{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T11:24:52Z","timestamp":1783164292989,"version":"3.54.6"},"reference-count":31,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The surgical pathology report contains vital information guiding postoperative care; however, it often lacks critical details regarding final resection margin status, leaving downstream providers vulnerable to misinterpretation. We sought to quantify the interpretability of our institution's oral cancer surgical pathology reports.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Head and neck surgeons, pathologists, medical and radiation oncologists retrospectively reviewed 149 pathology reports. Reviewers classified final margin status in a two\u2010tiered process: first, as \u201cambiguous\u201d or \u201cunambiguous.\u201d Then, unambiguous margin status was classified into negative, positive, or at risk (&lt;\u20095\u2009mm).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Rates of margin status agreement varied significantly across reviewers. Reported ambiguous margin status ranged from 15.4% to 40.9%. Roughly two\u2010thirds of pathology reports were deemed ambiguous by at least one reviewer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Significant margin status ambiguity and low interrater agreement highlight the limitations of current surgical pathology reporting. Standardized reporting practices are needed to improve clarity, enhance multidisciplinary communication, and optimize postoperative care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70224","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T12:31:16Z","timestamp":1772973076000},"page":"2066-2075","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Start Making Sense: Addressing Reported Ambiguity of Final Margin Status for Oral Cavity Cancer"],"prefix":"10.1002","volume":"48","author":[{"given":"Justin K.","family":"Joseph","sequence":"first","affiliation":[{"name":"THANC (Thyroid, Head and Neck Cancer) Foundation  New York New York USA"},{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Sidney Kimmel Medical College Thomas Jefferson University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5136-1170","authenticated-orcid":false,"given":"Pranati P.","family":"Borkhetaria","sequence":"additional","affiliation":[{"name":"THANC (Thyroid, Head and Neck Cancer) Foundation  New York New York USA"},{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0524-0240","authenticated-orcid":false,"given":"Sabrina R.","family":"Comess","sequence":"additional","affiliation":[{"name":"THANC (Thyroid, Head and Neck Cancer) Foundation  New York New York USA"},{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7907-4883","authenticated-orcid":false,"given":"Jacob E.","family":"Kapustin","sequence":"additional","affiliation":[{"name":"THANC (Thyroid, Head and Neck Cancer) Foundation  New York New York USA"},{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Yoon","sequence":"additional","affiliation":[{"name":"THANC (Thyroid, Head and Neck Cancer) Foundation  New York New York USA"},{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Geisel School of Medicine at Dartmouth  Hanover New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salmaan","family":"Sayeed","sequence":"additional","affiliation":[{"name":"THANC (Thyroid, Head and Neck Cancer) Foundation  New York New York USA"},{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"David Geffen School of Medicine University of California, Los Angeles (UCLA)  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9681-6052","authenticated-orcid":false,"given":"Luke","family":"Stanisce","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Cooper University Health Care  Camden New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Nurimba","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerry T.","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce","family":"Culliney","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Icahn School of Medicine at Mount Sinai The Blavatnik Family\u2014Chelsea Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Pathology Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Brandwein\u2010Weber","sequence":"additional","affiliation":[{"name":"Department of Pathology Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6615-9247","authenticated-orcid":false,"given":"Mark L.","family":"Urken","sequence":"additional","affiliation":[{"name":"THANC (Thyroid, Head and Neck Cancer) Foundation  New York New York USA"},{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12105\u2010024\u201001684\u20109"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.5858\/arpa.2011\u20100192\u2010RA"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.2012.000818"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00428\u2010016\u20101935\u20108"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.5858\/arpa.2020\u20100761\u2010OA"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2021.10.009"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010011\u20101916\u20108"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.5858\/2000\u2010124\u20101040\u2010CAFMAP"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.humpath.2014.07.008"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.4317\/medoral.18772"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000001306"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.27247"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/aqab014"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2015.1351"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.24320"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.13619"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2013.07.013"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2020.614593"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20269"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28976"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2007.08.040"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.20285"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27440"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.14164"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.24134"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2016.2329"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28870"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.18632\/oncotarget.21035"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12105\u2010017\u20100846\u20106"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.seminoncol.2025.152362"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.70224","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hed.70224","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.70224","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T11:14:20Z","timestamp":1783163660000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.70224"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,6]]},"references-count":31,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/hed.70224"],"URL":"https:\/\/doi.org\/10.1002\/hed.70224","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,6]]},"assertion":[{"value":"2025-11-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}