Difference between revisions of "L4E rule 5 (2018)"

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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>  
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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
| 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 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 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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| 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 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
|-
| 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
|}
|}


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


==References==
==References==
48,453

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