{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T22:13:27Z","timestamp":1777414407386,"version":"3.51.4"},"reference-count":48,"publisher":"BMJ","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clin Pathol"],"accepted":{"date-parts":[[2012,9,12]]},"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Errors in surgical pathology are partly due to the increasing workload of pathologists. To reduce this workload, \u2018pathologists\u2019 assistants\u2019 (PAs) have been trained to take over some of the pathologists\u2019 recurrent tasks. One of these tasks is the precise examination of \u226510 lymph nodes (LNs), which is of paramount importance to reduce the risk of understaging of colorectal cancer patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>To evaluate the role of PAs in harvesting LNs in colorectal resection specimens and, by doing so, in improving patient safety.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>LN harvest was retrospectively reviewed in 557 pathology reports on colorectal resection specimens collected in two Dutch hospitals from 2008 until 2011.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>PAs sampled \u226510 LNs in significantly more cases than pathologists did (83.2% vs 60.9% in hospital A and 79.2% vs 67.6% in hospital B) and recovered on average significantly more LNs than pathologists did (18.5 vs 12.2 in hospital A and 16.6 vs 13.2 in hospital B). PAs harvested a significantly higher percentage of LNs &lt;5\u2005mm than pathologists did (64.2% vs 53.7%). The percentages of colon cancer patients eligible for adjuvant chemotherapy due to inadequate LN sampling alone were significantly higher for cases dissected by pathologists than for those dissected by PAs (17.3% vs 1.1% in hospital A and 13.1% vs 3.4% in hospital B)<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>PAs contribute to patient safety since they recover more and, in particular, smaller LNs from colorectal resection specimens than pathologists do. Moreover, they help to reduce costs and morbidity by reducing the number of patients eligible for adjuvant chemotherapy due to inadequate LN sampling alone.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jclinpath-2012-201089","type":"journal-article","created":{"date-parts":[[2012,10,19]],"date-time":"2012-10-19T23:26:30Z","timestamp":1350689190000},"page":"18-23","source":"Crossref","is-referenced-by-count":29,"title":["Better retrieval of lymph nodes in colorectal resection specimens by pathologists\u2019 assistants"],"prefix":"10.1136","volume":"66","author":[{"given":"C C H J","family":"Kuijpers","sequence":"first","affiliation":[{"name":"Symbiant Pathology Expert Centre, Alkmaar, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H J","family":"van Slooten","sequence":"additional","affiliation":[{"name":"Symbiant Pathology Expert Centre, Alkmaar, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W 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