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Publications

Journal Article Epublish

PubMed: 42894807 DOI: 10.1016/j.mayocpiqo.2026.100764

Impact of a Virtual Multidisciplinary Lymphoma Tumor Board on Clinical Decision-Making.

Mayo Clin Proc Innov Qual Outcomes 10(6):100764

Authors: Izel Okcu, Urshila Durani, Robert J Levy, Muhamad Alhaj Moustafa, Allison C Rosenthal, Robert Delaune, Daniel P Larson, Thomas E Witzig, Matthew T Howard, Gregory A Wiseman, Madiha Iqbal, Nneka I Comfere, Namrata Shah, Lawrence Breitkreutz, Mike S Bold, Yucai Wang, Brendan W Lunn, Scott C Lester, William G Breen, Brad S Hoppe, Caroline R Hill, Valerie M Kimball, Adrienne N Nedved, Rebecca L King, Thomas M Habermann, Arushi Khurana

Affiliations

  • Division of Hematology, Mayo Clinic, Rochester, MN.
  • Division of Hematology and Oncology, Conn Oncology Group, Middletown, CT.
  • Division of Hematology, Mayo Clinic, Jacksonville, FL.
  • Division of Hematology and Oncology, Mayo Clinic, Phoenix, AZ.
  • Division of Hematology and Oncology, Maplewood Cancer Center, St. Paul, MN.
  • Department of Dermatology and Laboratory Medicine & Pathology, Mayo Clinic, Rochester, MN.
  • Division of Hematology and Medical Oncology, Mayo Clinic, Jacksonville, FL.
  • Division of Hematology and Oncology, Hancock Health, Greenfield, IN.
  • Department of Cardiothoracic Surgery, Baton Rouge General Medical Center, Baton Rouge, LA.
  • Department of Radiology, Division of Nuclear Medicine, Mayo Clinic, Rochester, MN.
  • Department of Radiology, Mayo Clinic, Rochester, MN.
  • Department of Radiation Oncology, Mayo Clinic, Rochester, MN.
  • Department of Radiation Oncology, Mayo Clinic Florida, Jacksonville, FL.
  • Virtual Care Remote Patient Monitoring, Mayo Clinic, Rochester, MN.
  • Pharmacy Cancer Care, Division of Hematology, Mayo Clinic, Rochester, MN.
  • Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.

Abstract

OBJECTIVE

To evaluate the impact of a virtual multidisciplinary lymphoma tumor board on clinical decision-making over time.

PATIENTS AND METHODS

The Mayo Clinic Lymphoma Tumor Board, part of the International Mayo Clinic Care Network, conducted a retrospective review of 722 cases from January 1, 2014 to July 31,2024. The process includes review of clinical history, radiology, and hematopathology. In March 2020, the board transitioned to a fully virtual format. Recommendations regarding radiology, pathology, and treatment were tracked to compare pre-COVID (January 2014-February 2020) and post-COVID (March 2020-July 2024) eras.

RESULTS

Of 722 cases, changes in care were identified in 423 patients. In the pre-COVID period (n=431), changes were recommended for 217 patients (50.3%, 217/431). Post-COVID (n=291), changes were recommended for 206 patients (70.8%, 206/291), representing a 40.6% relative increase (p < 0.001). Average recommendations per case rose from 0.64 (277/431) to 1.18 (343/291). Post-COVID increases were observed across all domains: radiologic interpretation changes rose from 2.1% (9/431) to 7.2% (21/291), pathologic diagnosis changes from 10.0% (43/431) to 18.6% (54/291), additional testing recommendations from 16.9% (73/431) to 29.2% (85/291), and clinical management alterations from 35.3% (152/431) to 62.9% (183/291).

CONCLUSION

The transition to a Virtual Tumor Board format coincided with increased tumor board-driven recommendations affecting diagnostic interpretation and clinical management. These results illustrate the potential of Virtual Tumor Boards to improve collaborative decision-making and adapt to evolving clinical needs.

MeSH

Clinical Decision-Making, Lymphoma, Neoplasms, Pathology, Decision Making, Radiology