The DOI matches its Crossref record, with a small difference in title or year; 22 of the 22 references it cites were found in a registry or an index.
Accurate Real-Time Diagnosis of Lymphoproliferative Disorders in Malawi Through Clinicopathologic Teleconferences: A Model for Pathology Services in Sub-Saharan Africa
Open accessAbstract
OBJECTIVES: The incidence of lymphoproliferative disorders (LPDs) is increasing in sub-Saharan Africa (SSA) due to population growth, aging, and human immunodeficiency virus (HIV). Despite significant burden, resources for diagnosis and treatment of LPDs are limited, with little infrastructure to deliver modern pathology services. Diagnostic and therapeutic decisions are therefore frequently made without tissue confirmation, leading to high rates of misdiagnosis and inappropriate treatment. METHODS: We have established a laboratory in Malawi to support clinical and research efforts at a national teaching hospital. Consensus real-time diagnoses are rendered by local pathologists after weekly clinicopathologic teleconferences involving clinicians and pathologists from the United States and Malawi. Additional ancillary studies are then performed in the United States prior to final diagnosis. RESULTS: We report our first 2 years' experience and demonstrate high concordance between real-time diagnoses in Malawi and final diagnoses in the United States (5% major discordance rate for formalin-fixed, paraffin-embedded samples). In addition, we describe characteristics of pathologically confirmed LPDs in Malawi, highlighting differences by HIV status. CONCLUSIONS: Our multidisciplinary approach can be a model for strong pathology services that provide direct, real-time support to clinical care and research in SSA.
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Metadata
- Authors
- Montgomery, N. D., Liomba, N. G., Kampani, C., Krysiak, R., Stanley, C. C., Tomoka, T., Kamiza, S., Dhungel, B. M., Gopal, S., & Fedoriw, Y.
- Affiliations
- University of Malawi (MW)
- UNC Lineberger Comprehensive Cancer Center (US)
- Venue
- American Journal of Clinical Pathology
- Publisher
- Oxford University Press (OUP)
- Published
- 2016-09-04
- Volume
- 146
- Issue
- 4
- Pages
- 423-430
- ISSN
- 0002-9173 (ISSN-L)
- 1943-7722
- PMC
- PMC5040876
- OpenAlex
- W2508184004
- Cited by
- 58
- References
- 22
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 8 · 2023: 3 · 2022: 7 · 2021: 7 · 2020: 3 · 2019: 5 · 2018: 5 · 2017: 9 · 2016: 2
- FWCI
- 9.27
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Clinical Pathology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- UNC Libraries
- Funders
- National Institutes of Health (5u01ca121947-06, CA-16086)
- National Cancer Institute (CA-160-86, U01-CA121947, R21CA180815, U54CA190152, P30CA016086)
- National Institute of Allergy and Infectious Diseases (P30AI050410)
- Fogarty International Center (K01TW009488)
- National Institute of Environmental Health Sciences (P30ES010126)
- Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill (P30-CA016086)
- Topics
- Health Sciences › Medicine › Hematology › Hematological disorders and diagnostics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Lymphoma Diagnosis and Treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- lymphoproliferative disorders, real-time diagnosis, diagnostic agreement, HIV, sub-Saharan Africa, pathology services, formalin-fixed paraffin-embedded tissue, multidisciplinary collaboration, Malawi
- MeSH terms
- Adolescent, Adult, Child, Child, Preschool, Female, Humans, Lymphoproliferative Disorders, Malawi, Male, Middle Aged, Telepathology
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