期刊名称:General Internal Medicine and Clinical Innovations
电子版ISSN:2397-5237
出版年度:2016
卷号:1
期号:2
页码:36-36
语种:English
出版社:Open Access Text
摘要:I read the interesting Editorial by Suleiman DE emphasizing the main advantages of pathologist-clinician collaboration with common purpose of improving the quality of patient care as a whole [1]. He commented historical and current objectives of medicine, and of clinic-pathological conferences, highlighting the permanent search for improvement of the health care and the patient quality of life [1]. A major concern is about usual lack of complete information from assistant physicians to pathologists who have responsibility for histopathological conclusions that should clear diagnostic challenges [1]. One estimates that approximately 20% of diagnostic mistakes are due to insufficient information [1]. Indeed, anamnestic data, findings of physical examinations and remarkable laboratory determinations are of importance both for general practitioners and pathologists to achieve correct diagnosis [2]. Ideally, pathologists should get a strongly structured clinical background, which surely would improve the skill for yielding complete and appropriate answers required by the assistant physicians [1]. Actually, this desideratum has been partially solved by means of regular multidisciplinary and clinic-pathological cooperation aiming to optimize the accuracy of diagnosis and patient management [1]. Pathologists, radiologists, surgeons and clinicians, should exchange impressions about diagnosis of cases followed in partnership; and would enhance diagnostic skills, minimizing misinterpretations [1]. Increased collaborative communication among clinicians, radiologists and pathologists can allow better understanding inherent limitations of each speciality and will result in more accurate conclusions [1]. Pathologists may not have certainty at the end of a study based only on macro/microscopic features; moreover, even complete necropsy studies may not entirely solve some challenging clinical concerns. Comprehension of the limitations is of crucial importance if one deals with multidisciplinary teams [1].