Factors That Encourage More Use of Molecular Testing by Dermatopathologists
Nearly 2 in 3 dermatopathologists order ≥12 molecular tests per year, while 5% report ordering 2 or fewer assays per year.
HealthDay News — Among dermatopathologists, relevant instruction during residency training, primary board certification in pathology, and academic medical center affiliation are among the factors associated with more frequent utilization of molecular testing, according to a study published online in the Journal of Cutaneous Pathology.
Kristin Torre, from the University of Connecticut in Farmington, and colleagues surveyed 136 dermatopathologists to learn how they are employing molecular testing for neoplastic skin diseases and to assess their opinions of the broader role and utility of molecular technologies in clinical practice. The 15-question survey was sent to fellows of the American Society of Dermatopathology.
The researchers found that the vast majority of respondents (94%) reported experience with at least 1 molecular testing strategy. Nearly 2 in 3 dermatopathologists (62%) order ≥12 molecular tests per year, while 5% report ordering 2 or fewer assays per year.
Factors associated with more frequent utilization of molecular testing include relevant instruction during residency training, primary board certification in pathology, academic medical center affiliation, higher-volume clinical practice, presence of on-site clinical molecular pathology/cytogenetics laboratory, and greater physician confidence incorporating test results into histopathological assessments.
"Wider adoption of molecular testing in dermatopathology may be limited by factors such as physician training, test costs/insurance coverage, logistical issues, and lack of evidence-based clinical practice guidelines," the authors write.
Torre K, Jhorar P, Wu R, Pfeifer J, Elaba Z, Murphy M. Molecular testing practices and perceptions among dermatopathologists [published online February 13, 2018]. J Cutan Pathol. doi: 10.1111/cup.13126