Disclosing a pancreatic cancer diagnosis in an era of immediate electronic result release: a national survey of endosonographers.

BACKGROUND AND AIMS: There are limited data in how U.S.-based endosonographers disclose pancreatic ductal adenocarcinoma (PDAC) diagnoses to patients. Therefore, we conducted a survey study across endosonographers to assess practice patterns, evaluate knowledge gaps and challenges, and explore perceptions of federal regulations that mandate immediate release of test results through electronic portals.

METHODS

A 29-item electronic survey was distributed to 684 U.S.-based endosonographers between October and November 2024.

RESULTS

One hundred sixteen endosonographers participated (17% response rate). Endosonographers often deliver PDAC diagnoses via phone calls (75%), of 6 to 10 minutes (60%), and without following published protocols (81%). One-third of endosonographers believe more training is needed to deliver bad news. Most work in practices where results are immediately released (60%), which creates clinician dissatisfaction (65%) and frustration (57%).

CONCLUSIONS

Endosonographers face communication and training challenges when delivering PDAC diagnoses. Strategies are needed to support endosonographers and minimize the negative impact of immediate test result release.