Visual pathology reports for improved collaboration at multidisciplinary head and neck tumor board

IF 2.2 3区医学 Q1 OTORHINOLARYNGOLOGY Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2024-08-29 DOI:10.1002/hed.27926

Carly Fassler BS, Pratyusha Yalamanchi MD, MBA, Marina Aweeda BS, Julie Rezk DMD, Barbara Murphy MD, Natalie A. Lockney MD, Ryan Whitaker MD, Ryan Rigsby MD, Joseph Aulino MD, Emily Hosokawa MS, CCC-SLP, Mitra Mehrad MD, Kim Ely MD, James S. Lewis Jr. MD, Evan Derman BA, Ed LaHood BS, Sarah L. Rohde MD, MMHC, Robert J. Sinard MD, Eben L. Rosenthal MD, Michael C. Topf MD, MSCI

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Abstract

Purpose

Multidisciplinary tumor boards (TB) are the standard for discussing complex head and neck cancer cases. During TB, imaging and microscopic pathology is reviewed, but there is typically no visualization of the resected cancer.

Methods

A pilot study was conducted to investigate the utility of visual pathology reports at weekly TB for 10 consecutive weeks. Faculty-level participants completed a pre-survey and post-survey to assess understanding of resected cancer specimens.

Results

Providers (n = 25) across seven medical specialties completed pre-survey and post-survey. Following intervention, providers reported significant improvement in understanding of anatomic orientation of the specimen and sites of margin sampling (mean 47.4–96.1, p < 0.001), ability to locate the site of a positive margin (mean 69.5–91.1, p < 0.001), and confidence in treatment plans created (mean 69.5–89.2, p < 0.001) with the addition of visual pathology reports.

Conclusions

Visual pathology reports improve provider understanding of resected cancer specimens at multidisciplinary TB.

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可视化病理报告改善多学科头颈部肿瘤委员会的协作。

目的：多学科肿瘤委员会（TB）是讨论复杂头颈部癌症病例的标准。在 TB 期间，会对影像学和显微镜病理学进行审查，但通常不会对切除的癌症进行可视化检查：我们开展了一项试点研究，以调查连续 10 周的每周 TB 上可视病理报告的实用性。教职员工级别的参与者完成了前调查和后调查，以评估对切除癌症标本的理解：七个医学专科的医疗人员（n = 25）完成了事前调查和事后调查。干预后，医疗服务提供者对标本解剖方向和边缘取样部位的理解有了明显改善（平均 47.4-96.1，p 结论：可视化病理报告提高了医疗服务提供者对标本解剖方向和边缘取样部位的理解：可视病理报告提高了医疗服务提供者对多学科结核病学切除癌症标本的理解。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.