Morphological Coding Analysis of Pathological Subtypes in 153 cases of Renal Cell Carcinom
Objectives This study aims to analyze the morphological coding of pathological subtypes of renal cell carcinoma and improve the accuracy of morphological coding.Methods A total of 153 medical records were retrieved from a tertiary comprehensive hospital from June 1,2022 to June 30,2023,using the hospital medical record information system.The main diagnostic ICD-10 code was C64,and the pathological diagnosis was clear cell renal cell carcinoma,papillary renal cell carcinoma,renal cell carcinoma with sarcomatoid transformation,chromophobe renal cell carcinoma,and medullary renal cell carcinoma.Results Among 153 medical records,86 of them had morphological coding errors by coders,with an error rate of 56.2％.The pathological diagnoses with a high proportion of errors were clear cell renal cell carcinoma,papillary renal cell carcinoma,chromophobe renal cell carcinoma,renal cell carcinoma with sarcomatoid transformation,and medullary renal cell carcinoma,with error rates of 66.28％,17.44％,8.14％,5.82％,and 2.32％,respectively.Conclusions Renal cell carcinoma has multiple pathological subtypes and complex morphological coding.Encoders should actively learn the latest WHO tumor classification,master the ICD tumor coding rules,improve clinical knowledge reserves,establish effective communication mechanisms with clinical physicians and pathologists,and improve coding quality control methods to improve coding accuracy.
万方数据
维普
