Changing digital and telecytology practices post COVID-19 comparing ASC survey results from 2016 to 2023 Journal Article


Authors: Chen-Yost, H. I.; Bammert, C.; Hao, W.; Heymann, J. J.; Lin, D. M.; Marotti, J.; Waraksa-Deutsch, T.; Huang, M.; Krishnamurti, U.; Lin, O.; Ly, A.; Moatamed, N.; Pantanowitz, L.; Roy-Chowdhuri, S.
Article Title: Changing digital and telecytology practices post COVID-19 comparing ASC survey results from 2016 to 2023
Abstract: Introduction: During the COVID-19 pandemic, the need for digital pathology tools became more urgent. However, there needs to be more knowledge of the use in cytology. We aimed to evaluate current digital cytology practices and attitudes and compare the results with a pre-COVID-19 American Society of Cytopathology (ASC) survey. Materials and methods: Fourteen survey questions assessing current attitudes toward digital cytology were developed from a 2016 ASC Digital Pathology Survey. Ten new survey questions were also created to evaluate telecytology use. The survey was e-mailed to ASC members over 6 weeks in 2023. Results: A total of 123 individuals responded (116 in 2016). Attitudes toward digital cytology were unchanged; most participants stated digital cytology is beneficial (87% 2023 versus 90% 2016). The percentage of individuals using digital cytology was unchanged (56% in 2016 and 2023). However, telecytology for rapid onsite assessment (ROSE) is now considered the best application (55% 2023 versus 31% 2016). Forty-three institutions reported using digital and telecytology tools; 40% made implementations after 2020; most did not feel that COVID-19 affected digital cytology (56%). Telecytology for ROSE is the most common application now (78%) compared with education (30%) in 2016. Limitations for implementing digital imaging in cytology included inability to focus (38%) and expense (33%). Conclusions: General attitudes toward digital tools by the cytology community have essentially remained the same between 2016 and now. However, telecytology for ROSE is increasingly being used, which supports a need for validation and competency guidelines. © 2024 American Society of Cytopathology
Keywords: adult; controlled study; major clinical study; united states; comparative study; clinical practice; cytology; practice guideline; reimbursement; questionnaire; medical education; societies, medical; medical society; attitude of health personnel; university hospital; health personnel attitude; cytodiagnosis; survey; digital pathology; digital imaging; health care survey; demographics; pandemic; procedures; telepathology; humans; human; male; female; article; surveys and questionnaires; telecytology; cytotechnologist; digital cytology; cytopathologist; rose; pandemics; severe acute respiratory syndrome coronavirus 2; coronavirus disease 2019; covid-19; sars-cov-2
Journal Title: Journal of the American Society of Cytopathology
Volume: 13
Issue: 3
ISSN: 2213-2945
Publisher: American Society of Cytopathology  
Date Published: 2024-05-01
Start Page: 194
End Page: 204
Language: English
DOI: 10.1016/j.jasc.2024.02.004
PUBMED: 38582697
PROVIDER: scopus
DOI/URL:
Notes: Article -- Source: Scopus
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  1. Oscar Lin
    307 Lin