Oncology beyond the hospital: 7 years taking care of cancer patients from the very begining until the last consequences
Autor: | Marina Meri Abad, Maria Jose Godes, I. Shaheen, Ana Blasco, Adriana Fernandez, Cristina Caballero, Maria Jose Safont, Claudio Dario Avila Andrade, Alberto Jacobo Cunquero Tomas, Amaya Belen Fernandez Diaz, Alfonso Berrocal, Ferri Pep, Vega Iranzo, Carlos Camps, Lauren Condori Farfan |
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Rok vydání: | 2017 |
Předmět: | |
Zdroj: | Journal of Clinical Oncology. 35:75-75 |
ISSN: | 1527-7755 0732-183X |
DOI: | 10.1200/jco.2017.35.8_suppl.75 |
Popis: | 75 Background: Comprehensive and continuous care is esential for the correct management of cancer patients. To achieve this, specific programs for early diagnosis and long survivor care are needed. Since 2007, within the project “Oncology beyond the Hospital: Oncologic assistance at the Universitary General Hospital of Valencia”, the Oncologist Liaison was created. Methods: Two tracks were designed: High-resolution track for patients with suspicion of non-diagnosed cáncer; and Oncologist Liaison track, to organize the follow-up of cáncer long survivors. We present a descriptive and retrospective study by reviewing medical records of patients referred to the high-resolution diagnostic consultation; and long survivors followed up by the Oncologist Liaison from May 2007 to September 2015 (2016 data under review). Results: High-resolution track: 1,596 patients with suspected cancer were visited. The mean time between the primary care physician consultation and the oncologist visit was 4.32 days. Main reasons for consultation were: breast disease (25.4%), blood test disorders (16.4%), enlarged lymph nodes (11.1%) and radiological suspicion of tumor (12%). 424 cancers were diagnosed (26.5%) all having been studied in Oncologic Committee: 22.6% lung; 17% lung; 16.2% breast; 11.8% lymphomas; 12.5% superior dighestive tract; and19.8% miscelanea. Long-survivors track: 1406 patienst free from disease were referred for surveillance of recurrence and treatment sequelae: 44% breast; 20% gastrointestinal; 17% gynecological; 7% double neoplasia; 4% of lung cancer and other tumors, 8%. Conclusions: With the integration of the Oncologist Liaison in the continuum of care, we have achieved: Normalization of oncologic approach among patients and primary care physicians; implementation of a fast-track for patients with cancer suspicion: access to the oncologist in less tan a week; case study in the Oncologic Comittee in the following week; and consensus in diagnosis and treatment plan in each case. Ensure control over long-survivors. |
Databáze: | OpenAIRE |
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