CONTEXT: Sharing cases and seeking second opinion consultations is an important part of everyday pathology practice. Internet-based communications and upcoming digital slide technologies have the potential to decrease barriers and open access to the best expertise. We recently developed a dedicated Web-based process for communication with outside practices seeking second opinion consultations. The software allowed us to collect data about the current needs and use of a second opinion consultation practice, a topic that has not been addressed in research studies thus far. OBJECTIVE: To analyze the needs for and performance of a Web-based second opinion consultation practice in dermatopathology. DESIGN: We performed a retrospective analysis on paper and digital records. RESULTS: The average turn-around time from the time of biopsy to the time the report was issued was 7-days. Eighty-two percent of cases were reported the same day they were received. Biopsies of melanocytic lesions, inflammatory dermatoses, and squamous lesions comprised 82% of consultations. Among the remaining cases, soft tissue tumors, adnexal neoplasms, alopecia, and nonmelanoma nonsquamous lesions were the most common diagnoses. In 69% of cases, the outside report contained information about the diagnosis favored by the submitting pathologists. In 5%, there was a significant change in the diagnosis. CONCLUSIONS: Web-based communication facilitates rapid turn-around time and reduces costs and barriers to second opinion consultation.
CONTEXT: Sharing cases and seeking second opinion consultations is an important part of everyday pathology practice. Internet-based communications and upcoming digital slide technologies have the potential to decrease barriers and open access to the best expertise. We recently developed a dedicated Web-based process for communication with outside practices seeking second opinion consultations. The software allowed us to collect data about the current needs and use of a second opinion consultation practice, a topic that has not been addressed in research studies thus far. OBJECTIVE: To analyze the needs for and performance of a Web-based second opinion consultation practice in dermatopathology. DESIGN: We performed a retrospective analysis on paper and digital records. RESULTS: The average turn-around time from the time of biopsy to the time the report was issued was 7-days. Eighty-two percent of cases were reported the same day they were received. Biopsies of melanocytic lesions, inflammatory dermatoses, and squamous lesions comprised 82% of consultations. Among the remaining cases, soft tissue tumors, adnexal neoplasms, alopecia, and nonmelanoma nonsquamous lesions were the most common diagnoses. In 69% of cases, the outside report contained information about the diagnosis favored by the submitting pathologists. In 5%, there was a significant change in the diagnosis. CONCLUSIONS: Web-based communication facilitates rapid turn-around time and reduces costs and barriers to second opinion consultation.
Authors: Tracy Onega; Lisa M Reisch; Paul D Frederick; Berta M Geller; Heidi D Nelson; Jason P Lott; Andrea C Radick; David E Elder; Raymond L Barnhill; Michael W Piepkorn; Joann G Elmore Journal: J Digit Imaging Date: 2016-04 Impact factor: 4.056
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