L4E rule 5 (2018) - Revision history

Michael at 01:38, 20 May 2019

2019-05-20T01:38:33Z

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	This article covers '''L4E rule 5''' for the 2018 [[L4E]] [[workload]] system. An overview of the L4E rules is found in the [[L4E rules of ~~20148~~].		This article covers '''L4E rule 5''' for the 2018 [[L4E]] [[workload]] system. An overview of the L4E rules is found in the [[L4E rules of 2018]].

	The definitive reference for the rule is found on the CAP-ACP website.<ref name=capacp2018>Workload and Workforce Committee of the CAP-ACP. Workload Measurement Guidelines. Canadian Association of Pathologists (CAP-ACP). 2018. URL: [https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP_Workload_Model_2018_Final_2020180907(1).pdf https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP_Workload_Model_2018_Final_2020180907(1).pdf]. Accessed on: 19 May 2019.</ref>		The definitive reference for the rule is found on the CAP-ACP website.<ref name=capacp2018>Workload and Workforce Committee of the CAP-ACP. Workload Measurement Guidelines. Canadian Association of Pathologists (CAP-ACP). 2018. URL: [https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP_Workload_Model_2018_Final_2020180907(1).pdf https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP_Workload_Model_2018_Final_2020180907(1).pdf]. Accessed on: 19 May 2019.</ref>

Michael: /* See also */

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Michael: /* Details */

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Details

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	! Examples		! Examples
	\|-		\|-
	\| ~~All~~ non-radical resections with cancer for which a synoptic report has to be filled-out as per CAP guidelines		\| all non-radical resections with cancer for which a synoptic report has to be filled-out as per CAP guidelines
	\| 3 L4E per synoptic report, at least 5 L4E for a given case		\| 3 L4E per synoptic report, at least 5 L4E for a given case
	\| If the case is <5 L4E = 5 L4E; If the case is >5 L4E, ~~no change~~		\| if the case is <5 L4E = 5 L4E for whole case; if the case is >5 L4E, 3 L4E/synoptic filled out
	\| malignant colorectal polyp in 2 blocks = 5 L4E, breast lumpectomy with carcinoma in 16 blocks = 4 L4E ([[L4E rule 4 (2018)\|rule 4]]) + 3 L4E (for synoptic report), hemithyroidectomy with PTC in 20 blocks = 5 L4E ([[L4E rule 4 (2018)\|rule 4]]) + 3 L4E (for synoptic report)		\| malignant colorectal polyp in 2 blocks = 5 L4E, breast lumpectomy with carcinoma in 16 blocks = 4 L4E ([[L4E rule 4 (2018)\|rule 4]]) + 3 L4E (for synoptic report), hemithyroidectomy with PTC in 20 blocks = 5 L4E ([[L4E rule 4 (2018)\|rule 4]]) + 3 L4E (for synoptic report)
	\|}		\|}

Michael: /* Further examples */

2019-05-20T01:34:59Z

Further examples

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	\| No		\| No
	\| 1 L4E		\| 1 L4E
	\| synoptic ~~does not have~~ to be done, [[L4E rule 1-3 (2014)\|rule 1]] applies		\| no synoptic has to be done, [[L4E rule 1-3 (2014)\|rule 1]] applies
	\|-		\|-
	\| Partial nephrectomy in 10 blocks with clear cell RCC		\| Partial nephrectomy in 10 blocks with clear cell RCC

Michael: /* Further examples */

2019-05-20T01:34:19Z

Further examples

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	\| Yes		\| Yes
	\| 6 L4E + 3 L4E (synoptic)		\| 6 L4E + 3 L4E (synoptic)
			\| synoptic has to be done, [[L4E rule 4 (2014)\|rule 4]] and rule 5 apply
			\|-
			\| Cytoprostatectomy in 32 blocks with prostate cancer and bladder cancer
			\| Yes
			\| 8 L4E + 3 L4E (synoptic for prostate cancer) + 3 L4E (synoptic for bladder cancer)
	\| synoptic has to be done, [[L4E rule 4 (2014)\|rule 4]] and rule 5 apply		\| synoptic has to be done, [[L4E rule 4 (2014)\|rule 4]] and rule 5 apply
	\|}		\|}

Michael: /* Details */

2019-05-20T01:32:26Z

Details

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	\|-		\|-
	\| All non-radical resections with cancer for which a synoptic report has to be filled-out as per CAP guidelines		\| All non-radical resections with cancer for which a synoptic report has to be filled-out as per CAP guidelines
	\| at least 5 L4E		\| 3 L4E per synoptic report, at least 5 L4E for a given case
	\| If the case is <5 L4E = 5 L4E; If the case is >5 L4E, no change		\| If the case is <5 L4E = 5 L4E; If the case is >5 L4E, no change
	\| ~~Malignant~~ colorectal polyp in 2 blocks = 5 L4E, breast lumpectomy with carcinoma in 15 blocks = 5 L4E ([[L4E rule 4 (~~2014~~)\|rule 4]]), hemithyroidectomy with PTC in 18 blocks = 6 L4E ([[L4E rule 4 (~~2014~~)\|rule 4]])		\| malignant colorectal polyp in 2 blocks = 5 L4E, breast lumpectomy with carcinoma in 16 blocks = 4 L4E ([[L4E rule 4 (2018)\|rule 4]]) + 3 L4E (for synoptic report), hemithyroidectomy with PTC in 20 blocks = 5 L4E ([[L4E rule 4 (2018)\|rule 4]]) + 3 L4E (for synoptic report)
	\|}		\|}

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	\| synoptic does not have to be done, [[L4E rule 1-3 (2014)\|rule 1]] applies		\| synoptic does not have to be done, [[L4E rule 1-3 (2014)\|rule 1]] applies
	\|-		\|-
	\| Partial nephrectomy in 9 blocks with clear cell RCC		\| Partial nephrectomy in 10 blocks with clear cell RCC
	\| Yes		\| Yes
	\| 5 L4E		\| 2.5 L4E + 3 L4E (synoptic)
	\| synoptic has to be done, ~~would otherwise be 3 L4E as per~~ [[L4E rule 4 (2014)\|rule 4]]		\| synoptic has to be done, [[L4E rule 4 (2014)\|rule 4]] and rule 5 apply
	\|-		\|-
	\| Lumpectomy in 24 blocks with DCIS		\| Lumpectomy in 24 blocks with DCIS
	\| No		\| Yes
	\| 8 L4E		\| 6 L4E + 3 L4E (synoptic)
	\| synoptic has to be done, [[L4E rule 4 (2014)\|rule 4]] ~~applies~~		\| synoptic has to be done, [[L4E rule 4 (2014)\|rule 4]] and rule 5 apply
	\|}		\|}

Michael: create

2019-05-20T01:23:40Z

create

New page

This article covers '''L4E rule 5''' for the 2018 [[L4E]] [[workload]] system. An overview of the L4E rules is found in the [[L4E rules of 20148].

The definitive reference for the rule is found on the CAP-ACP website.<ref name=capacp2018>Workload and Workforce Committee of the CAP-ACP. Workload Measurement Guidelines. Canadian Association of Pathologists (CAP-ACP). 2018. URL: [https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP_Workload_Model_2018_Final_2020180907(1).pdf https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP_Workload_Model_2018_Final_2020180907(1).pdf]. Accessed on: 19 May 2019.</ref>

==Overview==
*This rule applies to specimens that require a synoptic report as per the ''College of American Pathologists'' (CAP) or are required by provincial health authorities.

==Details==
{| class="wikitable sortable"
! Specimen type(s)
! Weight (L4E)
! Details
! Examples
|-
| All non-radical resections with cancer for which a synoptic report has to be filled-out as per CAP guidelines
| at least 5 L4E
| If the case is <5 L4E = 5 L4E; If the case is >5 L4E, no change
| Malignant colorectal polyp in 2 blocks = 5 L4E, breast lumpectomy with carcinoma in 15 blocks = 5 L4E ([[L4E rule 4 (2014)|rule 4]]), hemithyroidectomy with PTC in 18 blocks = 6 L4E ([[L4E rule 4 (2014)|rule 4]])
|}

Note:
*Radical resections are covered by [[L4E rule 9 (2014)|L4E rule 9]].

===Further examples===
{| class="wikitable sortable"
! Specimen
! Rule 5 applies?
! L4E
! Explanation
|-
| Invasive malignant melanoma - 1 punch biopsy
| Yes
| 5 L4E
| synoptic has to be done, would otherwise by 1 L4E as per [[L4E rule 1-3 (2014)|rule 1]]
|-
| Melanoma in situ - 1 punch biopsy
| No
| 1 L4E
| synoptic does not have to be done, [[L4E rule 1-3 (2014)|rule 1]] applies
|-
| Partial nephrectomy in 9 blocks with clear cell RCC
| Yes
| 5 L4E
| synoptic has to be done, would otherwise be 3 L4E as per [[L4E rule 4 (2014)|rule 4]]
|-
| Lumpectomy in 24 blocks with DCIS
| No
| 8 L4E
| synoptic has to be done, [[L4E rule 4 (2014)|rule 4]] applies
|}

==See also==
*[[L4E rules of 2014]].

==References==
{{Reflist|1}}

[[Category:Workload]]

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	==See also==		==See also==
	*[[L4E rules of 2014]].		*[[L4E rules of 2018]].
			*[[L4E rule 5 (2014)]].

	==References==		==References==