Multidisciplinary Tumor Boards

Lesslie, Michele D.; Parikh, Jay R.

doi:10.1016/j.acra.2016.09.006

Cited by 38 publications

(13 citation statements)

References 34 publications

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“…Radiology needs to add significant value to the clinician and the patient 14. The need for optimized quality and utility of radiology reports was emphasized in our study, as previously highlighted 15.…”

Section: Discussionmentioning

confidence: 57%

<p>Difficulties and possibilities in communication between referring clinicians and radiologists: perspective of clinicians</p>

Fatahi

Krupić

Hellström

2019

JMDH

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Purpose To investigate modes and quality of interprofessional communication between clinicians and radiologists, and to identify difficulties and possibilities in this context, as experienced by referring clinicians. Patients and methods Focus group interviews with 22 clinicians from different specialties were carried out. The leading question was: "How do you experience communication, verbal and nonverbal, between referring clinicians and radiologists?" Content analysis was used for interpretation of data. Results Overall, referring clinicians expressed satisfaction with their interprofessional communication with radiologists, and digital access to image data was highly appreciated. However, increased reliance on digital communication has led to reduced face-to-face contacts between clinicians and radiologists. This seems to constitute a potential threat to bilateral feedback, joint educational opportunities, and interprofessional development. Cumbersome medical information software systems, time constraints, shortage of staff, reliance on teleradiology, and lack of uniform format of radiology reports were mentioned as problematic. Further implementation of structured reporting was considered beneficial. Conclusion Deepened face-to-face contacts between clinicians and radiologists were considered prerequisites for mutual understanding, deepened competence and mutual trust; a key factor in interprofessional communication. Clinicians and radiologists should come together in order to secure bilateral feedback and obtain deepened knowledge of the specific needs of subspecialized clinicians.

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Section: Discussionmentioning

confidence: 57%

<p>Difficulties and possibilities in communication between referring clinicians and radiologists: perspective of clinicians</p>

Fatahi

Krupić

Hellström

2019

JMDH

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“…Academic radiologists earn the confidence of referring physicians and increase their personal job satisfaction through direct interaction with the multidisciplinary team. Building trust and fostering relationships with clinicians and other healthcare professionals at the community level are essential steps in demonstrating the relevance of academic radiologists to the professional community [ 3 ]. Through MTB leadership or active participation, radiologists can gain credibility with hospital administrators.…”

Section: Social Value Of Tumor Boardmentioning

confidence: 99%

“…These meetings typically involve core groups of medical oncologists, radiation oncologists, surgeons, radiologists, and pathologists, as well as other ancillary members of the healthcare team and other allied healthcare professionals. The patients discussed at these meetings may be patients newly-diagnosed with cancer, or may even involve patients at high risk for cancer or patients with complex management questions [ 3 ]. Evidence has shown that MTBs can improve diagnostic accuracy, adherence to clinical practice guidelines, and some clinical outcomes [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…This is the thrust of the Imaging 3.0 cultural transformation being advocated by the American College of Radiology [ 7 ]. Multidisciplinary tumor boards (MTBs) represent a tremendous opportunity for radiologists to demonstrate value in the community setting [ 3 ]. In community settings where there is no MTB, radiologists can effectively demonstrate their commitment to become p-art of the core culture of a community hospital by initiating the process involved in implementing a MTB.…”

Section: Introductionmentioning

confidence: 99%

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Implementing a Multidisciplinary Tumor Board in the Community Practice Setting

Lesslie

Parikh

2017

Diagnostics

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Multidisciplinary tumor boards are an opportunity for radiologists to demonstrate value to referring clinicians, the hospital, and patients. Multidisciplinary tumor boards are commonly utilized in academic institutions, but may not be readily available in community practice. We discuss strategies academic radiologists may employ to assist in the implementation of a multidisciplinary tumor board in the community practice setting. Summary: Strategies to assist in the implementation of a multidisciplinary tumor board in the community practice setting are described.

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“…Breast imaging is the paradigm in radiology for value-based care [ 13 ], and breast imaging is considered the face of Imaging 3.0 [ 14 ]. Breast imagers interact with patients daily and participate in activities such as multidisciplinary tumor boards [ 15 ] to demonstrate value. Our study shows that clinical management of breast abscesses is impacted by radiologists performing breast ultrasonography after hours.…”

Section: Discussionmentioning

confidence: 99%

Impact on Clinical Management of After-Hours Emergent or Urgent Breast Ultrasonography in Patients with Clinically Suspected Breast Abscesses

et al. 2018

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Newly diagnosed breast abscesses are generally treated as a medical emergency that may necessitate immediate interventional treatment. At our institution, there is no in-house after-hours coverage for breast ultrasonography. We could find no peer-reviewed studies on the cost-effectiveness or clinical management impact of on-call ultrasound technologist coverage for imaging of breast abscesses. The purposes of this study were to determine the incidence of breast abscess in patients with clinical findings highly suggestive of abscess, identify clinical factors associated with breast abscess in such patients, and determine the impact of after-hours emergent or urgent breast ultrasonography on the clinical management of breast abscesses in both outpatients and inpatients. We retrospectively reviewed 100 after-hours breast ultrasound studies performed at our tertiary care center from 2011 to 2015 for evaluation of a suspected breast abscess. Only 26% of our patients with clinically suspected abscess ultimately had a confirmed abscess. Factors associated with breast abscess were a palpable abnormality and a history of breast surgery within the eight weeks before presentation. After-hours diagnosis of an abscess was associated with after-hours clinical intervention. Of the 74 patients in whom after-hours ultrasound imaging showed no evidence of abscess, only three patients underwent after-hours drainage. Our findings support overnight and weekend breast ultrasound coverage in large tertiary care centers.

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Multidisciplinary Tumor Boards

Cited by 38 publications

References 34 publications

<p>Difficulties and possibilities in communication between referring clinicians and radiologists: perspective of clinicians</p>

<p>Difficulties and possibilities in communication between referring clinicians and radiologists: perspective of clinicians</p>

Implementing a Multidisciplinary Tumor Board in the Community Practice Setting

Impact on Clinical Management of After-Hours Emergent or Urgent Breast Ultrasonography in Patients with Clinically Suspected Breast Abscesses

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