A pathologist's survey on the reporting of sessile serrated adenomas/polyps

Runjan Chetty; Adrian C Bateman; Emina Torlakovic; Lai Mun Wang; Pelvender Gill; Adnan Al-Badri; Mark Arends; Leigh Biddlestone; Susan Burroughs; Frank Carey; David Cowlishaw; Stephen Crowther; Philip Da Costa; Mahomed A Dada; Charles d'Adhemar; Kaushik Dasgupta; Chandima de Cates; Vikram Deshpande; Roger M. Feakins; Bineeta Foria; Vipul Foria; Clare Fuller; Bryan Green; Joel K. Greenson; Paul Griffiths; Sara Hafezi-Bakhtiari; James Henry; Eleanor Jaynes; Michael D. Jeffers; Philip Kaye; Robert Landers; Gregory Y. Lauwers; Maurice Loughrey; Nicholas Mapstone; Marco Novelli; Robert Odze; David Poller; Corwyn Rowsell; Scott Sanders; Patrick Sarsfield; John B. Schofield; Kieran Sheahan; Neil Shepherd; Ali Sherif; James Sington; Shaun Walsh; Namor Williams; Newton Wong

doi:10.1136/jclinpath-2013-202128

A pathologist's survey on the reporting of sessile serrated adenomas/polyps

Runjan Chetty, Adrian C Bateman, Emina Torlakovic, Lai Mun Wang, Pelvender Gill, Adnan Al-Badri, Mark Arends, Leigh Biddlestone, Susan Burroughs, Frank Carey, David Cowlishaw, Stephen Crowther, Philip Da Costa, Mahomed A Dada, Charles d'Adhemar, Kaushik Dasgupta, Chandima de Cates, Vikram Deshpande, Roger M. Feakins, Bineeta ForiaVipul Foria, Clare Fuller, Bryan Green, Joel K. Greenson, Paul Griffiths, Sara Hafezi-Bakhtiari, James Henry, Eleanor Jaynes, Michael D. Jeffers, Philip Kaye, Robert Landers, Gregory Y. Lauwers, Maurice Loughrey, Nicholas Mapstone, Marco Novelli, Robert Odze, David Poller, Corwyn Rowsell, Scott Sanders, Patrick Sarsfield, John B. Schofield, Kieran Sheahan, Neil Shepherd, Ali Sherif, James Sington, Shaun Walsh, Namor Williams, Newton Wong

Research output: Contribution to journal › Article › peer-review

Abstract

Aim: The purpose of this survey was to ascertain reporting habits of pathologists towards sessile serrated adenomas/polyps (SSA/P).

Methods: A questionnaire designed to highlight diagnostic criteria, approach and clinical implications of SSA/P was circulated electronically to 45 pathologists in the UK and North America.

Results: Forty-three of 45 pathologists agreed to participate. The vast majority (88%) had a special interest in gastrointestinal (GI) pathology, had great exposure to GI polyps in general with 40% diagnosing SSA/P at least once a week if not more, abnormal architecture was thought by all participants to be histologically diagnostic, and 11% would make the diagnosis if a single diagnostic histological feature was present in one crypt only, while a further 19% would diagnose SSA/P in one crypt if more than one diagnostic feature was present. The vast majority agreed that deeper sections were useful and 88% did not feel proliferation markers were useful. More than one-third did not know whether, or did not feel that, their clinicians were aware of the implications of SSA/P.

Conclusion: 98% of pathologists surveyed are aware that SSA/P is a precursor lesion to colorectal cancer, the majority agree on diagnostic criteria, and a significant number feel that there needs to be greater communication and awareness among pathologists and gastroenterologists about SSA/P.

Original language	English
Pages (from-to)	426-430
Number of pages	5
Journal	Journal of Clinical Pathology
Volume	67
Issue number	5
Early online date	7 Jan 2014
DOIs	https://doi.org/10.1136/jclinpath-2013-202128
Publication status	Published - 1 May 2014

Keywords

adenoma
attitude of health personnel
awareness
biopsy
colonic polyps
colorectal neoplasms
communication
consensus
cooperative behavior
Great Britain
health care surveys
health knowledge, attitudes, practice
humans
North America
practice patterns, physicians'
predictive value of tests
prognosis
surveys and questionnaires
multicenter study

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1136/jclinpath-2013-202128

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Chetty, R., Bateman, A. C., Torlakovic, E., Wang, L. M., Gill, P., Al-Badri, A., Arends, M., Biddlestone, L., Burroughs, S., Carey, F., Cowlishaw, D., Crowther, S., Da Costa, P., Dada, M. A., d'Adhemar, C., Dasgupta, K., de Cates, C., Deshpande, V., Feakins, R. M., ... Wong, N. (2014). A pathologist's survey on the reporting of sessile serrated adenomas/polyps. Journal of Clinical Pathology, 67(5), 426-430. https://doi.org/10.1136/jclinpath-2013-202128

@article{a40eae861a8c4741af8840ddc46bfbae,

title = "A pathologist's survey on the reporting of sessile serrated adenomas/polyps",

abstract = "Aim: The purpose of this survey was to ascertain reporting habits of pathologists towards sessile serrated adenomas/polyps (SSA/P).Methods: A questionnaire designed to highlight diagnostic criteria, approach and clinical implications of SSA/P was circulated electronically to 45 pathologists in the UK and North America.Results: Forty-three of 45 pathologists agreed to participate. The vast majority (88%) had a special interest in gastrointestinal (GI) pathology, had great exposure to GI polyps in general with 40% diagnosing SSA/P at least once a week if not more, abnormal architecture was thought by all participants to be histologically diagnostic, and 11% would make the diagnosis if a single diagnostic histological feature was present in one crypt only, while a further 19% would diagnose SSA/P in one crypt if more than one diagnostic feature was present. The vast majority agreed that deeper sections were useful and 88% did not feel proliferation markers were useful. More than one-third did not know whether, or did not feel that, their clinicians were aware of the implications of SSA/P.Conclusion: 98% of pathologists surveyed are aware that SSA/P is a precursor lesion to colorectal cancer, the majority agree on diagnostic criteria, and a significant number feel that there needs to be greater communication and awareness among pathologists and gastroenterologists about SSA/P.",

keywords = "adenoma, attitude of health personnel, awareness, biopsy, colonic polyps, colorectal neoplasms, communication, consensus, cooperative behavior, Great Britain, health care surveys, health knowledge, attitudes, practice, humans, North America, practice patterns, physicians', predictive value of tests, prognosis, surveys and questionnaires, multicenter study",

author = "Runjan Chetty and Bateman, {Adrian C} and Emina Torlakovic and Wang, {Lai Mun} and Pelvender Gill and Adnan Al-Badri and Mark Arends and Leigh Biddlestone and Susan Burroughs and Frank Carey and David Cowlishaw and Stephen Crowther and {Da Costa}, Philip and Dada, {Mahomed A} and Charles d'Adhemar and Kaushik Dasgupta and {de Cates}, Chandima and Vikram Deshpande and Feakins, {Roger M.} and Bineeta Foria and Vipul Foria and Clare Fuller and Bryan Green and Greenson, {Joel K.} and Paul Griffiths and Sara Hafezi-Bakhtiari and James Henry and Eleanor Jaynes and Jeffers, {Michael D.} and Philip Kaye and Robert Landers and Lauwers, {Gregory Y.} and Maurice Loughrey and Nicholas Mapstone and Marco Novelli and Robert Odze and David Poller and Corwyn Rowsell and Scott Sanders and Patrick Sarsfield and Schofield, {John B.} and Kieran Sheahan and Neil Shepherd and Ali Sherif and James Sington and Shaun Walsh and Namor Williams and Newton Wong",

year = "2014",

month = may,

day = "1",

doi = "10.1136/jclinpath-2013-202128",

language = "English",

volume = "67",

pages = "426--430",

journal = "Journal of Clinical Pathology",

issn = "0021-9746",

publisher = "BMJ Publishing Group",

number = "5",

}

Chetty, R, Bateman, AC, Torlakovic, E, Wang, LM, Gill, P, Al-Badri, A, Arends, M, Biddlestone, L, Burroughs, S, Carey, F, Cowlishaw, D, Crowther, S, Da Costa, P, Dada, MA, d'Adhemar, C, Dasgupta, K, de Cates, C, Deshpande, V, Feakins, RM, Foria, B, Foria, V, Fuller, C, Green, B, Greenson, JK, Griffiths, P, Hafezi-Bakhtiari, S, Henry, J, Jaynes, E, Jeffers, MD, Kaye, P, Landers, R, Lauwers, GY, Loughrey, M, Mapstone, N, Novelli, M, Odze, R, Poller, D, Rowsell, C, Sanders, S, Sarsfield, P, Schofield, JB, Sheahan, K, Shepherd, N, Sherif, A, Sington, J, Walsh, S, Williams, N & Wong, N 2014, 'A pathologist's survey on the reporting of sessile serrated adenomas/polyps', Journal of Clinical Pathology, vol. 67, no. 5, pp. 426-430. https://doi.org/10.1136/jclinpath-2013-202128

TY - JOUR

T1 - A pathologist's survey on the reporting of sessile serrated adenomas/polyps

AU - Chetty, Runjan

AU - Bateman, Adrian C

AU - Torlakovic, Emina

AU - Wang, Lai Mun

AU - Gill, Pelvender

AU - Al-Badri, Adnan

AU - Arends, Mark

AU - Biddlestone, Leigh

AU - Burroughs, Susan

AU - Carey, Frank

AU - Cowlishaw, David

AU - Crowther, Stephen

AU - Da Costa, Philip

AU - Dada, Mahomed A

AU - d'Adhemar, Charles

AU - Dasgupta, Kaushik

AU - de Cates, Chandima

AU - Deshpande, Vikram

AU - Feakins, Roger M.

AU - Foria, Bineeta

AU - Foria, Vipul

AU - Fuller, Clare

AU - Green, Bryan

AU - Greenson, Joel K.

AU - Griffiths, Paul

AU - Hafezi-Bakhtiari, Sara

AU - Henry, James

AU - Jaynes, Eleanor

AU - Jeffers, Michael D.

AU - Kaye, Philip

AU - Landers, Robert

AU - Lauwers, Gregory Y.

AU - Loughrey, Maurice

AU - Mapstone, Nicholas

AU - Novelli, Marco

AU - Odze, Robert

AU - Poller, David

AU - Rowsell, Corwyn

AU - Sanders, Scott

AU - Sarsfield, Patrick

AU - Schofield, John B.

AU - Sheahan, Kieran

AU - Shepherd, Neil

AU - Sherif, Ali

AU - Sington, James

AU - Walsh, Shaun

AU - Williams, Namor

AU - Wong, Newton

PY - 2014/5/1

Y1 - 2014/5/1

N2 - Aim: The purpose of this survey was to ascertain reporting habits of pathologists towards sessile serrated adenomas/polyps (SSA/P).Methods: A questionnaire designed to highlight diagnostic criteria, approach and clinical implications of SSA/P was circulated electronically to 45 pathologists in the UK and North America.Results: Forty-three of 45 pathologists agreed to participate. The vast majority (88%) had a special interest in gastrointestinal (GI) pathology, had great exposure to GI polyps in general with 40% diagnosing SSA/P at least once a week if not more, abnormal architecture was thought by all participants to be histologically diagnostic, and 11% would make the diagnosis if a single diagnostic histological feature was present in one crypt only, while a further 19% would diagnose SSA/P in one crypt if more than one diagnostic feature was present. The vast majority agreed that deeper sections were useful and 88% did not feel proliferation markers were useful. More than one-third did not know whether, or did not feel that, their clinicians were aware of the implications of SSA/P.Conclusion: 98% of pathologists surveyed are aware that SSA/P is a precursor lesion to colorectal cancer, the majority agree on diagnostic criteria, and a significant number feel that there needs to be greater communication and awareness among pathologists and gastroenterologists about SSA/P.

AB - Aim: The purpose of this survey was to ascertain reporting habits of pathologists towards sessile serrated adenomas/polyps (SSA/P).Methods: A questionnaire designed to highlight diagnostic criteria, approach and clinical implications of SSA/P was circulated electronically to 45 pathologists in the UK and North America.Results: Forty-three of 45 pathologists agreed to participate. The vast majority (88%) had a special interest in gastrointestinal (GI) pathology, had great exposure to GI polyps in general with 40% diagnosing SSA/P at least once a week if not more, abnormal architecture was thought by all participants to be histologically diagnostic, and 11% would make the diagnosis if a single diagnostic histological feature was present in one crypt only, while a further 19% would diagnose SSA/P in one crypt if more than one diagnostic feature was present. The vast majority agreed that deeper sections were useful and 88% did not feel proliferation markers were useful. More than one-third did not know whether, or did not feel that, their clinicians were aware of the implications of SSA/P.Conclusion: 98% of pathologists surveyed are aware that SSA/P is a precursor lesion to colorectal cancer, the majority agree on diagnostic criteria, and a significant number feel that there needs to be greater communication and awareness among pathologists and gastroenterologists about SSA/P.

KW - adenoma

KW - attitude of health personnel

KW - awareness

KW - biopsy

KW - colonic polyps

KW - colorectal neoplasms

KW - communication

KW - consensus

KW - cooperative behavior

KW - Great Britain

KW - health care surveys

KW - health knowledge, attitudes, practice

KW - humans

KW - North America

KW - practice patterns, physicians'

KW - predictive value of tests

KW - prognosis

KW - surveys and questionnaires

KW - multicenter study

U2 - 10.1136/jclinpath-2013-202128

DO - 10.1136/jclinpath-2013-202128

M3 - Article

C2 - 24399034

SN - 0021-9746

VL - 67

SP - 426

EP - 430

JO - Journal of Clinical Pathology

JF - Journal of Clinical Pathology

IS - 5

ER -

A pathologist's survey on the reporting of sessile serrated adenomas/polyps

Abstract

Keywords

UN SDGs

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