compliant” if they adhered to the requirements stated in the CAP protocols or "maximally compliant” if they included the recommended protocols in addition to those required. Results: There were 2,016 reports that met the inclusion criteria. A total of 71.1% were minimally compliant and 37.3% were maximally compliant with the CAP guideline standards. There was a statistically significant rise in compliant reports, with minimally compliant reports increasing from 55.7% in 1998 to 79.3% in 2006, and maximally compliant reports rising from 4.7% in 1998 to 53.7% in 2006 (χ2 trend test, P<0.001) for both cohorts. Conclusions: Reporting of margin status in breast-conserving surgery varies widely. There is a significant rise in guideline compliance with margin status reporting from 1998 to 2006; however, overall compliance remains suboptimal. This study provides evidence to support the need for quality improvement measures in the implementation of CAP guidelines for reporting margin status following breast-conserving surgery. Society of Surgical Oncology, 2011 Persing Sarah The University of Vermont College of Medicine, Burlington, VT, USA aut James Ted The University of Vermont College of Medicine, Burlington, VT, USA aut Mace John The University of Vermont College of Medicine, Burlington, VT, USA aut Goodwin Andrew Fletcher Allen Health Care, Burlington, VT, USA aut Geller Berta The University of Vermont College of Medicine, Burlington, VT, USA aut Annals of Surgical Oncology Springer-Verlag 18/11(2011-10-01), 3061-3065 1068-9265 18:11<3061 2011 18 10434 https://doi.org/10.1245/s10434-011-1916-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-011-1916-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Persing Sarah The University of Vermont College of Medicine, Burlington, VT, USA aut NATIONALLICENCE 700 1- James Ted The University of Vermont College of Medicine, Burlington, VT, USA aut NATIONALLICENCE 700 1- Mace John The University of Vermont College of Medicine, Burlington, VT, USA aut NATIONALLICENCE 700 1- Goodwin Andrew Fletcher Allen Health Care, Burlington, VT, USA aut NATIONALLICENCE 700 1- Geller Berta The University of Vermont College of Medicine, Burlington, VT, USA aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/11(2011-10-01), 3061-3065 1068-9265 18:11<3061 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer