Research Article
PDF EndNote BibTex RIS Cite

The Impact of the COVID-19 Pandemic on the Practice of Pathology: Analysis of Specimen Volumes in the Only Pathology Laboratory in the City

Year 2022, Volume 36, Issue 2, 151 - 157, 30.08.2022
https://doi.org/10.18614/deutip.1174530

Abstract

Objective: One of the measures taken against the COVID-19 pandemic has been the postponement of all non-emergency medical procedures and surgeries in pandemic hospitals. The aim of this study is to examine the effect of pandemic measures on the workload of a city's only pathology laboratory. Materials and Methods: Data on monthly numbers of the histological, cytological samples, immunohistochemistry and histochemistry stainings belonging to the pathology department were obtained from the laboratory information management system. The monthly specimen volumes were compared with the same month of 2019. Results: The total number of samples received in our laboratory in March, April and May 2020 decreased by 59.1%, 92.1% and 87.6%, respectively, compared to 2019. Overall specimen volume dropped rapidly in March 2020 and bottomed out in April at 7.8% of our volume in 2019. No lung biopsy was received in the first three months of the pandemic. The second and third sections with the highest decrease were cervical cytology and non-gynaecologic cytology samples (90.7%, 87.6% respectively). Conclusions: It has been observed that the COVID-19 pandemic has had a major impact on the pathology laboratory. Postponement of the non-emergency surgeries, which is one of the first measures taken by hospitals in the face of changes in the number of COVID-19 cases, was reflected in daily pathology practice as a serious decrease in the number of samples. Future studies will show the changes in the diagnostic profile caused by the decrease in the number of elective procedures during the pandemic period.

References

  • 1. Chen ZL, Zhang Q, Lu Y, Guo ZM, Zhang X, Zhang WJ, et al. Distribution of the COVID-19 epidemic and correlation with population emigration from Wuhan, China. Chin Med J (Engl). 2020;133(9):1044–50.
  • 2. Demirbilek Y, Pehlivantürk G, Özgüler ZÖ, Meşe EALP. Covid-19 outbreak control, example of ministry of health of turkey. Turkish J Med Sci. 2020;50(SI-1):489–94.
  • 3. De Pelsemaeker MC, Guiot Y, Vanderveken J, Galant C, Van Bockstal MR. The Impact of the COVID-19 Pandemic and the Associated Belgian Governmental Measures on Cancer Screening, Surgical Pathology and Cytopathology. Pathobiology. 2021;88(1):46–55.
  • 4. Vigliar E, Iaccarino A, Bruzzese D, Malapelle U, Bellevicine C, Troncone G. Cytology in the time of coronavirus disease (COVID-19): An Italian perspective. J Clin Pathol. 2021;74(4):261–3.
  • 5. Vissio E, Falco EC, Collemi G, Borella F, Papotti M, Scarmozzino A, et al. Impact of COVID-19 lockdown measures on oncological surgical activity: Analysis of the surgical pathology caseload of a tertiary referral hospital in Northwestern Italy. J Surg Oncol. 2021;123(1):24–31.
  • 6. Denys A, Guiu B, Chevallier P, Diklia A, Kerviler E de, Baere T de. Interventional oncology at the time of COVID-19 pandemic: Problems and solutions. Diagn Interv Imaging [Internet]. 2020;101(6):347–53. Available from: https://pubmed.ncbi.nlm.nih.gov/32360351/
  • 7. Pesapane F, Ierardi AM, Arrichiello A, Carrafiello G. Providing optimal interventional oncology procedures at one of the COVID-19 referral center in Italy. Med Oncol [Internet]. 2020;37(9):1–2. Available from: https://doi.org/10.1007/s12032-020-01405-6
  • 8. Sinard JH. An Analysis of the Effect of the COVID-19 Pandemic on Case Volumes in an Academic Subspecialty-Based Anatomic Pathology Practice. Acad Pathol. 2020;7.

The Impact of the COVID-19 Pandemic on the Practice of Pathology: Analysis of Specimen Volumes in the Only Pathology Laboratory in the City

Year 2022, Volume 36, Issue 2, 151 - 157, 30.08.2022
https://doi.org/10.18614/deutip.1174530

Abstract

Objective: One of the measures taken against the COVID-19 pandemic has been the postponement of all non-emergency medical procedures and surgeries in pandemic hospitals. The aim of this study is to examine the effect of pandemic measures on the workload of a city's only pathology laboratory. Materials and Methods: Data on monthly numbers of the histological, cytological samples, immunohistochemistry and histochemistry stainings belonging to the pathology department were obtained from the laboratory information management system. The monthly specimen volumes were compared with the same month of 2019. Results: The total number of samples received in our laboratory in March, April and May 2020 decreased by 59.1%, 92.1% and 87.6%, respectively, compared to 2019. Overall specimen volume dropped rapidly in March 2020 and bottomed out in April at 7.8% of our volume in 2019. No lung biopsy was received in the first three months of the pandemic. The second and third sections with the highest decrease were cervical cytology and non-gynaecologic cytology samples (90.7%, 87.6% respectively). Conclusions: It has been observed that the COVID-19 pandemic has had a major impact on the pathology laboratory. Postponement of the non-emergency surgeries, which is one of the first measures taken by hospitals in the face of changes in the number of COVID-19 cases, was reflected in daily pathology practice as a serious decrease in the number of samples. Future studies will show the changes in the diagnostic profile caused by the decrease in the number of elective procedures during the pandemic period.

References

  • 1. Chen ZL, Zhang Q, Lu Y, Guo ZM, Zhang X, Zhang WJ, et al. Distribution of the COVID-19 epidemic and correlation with population emigration from Wuhan, China. Chin Med J (Engl). 2020;133(9):1044–50.
  • 2. Demirbilek Y, Pehlivantürk G, Özgüler ZÖ, Meşe EALP. Covid-19 outbreak control, example of ministry of health of turkey. Turkish J Med Sci. 2020;50(SI-1):489–94.
  • 3. De Pelsemaeker MC, Guiot Y, Vanderveken J, Galant C, Van Bockstal MR. The Impact of the COVID-19 Pandemic and the Associated Belgian Governmental Measures on Cancer Screening, Surgical Pathology and Cytopathology. Pathobiology. 2021;88(1):46–55.
  • 4. Vigliar E, Iaccarino A, Bruzzese D, Malapelle U, Bellevicine C, Troncone G. Cytology in the time of coronavirus disease (COVID-19): An Italian perspective. J Clin Pathol. 2021;74(4):261–3.
  • 5. Vissio E, Falco EC, Collemi G, Borella F, Papotti M, Scarmozzino A, et al. Impact of COVID-19 lockdown measures on oncological surgical activity: Analysis of the surgical pathology caseload of a tertiary referral hospital in Northwestern Italy. J Surg Oncol. 2021;123(1):24–31.
  • 6. Denys A, Guiu B, Chevallier P, Diklia A, Kerviler E de, Baere T de. Interventional oncology at the time of COVID-19 pandemic: Problems and solutions. Diagn Interv Imaging [Internet]. 2020;101(6):347–53. Available from: https://pubmed.ncbi.nlm.nih.gov/32360351/
  • 7. Pesapane F, Ierardi AM, Arrichiello A, Carrafiello G. Providing optimal interventional oncology procedures at one of the COVID-19 referral center in Italy. Med Oncol [Internet]. 2020;37(9):1–2. Available from: https://doi.org/10.1007/s12032-020-01405-6
  • 8. Sinard JH. An Analysis of the Effect of the COVID-19 Pandemic on Case Volumes in an Academic Subspecialty-Based Anatomic Pathology Practice. Acad Pathol. 2020;7.

Details

Primary Language English
Subjects Pathology
Journal Section Research Articles
Authors

Sultan Deniz ALTINDAĞ This is me
BANDIRMA ONYEDİ EYLÜL ÜNİVERSİTESİ, UZAKTAN EĞİTİM UYGULAMA VE ARAŞTIRMA MERKEZİ
0000-0002-7167-2432
Türkiye

Publication Date August 30, 2022
Application Date January 15, 2022
Acceptance Date May 10, 2022
Published in Issue Year 2022, Volume 36, Issue 2

Cite

Vancouver Altındağ S. D. The Impact of the COVID-19 Pandemic on the Practice of Pathology: Analysis of Specimen Volumes in the Only Pathology Laboratory in the City. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi. 2022; 36(2): 151-157.