It Takes a Village: Providing International Pediatric Pathology Services in a Resource-Limited Setting

Autor:	Hopp AM; Department of Pathology, Children's Wisconsin, Milwaukee, WI, USA.; Department of Pathology, Medical College of Wisconsin, Milwaukee, WI, USA., Tetzlaff JE; Department of Pathology, Children's Wisconsin, Milwaukee, WI, USA.; Department of Pathology, Medical College of Wisconsin, Milwaukee, WI, USA., Kopidlansky K; Department of Pathology, Children's Wisconsin, Milwaukee, WI, USA., Leventaki V; Department of Pathology, Children's Wisconsin, Milwaukee, WI, USA.; Department of Pathology, Medical College of Wisconsin, Milwaukee, WI, USA., Parsons LN; Department of Pathology, Children's Wisconsin, Milwaukee, WI, USA.; Department of Pathology, Medical College of Wisconsin, Milwaukee, WI, USA., Bone K; Department of Pathology, Medical College of Wisconsin, Milwaukee, WI, USA., Drendel HM; Department of Pathology, Medical College of Wisconsin, Milwaukee, WI, USA., Sreynich K; Angkor Hospital for Children, Siem Reap, Cambodia., Lyvannak S; Angkor Hospital for Children, Siem Reap, Cambodia., Heng S; Angkor Hospital for Children, Siem Reap, Cambodia., Chanpheaktra N; Angkor Hospital for Children, Siem Reap, Cambodia., Putchhat H; Angkor Hospital for Children, Siem Reap, Cambodia., Khauv P; Angkor Hospital for Children, Siem Reap, Cambodia., Camitta BM; Department of Hematology, Oncology, and Blood and Marrow Transplant, Children's Wisconsin, Milwaukee, WI, USA., Jarzembowski JA; Department of Pathology, Children's Wisconsin, Milwaukee, WI, USA.; Department of Pathology, Medical College of Wisconsin, Milwaukee, WI, USA.
Jazyk:	angličtina
Zdroj:	American journal of clinical pathology [Am J Clin Pathol] 2022 Jul 01; Vol. 158 (1), pp. 81-95.
DOI:	10.1093/ajcp/aqab220
Abstrakt:	Objectives: Partnerships between low- to middle-income countries (LMICs) and high-income countries (HICs) is one strategy to mitigate observed health disparities. Cambodia's Angkor Hospital for Children (AHC), an LMIC institution, faces shortages in health care resources, including pathology services. A partnership was created with Children's Wisconsin (CW), an HIC hospital, including provision of pathology services. We describe our established pathology workflow, examine cases seen in AHC patients, and evaluate the impact of CW's interpretations. Methods: AHC provides clinical history and impression and ships samples to CW, which processes the samples, and pathologists provide interpretations, sending reports electronically to AHC. For analysis, final diagnoses were considered "concordant," "refined," or "discordant" based on agreement with the clinical impression. Cases were also classified as "did not change management" or "changed management" based on how CW interpretation affected clinical management. Results: We included 347 specimens (177 malignant, 146 benign, 24 insufficient for diagnosis). Of these cases, 31% were discordant and 44% of cases with clinical follow-up had a change in management with CW interpretation. Conclusions: Inclusion of pathology services in LMIC-HIC partnerships is crucial for resolving health disparities between the institutions involved. The described partnership and established pathology workflow can be adapted to the needs and resources of many institutions. (© The Author(s) 2022. Published by Oxford University Press on behalf of American Society for Clinical Pathology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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