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Volume 34, 12 Issues, 2024
  Letter to the Editor     June 2024  

Clinical Audit of Papillary Thyroid Cancer Reporting Format in Sultan Qaboos University Hospital in Oman

By Shima Al Khuri1, Suad Al Jahdhami1, Asim Qureshi2

Affiliations

  1. Department of Pathology, Oman Medical Speciality Board, Muscat, Oman
  2. Department of Pathology, Sultan Qaboos University, Muscat, Oman
doi: 10.29271/jcpsp.2024.06.743


Papillary thyroid carcinoma (PTC) comprises the most common type of histologically evaluated thyroid cancer in the world. In Oman, thyroid cancer is the second most encountered cancer among females, according to the latest cancer statistics 2019.1 This clinical audit aims to assess PTC reporting trends in Sultan Qaboos University Hospital. A total of 144 cases of PTC diagnosed between 2021 and 2022 were retrieved. Their reports were evaluated and matched to the guidelines of PTC reporting as per the Royal College of Pathologists and the American Joint Committee on Cancer (AJCC).

All the printed reports were checked for the following parameters: Tumour type, tumour size, tumour focality, vascular invasion, and extrathyroidal extension. There were only two cases where extrathyroidal extension was not reported (1.5%), and in two instances, vascular invasion was not reported (1.5%).

The overall statistics of the results show that the completeness of PTC pathology reporting, according to the Royal College of Pathologists (RCPath) data set, is around 96%.

Clinical audits of histology reports are crucial for enhancing patient care, ensuring accurate diagnosis, and maintaining the highest quality standards in healthcare. Thus, audits should be conducted systematically and collaboratively, involving relevant stakeholders to drive positive changes in the reporting process.2

This audit indicates the consistency of reporting in the department. All reporting pathologists adhere to the reporting parameters as laid out in the RCPath data set. The results of this audit are consistent with those reported in the literature.3,4Top of Form

In summary, clinical audit is a fundamental process in healthcare that helps ensure the delivery of high-quality, safe, and efficient care. It promotes continuous improvement, accountability, and evidence-based practice, ultimately benefitting both healthcare providers and, most importantly, patients.5



COMPETING  INTEREST:
The  authors  declared  no  conflict  of  interest.

AUTHORS’  CONTRIBUTION:
SAK: Basic calculations and manuscript writing.
SAJ: Overall supervision and manuscript writing.
AQ: Basic concept, manuscript writing, and supervision.
All authors approved the final version of the manuscript to be published.Top of Form

REFERENCES

  1. Qureshi A, Haddabi IA, Saparamadu A, Al-Shehhi AH, Silva CD. Histomorphological spectrum of papillary carcinoma of thyroid in Oman. J Coll Physicians Surg Pak 2015; 25(6): 467-8. https://pubmed.ncbi.nlm.nih.gov/26101007.
  2. Burn S, D'Cruz L. Clinical audit-process and outcome for improved clinical practice. Dent Update 2012; 39(10): 710-4. doi: 10.12968/denu.2012.39.10.710.
  3. Ross P, Hubert J, Saunders M, Wong WL. The importance of a supportive environment in the clinical audit: A pilot study of doctors' engagement with the NHS National PET-CT audit program. Nucl Med Commun 2014; 35(10):1052-7. doi: 10.1097/MNM.0000000000000161.
  4. Mendelsohn AH, Elashoff DA, Abemayor E, St John MA. Surgery for papillary thyroid carcinoma: Is lobectomy enough? Arch Otolaryngol Head Neck Surg 2010; 136 (11):1055-61. doi: 10.1001/archoto.2010.181.
  5. Rathod R, Panda NK, Bakshi J, Nayak G, Ramavat A. Hemithyroidectomy in papillary thyroid cancers: A prospective, single institutional surgical audit and contemplating on the clinical implications of 2015 American Thyroid Association Guidelines. Indian J Otolaryngol Head Neck Surg 2023; 75(2):508-16. doi: 10.1007/s12070-022-03312-w.