Neuro-oncology Multidisciplinary Clinic and Improvements in Patient Outcome
| Autor: | Howard Warren Goldman, Nora Yocum, Christina Thomas, Gregory J. Kubicek |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Cancer Research Pediatrics medicine.medical_specialty Radiographic imaging medicine.medical_treatment Neuro oncology Hospital Departments Disease Radiosurgery Central Nervous System Neoplasms 03 medical and health sciences 0302 clinical medicine Multidisciplinary approach medicine Humans In patient 030212 general & internal medicine Aged Retrospective Studies business.industry Retrospective cohort study Middle Aged Surgical Oncology Treatment Outcome Neurology Oncology 030220 oncology & carcinogenesis Cohort Female business |
| Zdroj: | American Journal of Clinical Oncology. 43:798-801 |
| ISSN: | 0277-3732 |
| DOI: | 10.1097/coc.0000000000000751 |
| Popis: | BACKGROUND Neuro-oncology care is becoming increasingly complex and patients often see multiple specialists. Multidisciplinary clinic (MDC) is a patient-centric option to allow multiple specialists to be involved where patients see multiple providers on the same day. OBJECTIVE The objective of this study was to evaluate the role of a neuro-oncology MDC on patient outcomes. MATERIALS AND METHODS Retrospective study was performed on consecutive patients who received radiosurgery for central nervous system (CNS) disease. We evaluated patients 2 years before and 2 years after the implementation of a MDC. RESULTS A total of 351 patients were analyzed, 163 patients before MDC and 188 after implementation of MDC. Before MDC the median follow-up was dependent on which department ordered follow-up radiographic imaging. This discrepancy decreased after the MDC. Overall survival for patients with CNS metastatic disease improved in the MDC cohort (median survival of 248 before MDC and 315 d after, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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