ArticleVirchows Archiv : an international journal of pathology2016
Individualized medicine and demographic change as determining workload factors in pathology: quo vadis?
Article in Virchows Archiv : an international journal of pathology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Understanding the path forward: a cross-sectional study of pathology trainee perspectives in the Republic of Ireland.Irish journal of medical science · 2026Article
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- Publication productivity of pathology residents: a nationwide cohort study in France.Virchows Archiv : an international journal of pathology · 2025Article
- The current troubled state of the global pathology workforce: a concise review.Diagnostic pathology · 2024Review
- Joining forces for pathology diagnostics with AI assistance: The EMPAIA initiative.Journal of pathology informatics · 2024Review
- Increasing demand for ophthalmic pathology: time trends in a laboratory with nationwide coverage.BMC ophthalmology · 2023Article
- Validation and real-world clinical application of an artificial intelligence algorithm for breast cancer detection in biopsies.NPJ breast cancer · 2022Article
- Comparison of manual and automated digital image analysis systems for quantification of cellular protein expression.Histology and histopathology · 2022Article
- Automated Cancer Diagnostics via Analysis of Optical and Chemical Images by Deep and Shallow Learning.Metabolites · 2022Article
- Number of pathologists in Germany: comparison with European countries, USA, and Canada.Virchows Archiv : an international journal of pathology · 2021Article
- Hospital Medical and Nursing Managers' Perspectives on Health-Related Work Design Interventions. A Qualitative Study.Frontiers in psychology · 2020Article
- [Histopathological research laboratories in translational research : Conception and integration into the infrastructure of pathological institutes].Der Pathologe · 2019Article
- The effects of the DNA methyltranfserases inhibitor 5-Azacitidine on ageing, oxidative stress and DNA methylation of adipose derived stem cells.Journal of cellular and molecular medicine · 2017Article
- Risk for molecular contamination of tissue samples evaluated for targeted anti-cancer therapy.PloS one · 2017Article
- Ki-67 expression in pulmonary tumors-reply.Translational lung cancer research · 2016Article
Corrections and comments
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Authors and funding
7 authors.
Funding
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Abstract
The advent of individualized medicine with novel guidelines, extended quality assessment as well as intensified conventional, immunohistochemical, and molecular characterization of diseases has led to a substantial increase of pathologists' workload. Furthermore, in industrialized countries, we are facing the challenges of demographic change with an aging population. This raises the question of how pathology will be affected by these developments in the future. We extracted German population data and data on the number of board-certified physicians and pathologists from official sources. These data were reviewed in the light of data on caseload, case complexity, auxiliary diagnostic procedures, and matching patient data from a large German pathology department serving as a sector independent regional service provider. The refinement of diagnostic procedures over the last decade has resulted in a 60 % increase in slide numbers per case, doubling of immunohistochemistry procedures, and more than tripling of molecular analyses. Correlation of this development to demographics suggests that an aging population will further increase the caseload and case complexity in the coming decades since patient age is tightly linked to both parameters. This development is currently not accompanied by a sufficient increase in the number of pathologists. Our data point toward an imbalance between the increase in pathology workload and the number of pathologists. Extrapolations suggest a further aggravation of this development in the future. Thus, healthcare systems need to address this problem urgently in order to cope with these challenges.
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