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Quality of pathology reporting and adherence to guidelines in rectal neuroendocrine neoplasms : a Belgian national study

Bruno Waked, Filip De Maeyer, Saskia Carton, Pieter-Jan Cuyle, Timon Vandamme, Chris Verslype, Pieter Demetter, Ivan Borbath, Liesbet Van Eycken, Anne Hoorens (UGent) , et al.
(2022) ACTA CLINICA BELGICA. 77(5). p.823-831
Author
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Abstract
The incidence of neuroendocrine neoplasms (NEN) in the rectum is rising since the introduction of colonoscopy screening programs. Guidelines, such as the European NeuroEndocrine Tumor Society (ENETS) algorithm, are mainly based on expert opinion. The goal of this nationwide study is to gain a better insight into the evolution in pathology reporting and adherence to the ENETS guidelines in Belgium. In Belgium, all NENs have to be reported to the Belgian Cancer Registry. We thoroughly reviewed all available pathology reports, coded as rectal NEN between 2004 and 2015, and reclassified according to World Health Organisation (WHO) classification 2019. To evaluate the adherence to the ENETS guidelines, population-based cancer registry data were linked with the medical procedures of the Belgian Health Insurance database. A total of 670 rectal NEN were retained and 16% of the cases needed reclassification. Annual incidence between 2004 and 2015 tripled from 0,20 to 0,61 per 100.000 inhabitants. Reporting of Ki67 proliferation index ameliorated most, while reporting of tumor size, lymphovascular and perineural invasion remained disappointing. Endoscopic ultrasound was performed in only 36.6% of the cases, while the mostly recommended mode of treatment (endoscopic/surgical/no resection) was followed in the majority of the cases. Incidence of rectal NEN in Belgium increased throughout the years and quality of pathology reporting improved especially after the WHO classification update in 2010. The growing awareness and knowledge among clinicians and pathologists in the community counters the need for centralization.
Keywords
General Medicine, Rectal neuroendocrine neoplasms, pathology reporting, classification, treatment, guidelines, LYMPH-NODE METASTASIS, ENETS CONSENSUS GUIDELINES, ENDOSCOPIC RESECTION, TUMOR SIZE, CARCINOIDS, MANAGEMENT, EPIDEMIOLOGY, COLON, SURVEILLANCE, PROGNOSIS

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MLA
Waked, Bruno, et al. “Quality of Pathology Reporting and Adherence to Guidelines in Rectal Neuroendocrine Neoplasms : A Belgian National Study.” ACTA CLINICA BELGICA, vol. 77, no. 5, 2022, pp. 823–31, doi:10.1080/17843286.2021.1985806.
APA
Waked, B., De Maeyer, F., Carton, S., Cuyle, P.-J., Vandamme, T., Verslype, C., … Moura Ribeiro, S. (2022). Quality of pathology reporting and adherence to guidelines in rectal neuroendocrine neoplasms : a Belgian national study. ACTA CLINICA BELGICA, 77(5), 823–831. https://doi.org/10.1080/17843286.2021.1985806
Chicago author-date
Waked, Bruno, Filip De Maeyer, Saskia Carton, Pieter-Jan Cuyle, Timon Vandamme, Chris Verslype, Pieter Demetter, et al. 2022. “Quality of Pathology Reporting and Adherence to Guidelines in Rectal Neuroendocrine Neoplasms : A Belgian National Study.” ACTA CLINICA BELGICA 77 (5): 823–31. https://doi.org/10.1080/17843286.2021.1985806.
Chicago author-date (all authors)
Waked, Bruno, Filip De Maeyer, Saskia Carton, Pieter-Jan Cuyle, Timon Vandamme, Chris Verslype, Pieter Demetter, Ivan Borbath, Liesbet Van Eycken, Anne Hoorens, Karen Geboes, Nancy Van Damme, and Suzane Moura Ribeiro. 2022. “Quality of Pathology Reporting and Adherence to Guidelines in Rectal Neuroendocrine Neoplasms : A Belgian National Study.” ACTA CLINICA BELGICA 77 (5): 823–831. doi:10.1080/17843286.2021.1985806.
Vancouver
1.
Waked B, De Maeyer F, Carton S, Cuyle P-J, Vandamme T, Verslype C, et al. Quality of pathology reporting and adherence to guidelines in rectal neuroendocrine neoplasms : a Belgian national study. ACTA CLINICA BELGICA. 2022;77(5):823–31.
IEEE
[1]
B. Waked et al., “Quality of pathology reporting and adherence to guidelines in rectal neuroendocrine neoplasms : a Belgian national study,” ACTA CLINICA BELGICA, vol. 77, no. 5, pp. 823–831, 2022.
@article{8739368,
  abstract     = {{The incidence of neuroendocrine neoplasms (NEN) in the rectum is rising since the introduction of colonoscopy screening programs. Guidelines, such as the European NeuroEndocrine Tumor Society (ENETS) algorithm, are mainly based on expert opinion. The goal of this nationwide study is to gain a better insight into the evolution in pathology reporting and adherence to the ENETS guidelines in Belgium. In Belgium, all NENs have to be reported to the Belgian Cancer Registry. We thoroughly reviewed all available pathology reports, coded as rectal NEN between 2004 and 2015, and reclassified according to World Health Organisation (WHO) classification 2019. To evaluate the adherence to the ENETS guidelines, population-based cancer registry data were linked with the medical procedures of the Belgian Health Insurance database. A total of 670 rectal NEN were retained and 16% of the cases needed reclassification. Annual incidence between 2004 and 2015 tripled from 0,20 to 0,61 per 100.000 inhabitants. Reporting of Ki67 proliferation index ameliorated most, while reporting of tumor size, lymphovascular and perineural invasion remained disappointing. Endoscopic ultrasound was performed in only 36.6% of the cases, while the mostly recommended mode of treatment (endoscopic/surgical/no resection) was followed in the majority of the cases. Incidence of rectal NEN in Belgium increased throughout the years and quality of pathology reporting improved especially after the WHO classification update in 2010. The growing awareness and knowledge among clinicians and pathologists in the community counters the need for centralization.}},
  author       = {{Waked, Bruno and De Maeyer, Filip and Carton, Saskia and Cuyle, Pieter-Jan and Vandamme, Timon and Verslype, Chris and Demetter, Pieter and Borbath, Ivan and Van Eycken, Liesbet and Hoorens, Anne and Geboes, Karen and Van Damme, Nancy and Moura Ribeiro, Suzane}},
  issn         = {{1784-3286}},
  journal      = {{ACTA CLINICA BELGICA}},
  keywords     = {{General Medicine,Rectal neuroendocrine neoplasms,pathology reporting,classification,treatment,guidelines,LYMPH-NODE METASTASIS,ENETS CONSENSUS GUIDELINES,ENDOSCOPIC RESECTION,TUMOR SIZE,CARCINOIDS,MANAGEMENT,EPIDEMIOLOGY,COLON,SURVEILLANCE,PROGNOSIS}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{823--831}},
  title        = {{Quality of pathology reporting and adherence to guidelines in rectal neuroendocrine neoplasms : a Belgian national study}},
  url          = {{http://doi.org/10.1080/17843286.2021.1985806}},
  volume       = {{77}},
  year         = {{2022}},
}
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