{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T23:09:05Z","timestamp":1790723345860,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,10,12]],"date-time":"2018-10-12T00:00:00Z","timestamp":1539302400000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Cytopathology"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Rapid on\u2010site evaluation (ROSE) can increase adequacy and reduce needle passes in fine\u2010needle aspiration cytology (FNAC) procedures. However, ROSE increases the cost of FNAC. Costs may be reduced if ROSE is performed by an alternate evaluator (AE), such as a cytotechnologist (CT), endoscopist, or pulmonologist, rather than a cytopathologist (CP). Studies have shown that AEs can perform ROSE with high accuracy but are generally not as accurate as CPs. The objective of this study was to evaluate the impact of AEs on the cost\u2010effectiveness of ROSE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cost model, based on a mathematical sampling model, was developed. The cost model was used to compare the impact of the evaluator type on overall costs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>CTs were likely to be cost\u2010effective for simple procedures and were unlikely to be cost\u2010effective for only the most complex procedures. The model demonstrated the tradeoff in cost savings from using AEs and the potential costs associated with repeated procedures due to the lower accuracy of AEs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The cost\u2010effectiveness of AEs is context\u2010dependent. AEs can be cost\u2010effective even if they are less accurate than CPs. AEs are likely to be cost\u2010effective in most contexts.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncy.22047","type":"journal-article","created":{"date-parts":[[2018,10,12]],"date-time":"2018-10-12T06:44:52Z","timestamp":1539326692000},"page":"839-845","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Cost\u2010effectiveness of rapid on\u2010site evaluation of the adequacy of FNA cytology samples performed by nonpathologists"],"prefix":"10.1002","volume":"126","author":[{"given":"Lauren N.","family":"Pearson","sequence":"first","affiliation":[{"name":"Department of Pathology University of Utah School of Medicine Salt Lake City Utah"},{"name":"ARUP Laboratories Salt Lake City Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lester J.","family":"Layfield","sequence":"additional","affiliation":[{"name":"Department of Pathology and Anatomical Sciences University of Missouri Columbia Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert L.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Department of Pathology University of Utah School of Medicine Salt Lake City Utah"},{"name":"ARUP Laboratories Salt Lake City Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1309\/AJCPEGZMJKC42VUP"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-012-2411-1"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2012.0211"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000354079"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1309\/AJCP84AXSRABZCTZ"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/dc.21487"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2006.16.55"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2006.11.014"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2011.12.001"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1159\/000489550"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/cyt.12163"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2012.191"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1309\/AJCPEAKR4MO2GQBO"},{"key":"e_1_2_8_15_1","first-page":"27","article-title":"What\u2019s in the code: what you need to know about the FNA family of codes and their practice expense","volume":"69","author":"Neal MH","year":"2012","journal-title":"ASC Bull"},{"key":"e_1_2_8_16_1","unstructured":"College of American Pathologists.Medicare physician fee schedule: comparison of 2016 RVUs and final 2017 RVUs.https:\/\/www.asdp.org\/ASDP_Main\/media\/News\/cap-2017-medicare-impact-table.pdf. 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