A New Software Platform to Improve Multidisciplinary Tumor Board Workflows and User Satisfaction: A Pilot Study

Krupiński, Elizabeth A.; Comas, Mercè; Gallego, Leia Garrote

doi:10.4103/jpi.jpi_16_18

Cited by 25 publications

(37 citation statements)

References 21 publications

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“…Moreover, it is undoubtedly a way of standardizing the presentation of cancer cases to be discussed in a multidisciplinary context. 67 Finally, Gallagher et al proposed the realization of a clinical database to improve patient care and research, describing all phases requested in constituting the Genitourinary Oncology Database, created by the University of North Carolina. This project needed attention by all members of the MTB, accounting for their personal experience and reviewing literature.…”

Section: Future Perspectivesmentioning

confidence: 99%

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<p>Benefits and Limitations of a Multidisciplinary Approach in Cancer Patient Management</p>

Berardi¹,

Morgese²,

Rinaldi³

et al. 2020

CMAR

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Over the years, a growing body of literature has confirmed as beneficial the implementation of a multidisciplinary approach in the so-often-intricate scenario of cancer patients' management. Together with the consolidation of tumor-board experience in clinical practice, certain aspects have emerged as controversial and a source of current debate. In this systematic literature review, we focused our attention on the impact of multidisciplinary tumor boards, assessing benefits and limitations as a result of the dissemination of such approaches. On the bright side, adherence to clinical guidelines, treatment outcomes, and overall improvement in decision-making processes have been recognized as advantages. On the other side, our analysis highlights a few limitations that should be taken into account to optimize cancer patients' management. Of note, some issues, such as costs, legal responsibility, geographic barriers, and treatment delays, have yet to be resolved. In order partly to address this matter, software platforms and novel methods of computational analysis may provide the needed support. Therefore, the aim of our analysis was to describe the multidisciplinary approach in cancer care in terms of adherence to clinical guidelines, treatment outcomes, and overall improvement in decision-making processes through a systematic review of the literature.

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Section: Future Perspectivesmentioning

confidence: 99%

“…Moreover, it is undoubtedly a way of standardizing the presentation of cancer cases to be discussed in a multidisciplinary context. 67 …”

Section: Future Perspectivesmentioning

confidence: 99%

<p>Benefits and Limitations of a Multidisciplinary Approach in Cancer Patient Management</p>

Berardi¹,

Morgese²,

Rinaldi³

et al. 2020

CMAR

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“…Implementation of TBs require the joint effort of multiple hospital staff members [6][7][8]. Studies demonstrated that effective TBs depend on multiple inputs (individuals, teams, environment, and patients) and processes (interactions, tests, results) [3,9].…”

Section: Introductionmentioning

confidence: 99%

“…Indeed, digital solutions have recently been implemented for TB meeting preparation and conduction [17][18][19]. The NAVIFY Tumor Board (NTB), is a cloudbased workflow that facilitates multidisciplinary meetings by integrating all relevant clinical data into a single source [5,6]. It assists with coordinating, scheduling, preparing, presenting and documenting decisions for TBs [5,6].…”

Section: Introductionmentioning

confidence: 99%

A digital tumor board solution impacts case discussion time and postponement of cases in tumor boards

Hammer

Fowler²,

Sheets

et al. 2021

Health Technol.

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Multidisciplinary tumor boards (TBs) is an integral part of cancer care. Emerging evidence shows that effective TB implementation is crucial. It remains largely unknown how digital solutions can assist effective TB conduction. This study aimed to evaluate the impact of a digital solution on case discussion during TB meetings in four cancer types: Breast, Gastrointestinal (GI), Ear, Nose & Throat (ENT), and Hematopathology. A prospective study was performed to evaluate case discussion time during TB meetings pre- and post-solution implementation, at an US academic healthcare cancer center. Data were recorded by a Nurse Navigator for each case during TB meetings. Case discussion times were recorded for 2312 patients, at a total of 286 TB meetings. Significant decreases were observed in the average case discussion time for the breast and GI TBs. We observed a trend for reduction in discussion time variance for all TBs, suggesting the potential of the digital solution to standardize case discussion via provision of uniform case presentation and data access. Postponement rate decreased from 23 to 10% for ENT TB. This study demonstrated that the digital solution enhanced effective TB implementation, with heterogeneity across cancer types.

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“…It is therefore not surprising to learn that Roche, a leading pharma company that successfully marketed poster child targeted therapies such as trastuzumab (Herceptin) and bevacizumab (Avastin), also commercializes an information technology platform called NAVIFY to "optimize decision-making for cancer treatment" by streamlining TB operations (Krupinski, Comas, and Gallego 2018), namely by bringing together "electronic health records, laboratory, pathology, and imaging information systems, genomics, and administrative datasets" (Versel 2018). Initially designed to support more traditional TB activities, most recently Roche added two new modulesa Mutation Profiler and a Therapy Matcher -"to support comprehensive genomic profiling in cancer."…”

Section: Complexity Uncertainty and Singularizationmentioning

confidence: 99%

Beyond nosology? Molecular tumor boards, singularization, and the conflation of diagnosis and therapy

Cambrosio

Campbell

Bourret

2020

New Genetics and Society

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A New Software Platform to Improve Multidisciplinary Tumor Board Workflows and User Satisfaction: A Pilot Study

Cited by 25 publications

References 21 publications

<p>Benefits and Limitations of a Multidisciplinary Approach in Cancer Patient Management</p>

<p>Benefits and Limitations of a Multidisciplinary Approach in Cancer Patient Management</p>

A digital tumor board solution impacts case discussion time and postponement of cases in tumor boards

Beyond nosology? Molecular tumor boards, singularization, and the conflation of diagnosis and therapy

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