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Dr. Jagdish Butany, president of the CAP, announced a five point plan for improving lab services across the country at a news conference in Ottawa on Wednesday, July 16, 2008. Dr. Jagdish Butany, president of the CAP, announced a five point plan for improving lab services across the country at a news conference in Ottawa on Wednesday, July 16, 2008. Canadian pathologists meet to discuss standardized cancer tests in Ottawa on July 13, 2008. In Britain, doctors have taken a radical new approach to fighting cancer -- using unproven and unapproved drugs on terminally ill patients in experimental cancer centres.

Pathologists announce new guidelines for lab tests

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Canada AM: Myrtle Lewis, misdiagnosed with cancer
New national standards will not satisfy those who already fell victim to incorrect diagnosis and they want further action taken.
Canada AM: Dr. Jagdish Butany, president of the Canadian Association of Pathologists, discusses the new guidelines
While it will take time to put standards in place across the country, residnets of Ontario and British Columbia can take heart because many of the standards are already enforced there.
CTV National News: Graham Richardson looks at what the new guidelines will mean to Canadians
Canadian pathologists want an overhaul in screening and handling guidelines for labs, saying it is ensure something like botched breast cancer tests in Newfoundland never happen again.
CTV Newsnet: Dr. Marla Shapiro on the issues pathologists face
Canadian pathologists are calling for national lab standards saying the lack of standards and a labour shortage is creating serious quality control problems.
CTV Newsnet: Dr. Jagdish Butany, CAP president
The President of the Canaidan Association of Pathologists is calling on governments to 'step up' in standardizing and maintaining cancer tests.
CTV Newsnet: Dr. Jagdish Butany responds to questions from the media
The process towards standardizing cancer testing will be a long one, but the President of Canada's Pathologists Assocation says it will be a long one that will require much cooperation.

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Date: Wed. Jul. 16 2008 11:02 PM ET

The Canadian Association of Pathologists has announced new guidelines for Canada's laboratory services. The aim is to prevent a future debacle such as the case of 400 breast cancer patients in Newfoundland who were given inaccurate test results between 1997 and 2005.

Myrtle Lewis was told she had breast cancer and underwent a double mastectomy, along with painful chemotherapy. But after seven years, a doctor told her she had been misdiagnosed because of a faulty test result.

"It was a living hell, that's what it was like," Lewis told CTV News. "I was sick all the time going through the chemo."

Dr. Jagdish Butany, president of the CAP, announced a five-point plan for improving lab services across the country at a news conference on Wednesday in Ottawa.

The plan calls for:

  • Mandatory certification for every prognostic and predictive test given by a medical laboratory.
  • Test results from one lab to be verified by another, independent laboratory.
  • A national checklist for laboratories to follow that will standardize operating procedures and equipment maintenance, test validation and staff training and evaluation.
  • Creation of a national body, independent of the government, to accredit all medical laboratories in Canada.
  • Immediate and ongoing action from federal, provincial and territorial governments to address manpower and resource shortages in medical labs.

"Canada's medical laboratory system is the foundation upon which good patient care, diagnosis and treatment rests," Butany said. "Canada's pathologists and laboratory technologists work hard to deliver critical, time-sensitive information and this new action plan will give them the support they need."

Political leaders now need to step forward and support the implementation of the plan, Butany said.

The new guidelines were announced at the close of the CAP annual meeting in Ottawa.

If implemented, the recommendations should boost Canadians' confidence in the work of pathologists at a time when some provinces are investigating botched lab tests.

Officials in Newfoundland recently held public hearings to investigate how more than 400 breast cancer test results that proved to be inaccurate could have been given to patients over an eight-year period. Some of the patients were not told for years that their tests were inaccurate, which may have affected the nature of their treatment.

New Brunswick and Manitoba are also investigating whether laboratory tests there have contained inaccuracies.

Comments are now closed for this story

John
said

It is about time. Too many medical labs making too many mistakes.


Tech in NS
said

As a medical laboratory technologist myself, I feel the need to vouch for my profession.
As in any profession, there are some people who don't know how to do their job, or do it well, and they happen to slip through the cracks. There are multiple governing bodies across the country to regulate labs as well as technologists. I belong to both a provincial college as well as the CSMLS (Canadian Society of Medical Laboratory Science). Every lab within a hospital must undergo rigorous QA (Quality Assurance) and QC (Quality control).
85% of doctor's diagnosis depend on the results that we technologists obtain within the lab - that's a lot if you think about it. Every single time anything is taken from the human body - blood, urine, stool, even organs, they are all anaylyzed by competent lab technologists. It is a disgrace that these specimens were mishandled in NL, but that is a very, very small percentage of nationwide specimens.
As a technologist, I have to have 40 hours of continuing education a year, to keep up to date in my field.
It is unfortunate that one lab in the country has happened to make our profession look so bad, especially considering that it has been proven that most of the blame is to lay with the pathologists, who are trained physicians and not lab techs.
Lab techs take their job very seriously, but as mentioned before, there are always some who will slip through the cracks or result specimens that hadn't been analyzed correctly. This is a shame and a shadow on the profession.
In conclusion, I'd like to let any readers to know that they should be feeling confident when their blood is taken, because 99.9% of Canada's laboratory technologists are extremely competent and your specimen will be resulted with care.



said

Lyme disease is said to be almost non existent in Canada. Yet many are very sick.
They quote the laboratory test here as the gold standard and hence deny much needed treatment to many who are convinced they have Lyme Disease.

It is an absolute tragedy that these labs are not quality controlled.

People are denied life saving treatment on the strength of these tests.



said

The test for Lyme disease in Canada is nowhere near as sensitive as certified laboratories in the USA. I have the results from both labs to prove it.
How many people out there cannot get treatment for Lyme Disease in Canada because of complete lack of quality control in these labs?
There are a lot of very sick people who are refused treatment because of what appears to be very poor laboratory practices.




Ross
said

This sounds like a plan.
The other problems from what I heard reported was incompetent pathologists who couldn't read the lab results properly and had no oversight and a health authority who hid this from the public.
Perhaps someone needs to check the doctors abilities and shouldn't there be consequences for deceit on the part of anyone in the system?


Norm in NB
said

As stated elsewhere would it be sufficient for tests to be reviewed internally by another pathologist (as time is very important for the patient)and it costs resources (money). Have an independent external certified lab review the protocols used by any certified laboratory.


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