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2017 ; 3
(1
): 73-82
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Design and Implementation of the Retinoblastoma Collaborative Laboratory
#MMPMID28275608
Qaiser S
; Limo A
; Gichana J
; Kimani K
; Githanga J
; Waweru W
; Dimba EA
; Dimaras H
Ocul Oncol Pathol
2017[Jan]; 3
(1
): 73-82
PMID28275608
show ga
PURPOSE: The purpose of this work was to describe the design and implementation
of a digital pathology laboratory, the Retinoblastoma Collaborative Laboratory
(RbCoLab) in Kenya. METHOD: The RbCoLab is a central lab in Nairobi that receives
retinoblastoma specimens from all over Kenya. Specimens were processed using
evidence-based standard operating procedures. Images were produced by a digital
scanner, and pathology reports were disseminated online. RESULTS: The lab
implemented standard operating procedures aimed at improving the accuracy,
completeness, and timeliness of pathology reports, enhancing the care of Kenyan
retinoblastoma patients. Integration of digital technology to support pathology
services supported knowledge transfer and skills transfer. A bidirectional
educational network of local pathologists and other clinicians in the circle of
care of the patients emerged and served to emphasize the clinical importance of
cancer pathology at multiple levels of care. A 'Robin Hood' business model of
health care service delivery was developed to support sustainability and scale-up
of cancer pathology services. DISCUSSION: The application of evidence-based
protocols, comprehensive training, and collaboration were essential to bring
improvements to the care of retinoblastoma patients in Kenya. When embraced as an
integrated component of retinoblastoma care, digital pathology offers the
opportunity for frequent connection and consultation for development of expertise
over time.