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Cost‐effectiveness of rapid on‐site evaluation of the adequacy of FNA cytology samples performed by nonpathologists

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Rapid on‐site evaluation (ROSE) can increase adequacy and reduce needle passes in fine‐needle aspiration cytology (FNAC) procedures. However, ROSE increases the cost of FNAC. Costs may be reduced if ROSE… Click to show full abstract

Rapid on‐site evaluation (ROSE) can increase adequacy and reduce needle passes in fine‐needle 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‐effectiveness of ROSE.

Keywords: rapid site; site evaluation; cost effectiveness; cost; cytology

Journal Title: Cancer Cytopathology
Year Published: 2018

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