title: Respiratory Cytology--Current Trends Including Endobronchial Ultrasound-Guided Biopsy and Electromagnetic Navigational Bronchoscopy: Analysis of Data From a 2013 Supplemental Survey of Participants in the College of American Pathologists Interlaboratory Comparison Program in Nongynecologic Cytology.
abstract: BACKGROUND
  Nongynecologic cytology (NGC) practices are expanding in relationship to historical gynecologic cytology screening programs. Bronchopulmonary cytology is experiencing an evolution regarding new procedural types. The College of American Pathologists (CAP) tracks practice patterns in NGC by developing questionnaires, surveying participants, and analyzing respondent data.
  
  
  OBJECTIVE
  To analyze responses to a 2013 CAP supplemental survey from the Interlaboratoy Comparison Program on bronchopulmonary NGC.
  
  
  METHODS
  The "NGC 2013 Supplemental Questionnaire: Demographics in Performance and Reporting of Respiratory Cytology" was mailed to 2074 laboratories.
  
  
  RESULTS
  The survey response rate was 42% (880 of 2074) with 90% of respondents (788 of 880) indicating that their laboratories evaluated cytology bronchopulmonary specimens. More than 95% of respondents indicated interpreting bronchial washings (765 of 787) and bronchial brushings (757 of 787). A minority of laboratories (43%, 340 of 787) dealt with endobronchial ultrasound-guided samples, and an even smaller fraction of laboratories (14%, 110 of 787) saw cases from electromagnetic navigational bronchoscopy. Intraprocedural adequacy assessments by pathologists (and less often by cytotechnologists or pathologists-in-training) were routinely performed in percutaneous transthoracic aspiration cases (74%, 413 of 560) with less involvement for other case types. Most laboratories reported that newly diagnosed primary pulmonary adenocarcinomas were triaged for molecular testing of epidermal growth factor receptor and anaplastic lymphoma kinase.
  
  
  CONCLUSIONS
  The parameters examined in this 2013 survey provide a snapshot of current pulmonary cytopathology practice and may be used as benchmarks in the future.
authors.affiliation: From the Robert J. Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio (Drs Sturgis and Booth); the Department of Pathology, University of Colorado Anschutz Medical Campus, Aurora (Dr Marshall); the Department of Pathology, Loyola University Medical Center, Maywood, Illinois (Dr Barkan); the Wisconsin State Laboratory of Hygiene and the Department of Pathology and Laboratory Medicine, University of Wisconsin, Madison (Dr Kurtycz); the Departments of Biostatistics (Ms Souers) and Surveys (Mses Doyle and Thomas), College of American Pathologists, Northfield, Illinois; the Puget Sound Institute of Pathology, Seattle, Washington (Dr Keylock); the Department of Pathology, University of California San Francisco, San Francisco (Dr Tabatabai); the Department of Pathology, University of Rochester Medical Center, Rochester, New York (Ms Russell); the Department of Esoteric Testing, AmeriPath, Indianapolis, Indiana (Dr Moriarty); the Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (Dr Yildiz-Aktas); the Department of Pathology, Washington University School of Medicine, St Louis, Missouri (Dr Collins); the Department of Pathology, Baylor College of Medicine, Houston, Texas (Dr Laucirica); and the Department of Pathology, Walter Reed National Military Medical Center, Bethesda, Maryland (Dr Crothers). Dr Yildiz-Aktas is now with the Department of Pathology, Greenwich Hospital, Greenwich, Connecticut.
authors.forename: Charles D
authors.initials: CD
authors.lastname: Sturgis
authors.forename: Carrie B
authors.initials: CB
authors.lastname: Marshall
authors.forename: Guliz A
authors.initials: GA
authors.lastname: Barkan
authors.forename: Christine N
authors.initials: CN
authors.lastname: Booth
authors.forename: Daniel F I
authors.initials: DF
authors.lastname: Kurtycz
authors.forename: Rhona J
authors.initials: RJ
authors.lastname: Souers
authors.forename: Joren B
authors.initials: JB
authors.lastname: Keylock
authors.forename: Z Laura
authors.initials: ZL
authors.lastname: Tabatabai
authors.forename: Donna K
authors.initials: DK
authors.lastname: Russell
authors.forename: Ann T
authors.initials: AT
authors.lastname: Moriarty
authors.forename: Mary A
authors.initials: MA
authors.lastname: Doyle
authors.forename: Nicole
authors.initials: N
authors.lastname: Thomas
authors.forename: Isil Z
authors.initials: IZ
authors.lastname: Yildiz-Aktas
authors.forename: Brian T
authors.initials: BT
authors.lastname: Collins
authors.forename: Rodolfo
authors.initials: R
authors.lastname: Laucirica
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Crothers
mesh_terms: D001999:Bronchoscopy / Q000379:methods / Q000639:trends*; D003581:Cytodiagnosis / Q000639:trends*; D019160:Endosonography; D006801:Humans; D061705:Image-Guided Biopsy / Q000379:methods / Q000639:trends*; D007753:Laboratories; D008168:Lung / Q000000981:diagnostic imaging; D008171:Lung Diseases / Q000000981:diagnostic imaging*; D010338:Pathology, Clinical / Q000379:methods / Q000639:trends*; D011795:Surveys and Questionnaires; D018084:Ultrasonography, Interventional / Q000379:methods / Q000639:trends*; D014481:United States