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Visual pathology reports for improved collaboration at multidisciplinary head and neck tumor board
Carly Fassler1, Pratyusha Yalamanchi1, Marina Aweeda1
1Department of Otolaryngology - Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Head & Neck
|August 29, 2024
Summary
Visual pathology reports significantly enhance understanding of resected cancer specimens for head and neck cancer tumor boards (TB). This improves provider confidence in treatment planning.
Area of Science:
- Oncology
- Pathology
- Medical Education
Background:
- Multidisciplinary tumor boards (TB) are crucial for complex head and neck cancer case discussions.
- Current TB practices review imaging and pathology but lack visualization of the resected tumor specimen.
Purpose of the Study:
- To evaluate the utility of incorporating visual pathology reports into weekly multidisciplinary tumor board discussions.
- To assess the impact of visual pathology reports on provider understanding of resected cancer specimens.
Main Methods:
- A pilot study was conducted over 10 weeks involving faculty participants.
- Participants completed pre- and post-surveys to measure understanding of resected cancer specimens.
- Visual pathology reports were introduced as an intervention during tumor board meetings.
Main Results:
- Twenty-five providers from seven specialties participated.
- Significant improvements were observed in understanding of specimen orientation (47.4% to 96.1%) and margin sampling sites (p < 0.001).
- Providers showed enhanced ability to locate positive margins (69.5% to 91.1%) and increased confidence in treatment plans (69.5% to 89.2%, p < 0.001).
Conclusions:
- Visual pathology reports demonstrably improve provider comprehension of resected cancer specimens.
- Integrating visual pathology enhances the effectiveness of multidisciplinary tumor boards for head and neck cancers.

