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. 2016 Apr 21;468:639–649. doi: 10.1007/s00428-016-1935-8

Table 3.

Completeness of the colorectal carcinoma pathology report per individual parameter

Article Beattie [26] Buchwald [29] Cross [31] Idowu [36] Ihnatb [37] Porter [43] Rigby [46] Siriwardana [21] Woodsb [51] Chan [18] Casati [30] Haugland [34] Messenger [42]
Level SR Level 3 Level 3 Level 3 Level 3 Level 3 Level 3 Level 3 Level 3 Level 3 Level 4 Level 5 Level 5 Level 6
Guideline RCP Own RCP CAP CAP Own RCP RCP RCP CAP RCP RCP CAP
Localisation CRC CRC CRC CRC CRC Rectum CRC CRC CRC CRC CRC CRC Rectum
Reporting format NR SR NR SR NR SR NR SR NR SR NR SR NR SR NR SR NR SR NR SR SR3 NR SR NR SR4 SR5 NR SR
Number of reports 85 86 97 205 43 68 414 665 84 93 177 20 54 44 82 68 549 404 108 116 113 123 1089 368 112 170 183 315
Individual parameter (%)
Tumour size 100 100 88 100* 100 100 100 98.8 99.4
Tumour type 100 100 98.9 100 100 100 100 100 100 100 100 100 100 100 100 100 98.9 99.4
Histological grade 86 100* 100 100 76.8 96* 100 100 94.4 100 100 100 98 100 98 100 100 98.4 99.9 96.7 100 99.4 91.8 97.5
Resection margins 54 100* 41.5 84* 100 100 91 100* 50 99* 100 80.5 99.7* 84 90.2 97.1*
CRM 79 95 74 100* 86 100* 0 93.3* 24.3 85* 70.4 93.2* 45 90* 14 64* 78 75 100* 73.3 94.9 95.5* 86.3 97.4*
Invasion
Vascular 68 100* 52 98* 88 100* 44 76.3 98.2 97.7 80 100* 30.6 40.3 18 88* 100 41 96.8*
Perineural 52 98* 23.8 52.7 7 88* 100 13.7 94.0*
Lymphovascular 55.9 90* 81 97* 100 39.3 98.1*
Stagea 39 100* 100 100 100 100 14.1 80* 98.2 100 77 100* 58.2 100* 24 96.2*
Depth invasion 100 100 100 100 100 100 100 96.7 100 100
Ln status 85 99* 60.5 82.4* 100 100 100 99.8 100
Total LN 91 100 98.4 99.9 97.6 99.1 100
LN with metastasis 91 100 99.2 99.7 97.6 99.1 100

RCP Royal College of Pathologists, CAP College of American Pathologists, CRC colorectal carcinoma, NR narrative report, SR synoptic report, SR3 synoptic reporting 15 months after implementation, SR4 local synoptic report, SR5 national synoptic report, CRM circumferential margin (only on rectum tumours)

*Significant improvement in completeness according to the article

aTNM, but in Beattie [26] and Cross [31], Dukes was used

bColon and rectum are merged