The Patient-Pathologist Consultation Program: A Mixed-Methods Study of Interest and Motivations in Cancer Patients

• Published in: Archives of pathology & laboratory medicine (1976) Vol. 144; no. 4; pp. 490 - 496
• Main Authors: Lapedis, Cathryn J., Horowitz, Jennifer K., Brown, Lisa, Tolle, Brian E., Smith, Lauren B., Owens, Scott R.
• Format: Journal Article
• Language: English
• Published: United States College of American Pathologists 01.04.2020
• Subjects: Age; Breast cancer; Cancer; Cancer patients; Cancer research; Care and treatment; Community; Diagnosis; Diseases; Gender; Hospitals; Leadership; Lymphoma; Medical diagnosis; Medical research; Mixed methods research; Pathology; Patients; Polls & surveys; Prostate; Prostate cancer; Regression analysis; Setting (Literature); Social media; Social networks; Software; Michigan
• ISSN: 0003-9985; 1543-2165; 1543-2165
• DOI: 10.5858/arpa.2019-0105-OA

There is a wide disconnect between patients and the pathologists who make their diagnoses. Recent literature highlights successful programs in which patients meet with pathologists to review their pathology reports and see their tissue under a microscope. We do not know how many patients are interested in such a service, nor do we understand what drives interested patients to want to meet with their pathologist and what specific value it may provide. To quantify patient interest in a patient-pathologist consultation program and qualitatively assess motivations for patient interest or disinterest. Subjects were recruited from an academic cancer center and a local community cancer support group to respond to a survey about their interest in a patient-pathologist consultation program. Both online forms and paper surveys were available. The online survey was promoted via social media. There was a high level of patient interest, with 75% of respondents indicating they were definitely interested in a patient-pathologist consultation program. Key themes of interest were enhanced understanding of the diagnosis and disease, an opportunity to demystify the diagnostic process, and the perception that additional knowledge would empower the patient. In a select group of cancer patients, there is a very high level of interest in a patient-pathologist consultation program. Pathologists, clinicians, and hospital leadership should work together to pilot these programs in diverse settings. Additional quantitative work to scale interventions for the interested population and qualitative work to design effective, patient-centered consultation programs and to assess value are needed.