Evolution of anatomic pathology workload from 2011 to 2019 assessed in a regional hospital laboratory via 574,093 pathology reports.

<h4>Objective</h4>Quantify changes in workload in relation to the anatomic pathologist workforce.<h4>Methods</h4>In house pathology reports for cytology and surgical specimens from a regional hospital laboratory over a nine- year period (2011-2019) were analyzed, using custom...

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Autores principales:	Michael Bonert, Uzma Zafar, Raymond Maung, Ihab El-Shinnawy, Ipshita Kak, Jean-Claude Cutz, Asghar Naqvi, Rosalyn A Juergens, Christian Finley, Samih Salama, Pierre Major, Anil Kapoor
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/71fc00f621a64da9a0fc398f22b60e38
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spelling	oai:doaj.org-article:71fc00f621a64da9a0fc398f22b60e382021-12-02T20:09:51ZEvolution of anatomic pathology workload from 2011 to 2019 assessed in a regional hospital laboratory via 574,093 pathology reports.1932-620310.1371/journal.pone.0253876https://doaj.org/article/71fc00f621a64da9a0fc398f22b60e382021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253876https://doaj.org/toc/1932-6203<h4>Objective</h4>Quantify changes in workload in relation to the anatomic pathologist workforce.<h4>Methods</h4>In house pathology reports for cytology and surgical specimens from a regional hospital laboratory over a nine- year period (2011-2019) were analyzed, using custom computer code. Report length for the diagnosis+microscopic+synoptic report, number of blocks, billing classification (L86x codes), billings, national workload model (L4E 2018), regional workload model (W2Q), case count, and pathologist workforce in full-time equivalents (FTEs) were quantified. Randomly selected cases (n = 1,100) were audited to assess accuracy.<h4>Results</h4>The study period had 574,093 pathology reports that could be analyzed. The coding accuracy was estimated at 95%. From 2011 to 2019: cases/year decreased 6% (66,056 to 61,962), blocks/year increased 20% (236,197 to 283,751), L4E workload units increased 23% (165,276 to 203,894), W2Q workload units increased 21% (149,841 to 181,321), report lines increased 19% (606,862 to 723,175), workforce increased 1% (30.42 to 30.77 FTEs), billings increased 13% ($6,766,927 to $7,677,109). W2Q in relation to L4E underweights work in practices with large specimens by up to a factor of 2x.<h4>Conclusions</h4>Work by L4E for large specimens is underrated by W2Q. Reporting requirements and pathology work-up have increased workload per pathology case. Work overall has increased significantly without a commensurate workforce increase. The significant practice changes in the pathology work environment should prompt local investment in the anatomic pathology workforce.Michael BonertUzma ZafarRaymond MaungIhab El-ShinnawyIpshita KakJean-Claude CutzAsghar NaqviRosalyn A JuergensChristian FinleySamih SalamaPierre MajorAnil KapoorPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253876 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Michael Bonert Uzma Zafar Raymond Maung Ihab El-Shinnawy Ipshita Kak Jean-Claude Cutz Asghar Naqvi Rosalyn A Juergens Christian Finley Samih Salama Pierre Major Anil Kapoor Evolution of anatomic pathology workload from 2011 to 2019 assessed in a regional hospital laboratory via 574,093 pathology reports.
description	<h4>Objective</h4>Quantify changes in workload in relation to the anatomic pathologist workforce.<h4>Methods</h4>In house pathology reports for cytology and surgical specimens from a regional hospital laboratory over a nine- year period (2011-2019) were analyzed, using custom computer code. Report length for the diagnosis+microscopic+synoptic report, number of blocks, billing classification (L86x codes), billings, national workload model (L4E 2018), regional workload model (W2Q), case count, and pathologist workforce in full-time equivalents (FTEs) were quantified. Randomly selected cases (n = 1,100) were audited to assess accuracy.<h4>Results</h4>The study period had 574,093 pathology reports that could be analyzed. The coding accuracy was estimated at 95%. From 2011 to 2019: cases/year decreased 6% (66,056 to 61,962), blocks/year increased 20% (236,197 to 283,751), L4E workload units increased 23% (165,276 to 203,894), W2Q workload units increased 21% (149,841 to 181,321), report lines increased 19% (606,862 to 723,175), workforce increased 1% (30.42 to 30.77 FTEs), billings increased 13% ($6,766,927 to $7,677,109). W2Q in relation to L4E underweights work in practices with large specimens by up to a factor of 2x.<h4>Conclusions</h4>Work by L4E for large specimens is underrated by W2Q. Reporting requirements and pathology work-up have increased workload per pathology case. Work overall has increased significantly without a commensurate workforce increase. The significant practice changes in the pathology work environment should prompt local investment in the anatomic pathology workforce.
format	article
author	Michael Bonert Uzma Zafar Raymond Maung Ihab El-Shinnawy Ipshita Kak Jean-Claude Cutz Asghar Naqvi Rosalyn A Juergens Christian Finley Samih Salama Pierre Major Anil Kapoor
author_facet	Michael Bonert Uzma Zafar Raymond Maung Ihab El-Shinnawy Ipshita Kak Jean-Claude Cutz Asghar Naqvi Rosalyn A Juergens Christian Finley Samih Salama Pierre Major Anil Kapoor
author_sort	Michael Bonert
title	Evolution of anatomic pathology workload from 2011 to 2019 assessed in a regional hospital laboratory via 574,093 pathology reports.
title_short	Evolution of anatomic pathology workload from 2011 to 2019 assessed in a regional hospital laboratory via 574,093 pathology reports.
title_full	Evolution of anatomic pathology workload from 2011 to 2019 assessed in a regional hospital laboratory via 574,093 pathology reports.
title_fullStr	Evolution of anatomic pathology workload from 2011 to 2019 assessed in a regional hospital laboratory via 574,093 pathology reports.
title_full_unstemmed	Evolution of anatomic pathology workload from 2011 to 2019 assessed in a regional hospital laboratory via 574,093 pathology reports.
title_sort	evolution of anatomic pathology workload from 2011 to 2019 assessed in a regional hospital laboratory via 574,093 pathology reports.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/71fc00f621a64da9a0fc398f22b60e38
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Evolution of anatomic pathology workload from 2011 to 2019 assessed in a regional hospital laboratory via 574,093 pathology reports.

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