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

Author:

Fassler Carly1ORCID,Yalamanchi Pratyusha1,Aweeda Marina1ORCID,Rezk Julie2,Murphy Barbara3,Lockney Natalie A.4,Whitaker Ryan4,Rigsby Ryan5,Aulino Joseph5,Hosokawa Emily6,Mehrad Mitra7,Ely Kim7,Lewis James S.78,Derman Evan9,LaHood Ed9,Rohde Sarah L.1,Sinard Robert J.1,Rosenthal Eben L.1ORCID,Topf Michael C.110ORCID

Affiliation:

1. Department of Otolaryngology – Head and Neck Surgery Vanderbilt University Medical Center Nashville Tennessee USA

2. Department of Oral & Maxillofacial Surgery Vanderbilt University Medical Center Nashville Tennessee USA

3. Department of Hematology and Oncology Vanderbilt Ingram Cancer Center Nashville Tennessee USA

4. Department of Radiation Oncology Vanderbilt Ingram Cancer Center Nashville Tennessee USA

5. Department of Radiology Vanderbilt University Medical Center Nashville Tennessee USA

6. Department of Hearing and Speech Sciences Vanderbilt University Medical Center Nashville Tennessee USA

7. Department of Pathology, Microbiology & Immunology Vanderbilt University Medical Center Nashville Tennessee USA

8. Department of Laboratory Medicine and Pathology Mayo Clinic Phoenix Arizona USA

9. MedReality, Thyng LLC Chicago Illinois USA

10. Vanderbilt University School of Engineering Nashville Tennessee USA

Abstract

AbstractPurposeMultidisciplinary 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.MethodsA 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.ResultsProviders (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.ConclusionsVisual pathology reports improve provider understanding of resected cancer specimens at multidisciplinary TB.

Funder

American Head and Neck Society

Publisher

Wiley

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