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
{"title":"可视化病理报告改善多学科头颈部肿瘤委员会的协作。","authors":"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","doi":"10.1002/hed.27926","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Purpose</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Providers (<i>n</i> = 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, <i>p</i> < 0.001), ability to locate the site of a positive margin (mean 69.5–91.1, <i>p</i> < 0.001), and confidence in treatment plans created (mean 69.5–89.2, <i>p</i> < 0.001) with the addition of visual pathology reports.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Visual pathology reports improve provider understanding of resected cancer specimens at multidisciplinary TB.</p>\n </section>\n </div>","PeriodicalId":55072,"journal":{"name":"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck","volume":"47 2","pages":"452-462"},"PeriodicalIF":2.3000,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11717968/pdf/","citationCount":"0","resultStr":"{\"title\":\"Visual pathology reports for improved collaboration at multidisciplinary head and neck tumor board\",\"authors\":\"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\",\"doi\":\"10.1002/hed.27926\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Purpose</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Providers (<i>n</i> = 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, <i>p</i> < 0.001), ability to locate the site of a positive margin (mean 69.5–91.1, <i>p</i> < 0.001), and confidence in treatment plans created (mean 69.5–89.2, <i>p</i> < 0.001) with the addition of visual pathology reports.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Visual pathology reports improve provider understanding of resected cancer specimens at multidisciplinary TB.</p>\\n </section>\\n </div>\",\"PeriodicalId\":55072,\"journal\":{\"name\":\"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck\",\"volume\":\"47 2\",\"pages\":\"452-462\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-08-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11717968/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/hed.27926\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"OTORHINOLARYNGOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/hed.27926","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
Visual pathology reports for improved collaboration at multidisciplinary head and neck tumor board
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.
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.
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