TY - JOUR
T1 - Results from the 2019 American Society of Cytopathology survey on rapid onsite evaluation (ROSE)–part 2
T2 - subjective views among the cytopathology community
AU - American Society of Cytopathology Clinical Practice Committee
AU - Sauter, Jennifer L.
AU - Chen, Yigu
AU - Alex, Deepu
AU - Balassanian, Ronald
AU - Cuda, Jackie
AU - Flanagan, Melina B.
AU - Griffith, Christopher C.
AU - Illei, Peter
AU - Johnson, Daniel N.
AU - McGrath, Cindy M.
AU - Randolph, Melissa L.
AU - Reynolds, Jordan P.
AU - Spiczka, Amy J.
AU - van Zante, Annemieke
AU - VanderLaan, Paul A.
N1 - Funding Information:
The authors graciously thank Ms. Elizabeth A. Jenkins, Executive Director of the American Society of Cytopathology, for all the assistance and support provided to the Clinical Practice Committee.
Publisher Copyright:
© 2020 American Society of Cytopathology
PY - 2020/11/1
Y1 - 2020/11/1
N2 - Introduction: This study aims to improve understanding of the cytopathology community's perspective regarding the value of rapid onsite evaluation (ROSE) in clinical practice. Materials and methods: The American Society of Cytopathology membership was surveyed in 2019 to obtain subjective data on the cytopathology community's perceptions regarding ROSE. Comments were categorized by major themes and attitudes and analyzed by respondent's role in laboratory, practice size, and practice setting (Fisher's exact and χ2 tests). Results: A total of 541 responses were received from 255 cytopathologists/pathologists, 261 cytotechnologists, 19 trainees, and 6 others (as previously reported). Reasons for which cytopathology personnel provide this service aligned with their perceptions of why clinicians request ROSE. A minority of respondents, disproportionally from high volume centers, felt ROSE is unnecessary. Overall attitude regarding ROSE was generally positive. There were no significant differences in attitude regarding ROSE according to role in laboratory or practice size, but respondents from academic centers provided a significantly higher percentage of positive comments than those in private or community practice. Although survey respondents generally felt that ROSE is valuable to patient care, they also highlighted several challenges, including staffing, time commitment, and inadequate reimbursement. Implementation of telecytology was felt to potentially alleviate some of these challenges. Conclusions: Survey results show that the cytology community views ROSE favorably, practices vary considerably, and there is a perceived need for improved reimbursement. Data from this study may be used to identify areas that warrant additional research to clarify the clinical value of ROSE.
AB - Introduction: This study aims to improve understanding of the cytopathology community's perspective regarding the value of rapid onsite evaluation (ROSE) in clinical practice. Materials and methods: The American Society of Cytopathology membership was surveyed in 2019 to obtain subjective data on the cytopathology community's perceptions regarding ROSE. Comments were categorized by major themes and attitudes and analyzed by respondent's role in laboratory, practice size, and practice setting (Fisher's exact and χ2 tests). Results: A total of 541 responses were received from 255 cytopathologists/pathologists, 261 cytotechnologists, 19 trainees, and 6 others (as previously reported). Reasons for which cytopathology personnel provide this service aligned with their perceptions of why clinicians request ROSE. A minority of respondents, disproportionally from high volume centers, felt ROSE is unnecessary. Overall attitude regarding ROSE was generally positive. There were no significant differences in attitude regarding ROSE according to role in laboratory or practice size, but respondents from academic centers provided a significantly higher percentage of positive comments than those in private or community practice. Although survey respondents generally felt that ROSE is valuable to patient care, they also highlighted several challenges, including staffing, time commitment, and inadequate reimbursement. Implementation of telecytology was felt to potentially alleviate some of these challenges. Conclusions: Survey results show that the cytology community views ROSE favorably, practices vary considerably, and there is a perceived need for improved reimbursement. Data from this study may be used to identify areas that warrant additional research to clarify the clinical value of ROSE.
KW - Cytology
KW - Cytopathologist
KW - Cytotechnologist
KW - ROSE
KW - Rapid on-site evaluation
KW - Telecytology
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U2 - 10.1016/j.jasc.2020.06.010
DO - 10.1016/j.jasc.2020.06.010
M3 - Article
C2 - 32861593
AN - SCOPUS:85089863760
SN - 2213-2945
VL - 9
SP - 570
EP - 578
JO - Journal of the American Society of Cytopathology
JF - Journal of the American Society of Cytopathology
IS - 6
ER -