The Optimal Organization of Gynecologic Oncology Services: A Systematic Review

Fung-Kee-Fung, Michael; Biagi, Jim; Colgan, Terence J.; D’Souza, David; Elit, Laurie; Hunter, Amber; Irish, Jonathan C.; McLeod, Robin S.; Rosen, Barry P.

doi:10.3747/co.22.2482

Cited by 45 publications

(36 citation statements)

References 35 publications

(48 reference statements)

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“…Multidisciplinary services have been developed within specialties and subspecialties such as oncology, cardiology, dermatology, gynecology, nephrology, gastroenterology, organ transplantation, and endocrinology [219,220,221,222]. Such services may be operated by various specialists (group approaches) or by a single specialist with a multidisciplinary background.…”

Section: Multidisciplinary Carementioning

confidence: 99%

Current Psychosomatic Practice

Fava

Cosci²,

Sonino³

2016

Psychother Psychosom

238

317

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Psychosomatic research has advanced over the past decades in dealing with complex biopsychosocial phenomena and may provide new effective modalities of patient care. Among psychosocial variables affecting individual vulnerability, course, and outcome of any medical disease, the role of chronic stress (allostatic load/overload) has emerged as a crucial factor. Assessment strategies include the Diagnostic Criteria for Psychosomatic Research. They are presented here in an updated version based on insights derived from studies carried out so far and encompass allostatic overload, type A behavior, alexithymia, the spectrum of maladaptive illness behavior, demoralization, irritable mood, and somatic symptoms secondary to a psychiatric disorder. Macroanalysis is a helpful tool for identifying the relationships between biological and psychosocial variables and the individual targets for medical intervention. The personalized and holistic approach to the patient includes integration of medical and psychological therapies in all phases of illness. In this respect, the development of a new psychotherapeutic modality, Well-Being Therapy, seems to be promising. The growth of subspecialties, such as psychooncology and psychodermatology, drives towards the multidisciplinary organization of health care to overcome artificial boundaries. There have been major transformations in health care needs in the past decades. From psychosomatic medicine, a land of innovative hypotheses and trends, many indications for changes in the current practice of medicine are now at hand. The aim of this critical review is to outline current and potential clinical applications of psychosomatic methods.

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Section: Multidisciplinary Carementioning

confidence: 99%

Current Psychosomatic Practice

Fava

Cosci²,

Sonino³

2016

Psychother Psychosom

238

317

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“…Conservative and less aggressive management is more appropriate for lesions that are likely benign. On the other hand, when malignancy is suspected, patients should be referred to a gynecologic oncologist because this is known to result in better outcomes (1)(2)(3). The ultimate goal is to optimize ovarian cancer outcomes while minimizing unnecessary surgical procedures in patients at low risk of malignancy.…”

mentioning

confidence: 99%

O-RADS US Risk Stratification and Management System: A Consensus Guideline from the ACR Ovarian-Adnexal Reporting and Data System Committee

Andreotti¹,

Timmerman

Strachowski³

et al. 2020

Radiology

289

243

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The Ovarian-Adnexal Reporting and Data System (O-RADS) US risk stratification and management system is designed to provide consistent interpretations, to decrease or eliminate ambiguity in US reports resulting in a higher probability of accuracy in assigning risk of malignancy to ovarian and other adnexal masses, and to provide a management recommendation for each risk category. It was developed by an international multidisciplinary committee sponsored by the American College of Radiology and applies the standardized reporting tool for US based on the 2018 published lexicon of the O-RADS US working group. For risk stratification, the O-RADS US system recommends six categories (O-RADS 0-5), incorporating the range of normal to high risk of malignancy. This unique system represents a collaboration between the pattern-based approach commonly used in North America and the widely used, European-based, algorithmic-style International Ovarian Tumor Analysis (IOTA) Assessment of Different Neoplasias in the Adnexa model system, a risk prediction model that has undergone successful prospective and external validation. The pattern approach relies on a subgroup of the most predictive descriptors in the lexicon based on a retrospective review of evidence prospectively obtained in the IOTA phase 1-3 prospective studies and other supporting studies that assist in differentiating management schemes in a variety of almost certainly benign lesions. With O-RADS US working group consensus, guidelines for management in the different risk categories are proposed. Both systems have been stratified to reach the same risk categories and management strategies regardless of which is initially used. At this time, O-RADS US is the only lexicon and classification system that encompasses all risk categories with their associated management schemes.

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“…Specialized physicians who work in multidisciplinary teams to treat women with gynecological cancers obtain the best clinical and oncological outcomes ( 5 – 7 ). We think that by this approach, gynecologic oncologists not only play an important role in performing an optimal surgery but they can also provide a better overall quality of care by having a holistic conception of women.…”

Section: Introductionmentioning

confidence: 99%

The Relevance of Gynecologic Oncologists to Provide High-Quality of Care to Women with Gynecological Cancer

2016

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Gynecologic oncologists have an essential role to treat women with gynecological cancer. It has been demonstrated that specialized physicians who work in multidisciplinary teams to treat women with gynecological cancers are able to obtain the best clinical and oncological outcomes. However, the access to gynecologic oncologists for women with suspected gynecological cancer is scarce. Therefore, this review analyzes the importance of specialized care of women with ovarian, cervical, and endometrial cancer. In addition, the role of gynecologic oncologists who offer fertility-sparing treatment as well as their role in assisting general gynecologists and obstetricians is also reviewed.

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The Optimal Organization of Gynecologic Oncology Services: A Systematic Review

Abstract: Background A system-level organizational guideline for gynecologic oncology was identified by a provincial cancer

Cited by 45 publications

References 35 publications

Current Psychosomatic Practice

Current Psychosomatic Practice

O-RADS US Risk Stratification and Management System: A Consensus Guideline from the ACR Ovarian-Adnexal Reporting and Data System Committee

The Relevance of Gynecologic Oncologists to Provide High-Quality of Care to Women with Gynecological Cancer

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