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Building Global Capacity to Conduct Pathology-Based Postmortem Examination: Establishing a New Training Hub for Minimally Invasive Tissue Sampling

Abstract Background Minimally invasive tissue sampling (MITS), an alternative to complete diagnostic autopsy, is a pathology-based postmortem examination that has been validated in low- and middle-income countries (LMICs) and can provide accurate cause of death information when used with other data....

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Published in:Clinical infectious diseases 2021-12, Vol.73 (Supplement_5), p.S390-S395
Main Authors: Paganelli, Christina R, Parlberg, Lindsay, Goco, Norman J, Ritter, Jana M, Martines, Roosecelis B, Zaki, Sherif R, Walong, Edwin, Ochieng, Washington, Inyangala, Dennis, Barake, Walter, Wachiury, Cyrus, Rakislova, Natalia, Marimon, Lorena, Ferrando, Melania, Ordi, Jaume, McClure, Elizabeth
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cites cdi_FETCH-LOGICAL-c412t-e508ab846b14f16f4001a18314ba75222a8a591efa4c87067890464dd07900613
container_end_page S395
container_issue Supplement_5
container_start_page S390
container_title Clinical infectious diseases
container_volume 73
creator Paganelli, Christina R
Parlberg, Lindsay
Goco, Norman J
Ritter, Jana M
Martines, Roosecelis B
Zaki, Sherif R
Walong, Edwin
Ochieng, Washington
Inyangala, Dennis
Barake, Walter
Wachiury, Cyrus
Rakislova, Natalia
Marimon, Lorena
Ferrando, Melania
Ordi, Jaume
McClure, Elizabeth
description Abstract Background Minimally invasive tissue sampling (MITS), an alternative to complete diagnostic autopsy, is a pathology-based postmortem examination that has been validated in low- and middle-income countries (LMICs) and can provide accurate cause of death information when used with other data. The MITS Surveillance Alliance was established in 2017 with the goal to expand MITS globally by increasing training capacity, accessibility, and availability in LMICs. Between January 2019 and May 2020, the MITS Surveillance Alliance convened a multidisciplinary team of technical advisors to attain this goal. Methods This article describes the process used to develop criteria and identify an optimal location for a MITS training hub, establish a cadre of LMIC-based trainers, refine standardized MITS sample collection protocols, develop a training program, and release a telepathology platform for quality assessment of MITS histological samples. Results Results include the creation of a training hub and curriculum, with a total of 9 pathologists and technicians trained as part of the training of the trainers. Those trainers trained 15 participants from seven MITS projects representing 6 LMICs trained in MITS sample collection. The 15 participants have gone on to train more than 50 project-level staff in MITS sample collection. Conclusions Lessons learned include an appreciation for using an iterative process for establishing standardized procedures, creating opportunities for all stakeholders to deliver critical feedback, and highlighting the importance of complementing in-person trainings with ongoing technical assistance.
doi_str_mv 10.1093/cid/ciab765
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The MITS Surveillance Alliance was established in 2017 with the goal to expand MITS globally by increasing training capacity, accessibility, and availability in LMICs. Between January 2019 and May 2020, the MITS Surveillance Alliance convened a multidisciplinary team of technical advisors to attain this goal. Methods This article describes the process used to develop criteria and identify an optimal location for a MITS training hub, establish a cadre of LMIC-based trainers, refine standardized MITS sample collection protocols, develop a training program, and release a telepathology platform for quality assessment of MITS histological samples. Results Results include the creation of a training hub and curriculum, with a total of 9 pathologists and technicians trained as part of the training of the trainers. Those trainers trained 15 participants from seven MITS projects representing 6 LMICs trained in MITS sample collection. The 15 participants have gone on to train more than 50 project-level staff in MITS sample collection. Conclusions Lessons learned include an appreciation for using an iterative process for establishing standardized procedures, creating opportunities for all stakeholders to deliver critical feedback, and highlighting the importance of complementing in-person trainings with ongoing technical assistance.</description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1093/cid/ciab765</identifier><identifier>PMID: 34910179</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Autopsy - methods ; Curriculum ; Humans ; Poverty ; Specimen Handling ; Supplement ; Telepathology</subject><ispartof>Clinical infectious diseases, 2021-12, Vol.73 (Supplement_5), p.S390-S395</ispartof><rights>The Author(s) 2021. 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Published by Oxford University Press for the Infectious Diseases Society of America.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c412t-e508ab846b14f16f4001a18314ba75222a8a591efa4c87067890464dd07900613</citedby><cites>FETCH-LOGICAL-c412t-e508ab846b14f16f4001a18314ba75222a8a591efa4c87067890464dd07900613</cites><orcidid>0000-0001-5453-1155</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34910179$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Paganelli, Christina R</creatorcontrib><creatorcontrib>Parlberg, Lindsay</creatorcontrib><creatorcontrib>Goco, Norman J</creatorcontrib><creatorcontrib>Ritter, Jana M</creatorcontrib><creatorcontrib>Martines, Roosecelis B</creatorcontrib><creatorcontrib>Zaki, Sherif R</creatorcontrib><creatorcontrib>Walong, Edwin</creatorcontrib><creatorcontrib>Ochieng, Washington</creatorcontrib><creatorcontrib>Inyangala, Dennis</creatorcontrib><creatorcontrib>Barake, Walter</creatorcontrib><creatorcontrib>Wachiury, Cyrus</creatorcontrib><creatorcontrib>Rakislova, Natalia</creatorcontrib><creatorcontrib>Marimon, Lorena</creatorcontrib><creatorcontrib>Ferrando, Melania</creatorcontrib><creatorcontrib>Ordi, Jaume</creatorcontrib><creatorcontrib>McClure, Elizabeth</creatorcontrib><title>Building Global Capacity to Conduct Pathology-Based Postmortem Examination: Establishing a New Training Hub for Minimally Invasive Tissue Sampling</title><title>Clinical infectious diseases</title><addtitle>Clin Infect Dis</addtitle><description>Abstract Background Minimally invasive tissue sampling (MITS), an alternative to complete diagnostic autopsy, is a pathology-based postmortem examination that has been validated in low- and middle-income countries (LMICs) and can provide accurate cause of death information when used with other data. The MITS Surveillance Alliance was established in 2017 with the goal to expand MITS globally by increasing training capacity, accessibility, and availability in LMICs. Between January 2019 and May 2020, the MITS Surveillance Alliance convened a multidisciplinary team of technical advisors to attain this goal. Methods This article describes the process used to develop criteria and identify an optimal location for a MITS training hub, establish a cadre of LMIC-based trainers, refine standardized MITS sample collection protocols, develop a training program, and release a telepathology platform for quality assessment of MITS histological samples. Results Results include the creation of a training hub and curriculum, with a total of 9 pathologists and technicians trained as part of the training of the trainers. Those trainers trained 15 participants from seven MITS projects representing 6 LMICs trained in MITS sample collection. The 15 participants have gone on to train more than 50 project-level staff in MITS sample collection. Conclusions Lessons learned include an appreciation for using an iterative process for establishing standardized procedures, creating opportunities for all stakeholders to deliver critical feedback, and highlighting the importance of complementing in-person trainings with ongoing technical assistance.</description><subject>Autopsy - methods</subject><subject>Curriculum</subject><subject>Humans</subject><subject>Poverty</subject><subject>Specimen Handling</subject><subject>Supplement</subject><subject>Telepathology</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><recordid>eNp9kU-P1CAYh4nRuH_05N1wMiabKrQUqAcTdzLubrLqJo5n8ralMxgKXaCj8zX8xDKZcaMXDwTe8OT3vvAg9IKSN5Q01dvO9HlBK3j9CJ3SuhIFrxv6OJ9JLQsmK3mCzmL8TgilktRP0UnFGkqoaE7Rr8vZ2N64Nb6yvgWLFzBBZ9IOJ48X3vVzl_AdpI23fr0rLiHqHt_5mEYfkh7x8ieMxkEy3r3Dy5igtSZu9nmAP-sfeBXAuH15Pbd48AF_yuUI1u7wjdtCNFuNVybGWeOvME42o8_QkwFs1M-P-zn69nG5WlwXt1-ubhYfbouO0TIVuiYSWsl4S9lA-cDy84DKirIWRF2WJUjI36AHYJ0UhAvZEMZZ3xPREMJpdY7eH3KnuR1132mXAlg1hTxf2CkPRv1748xGrf1WSS5KwUgOeH0MCP5-1jGp0cROWwtO-zmqklPCsqGyzOjFAe2CjzHo4aENJWpvUWWL6mgx0y__nuyB_aMtA68OgJ-n_yb9BqdJqJA</recordid><startdate>20211215</startdate><enddate>20211215</enddate><creator>Paganelli, Christina R</creator><creator>Parlberg, Lindsay</creator><creator>Goco, Norman J</creator><creator>Ritter, Jana M</creator><creator>Martines, Roosecelis B</creator><creator>Zaki, Sherif R</creator><creator>Walong, Edwin</creator><creator>Ochieng, Washington</creator><creator>Inyangala, Dennis</creator><creator>Barake, Walter</creator><creator>Wachiury, Cyrus</creator><creator>Rakislova, Natalia</creator><creator>Marimon, Lorena</creator><creator>Ferrando, Melania</creator><creator>Ordi, Jaume</creator><creator>McClure, Elizabeth</creator><general>Oxford University Press</general><scope>TOX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-5453-1155</orcidid></search><sort><creationdate>20211215</creationdate><title>Building Global Capacity to Conduct Pathology-Based Postmortem Examination: Establishing a New Training Hub for Minimally Invasive Tissue Sampling</title><author>Paganelli, Christina R ; Parlberg, Lindsay ; Goco, Norman J ; Ritter, Jana M ; Martines, Roosecelis B ; Zaki, Sherif R ; Walong, Edwin ; Ochieng, Washington ; Inyangala, Dennis ; Barake, Walter ; Wachiury, Cyrus ; Rakislova, Natalia ; Marimon, Lorena ; Ferrando, Melania ; Ordi, Jaume ; McClure, Elizabeth</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c412t-e508ab846b14f16f4001a18314ba75222a8a591efa4c87067890464dd07900613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Autopsy - methods</topic><topic>Curriculum</topic><topic>Humans</topic><topic>Poverty</topic><topic>Specimen Handling</topic><topic>Supplement</topic><topic>Telepathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Paganelli, Christina R</creatorcontrib><creatorcontrib>Parlberg, Lindsay</creatorcontrib><creatorcontrib>Goco, Norman J</creatorcontrib><creatorcontrib>Ritter, Jana M</creatorcontrib><creatorcontrib>Martines, Roosecelis B</creatorcontrib><creatorcontrib>Zaki, Sherif R</creatorcontrib><creatorcontrib>Walong, Edwin</creatorcontrib><creatorcontrib>Ochieng, Washington</creatorcontrib><creatorcontrib>Inyangala, Dennis</creatorcontrib><creatorcontrib>Barake, Walter</creatorcontrib><creatorcontrib>Wachiury, Cyrus</creatorcontrib><creatorcontrib>Rakislova, Natalia</creatorcontrib><creatorcontrib>Marimon, Lorena</creatorcontrib><creatorcontrib>Ferrando, Melania</creatorcontrib><creatorcontrib>Ordi, Jaume</creatorcontrib><creatorcontrib>McClure, Elizabeth</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paganelli, Christina R</au><au>Parlberg, Lindsay</au><au>Goco, Norman J</au><au>Ritter, Jana M</au><au>Martines, Roosecelis B</au><au>Zaki, Sherif R</au><au>Walong, Edwin</au><au>Ochieng, Washington</au><au>Inyangala, Dennis</au><au>Barake, Walter</au><au>Wachiury, Cyrus</au><au>Rakislova, Natalia</au><au>Marimon, Lorena</au><au>Ferrando, Melania</au><au>Ordi, Jaume</au><au>McClure, Elizabeth</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Building Global Capacity to Conduct Pathology-Based Postmortem Examination: Establishing a New Training Hub for Minimally Invasive Tissue Sampling</atitle><jtitle>Clinical infectious diseases</jtitle><addtitle>Clin Infect Dis</addtitle><date>2021-12-15</date><risdate>2021</risdate><volume>73</volume><issue>Supplement_5</issue><spage>S390</spage><epage>S395</epage><pages>S390-S395</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><abstract>Abstract Background Minimally invasive tissue sampling (MITS), an alternative to complete diagnostic autopsy, is a pathology-based postmortem examination that has been validated in low- and middle-income countries (LMICs) and can provide accurate cause of death information when used with other data. 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source Oxford University Press:Jisc Collections:OUP Read and Publish 2024-2025 (2024 collection) (Reading list)
subjects Autopsy - methods
Curriculum
Humans
Poverty
Specimen Handling
Supplement
Telepathology
title Building Global Capacity to Conduct Pathology-Based Postmortem Examination: Establishing a New Training Hub for Minimally Invasive Tissue Sampling
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