Re: Tumor Boards and the Quality of Cancer Care

Devitt, Bianca; Philip, Jennifer; McLachlan, Sue‐Anne

doi:10.1093/jnci/djt311

Cited by 11 publications

(14 citation statements)

References 5 publications

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“…6-10 A multi-institutional survey by Keating et al 11 found little association between Veterans Administration Hospitals’ MTBs and patient quality of life or survival. An accompanying editorial 12 and correspondence replies 13-16 stressed the importance of improving the structure and quality of MTB discussions, 4,17,18 the importance of MTBs in the management of patients with breast cancer, 14,19,20 and the value of mini–tumor boards in areas in which not all specialists are available. 21,22 …”

Section: Introductionmentioning

confidence: 99%

Practice and Impact of Multidisciplinary Tumor Boards on Patient Management: A Prospective Study

Charara

Kreidieh

Farhat

et al. 2017

JGO

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PurposeMultidisciplinary tumor boards (MTBs) have become commonplace. The use, attendance, and function of MTBs need continued assessment and improvement.MethodsWe prospectively recorded and assessed all cases presented at MTBs between October 2013 and December 2014. Data were collected before and during each MTB. Data were analyzed using SPSS for Windows version 23 (SPSS, Chicago, IL).ResultsFive hundred three cases were presented: 234 cases (46%) at GI cancer MTBs, 149 cases (29.6%) at breast cancer MTBs, 69 cases (13.7%) at thoracic/head and neck cancer MTBs, and 51 cases (10.7%) at neuro-oncology MTBs. A total of 86.7% of MTB cases were presented to make plans for management. Plans for upfront management were made in 67% of the breast cancer cases, 63% of GI cases, 59% of thoracic/head and neck cases, and 49% of neuro-oncology cases. Three hundred ninety-four cases (78.3%) were presented by medical oncologists, whereas only 74 cases (14.7%) were presented by surgeons, and 10 cases (2%) were presented by radiation oncologists. The majority of MTBs, with the exception of the neurosurgery MTBs, were led by medical oncologists. Surgeons presented the least number of cases but attended the most, and their contributions to discussions and decision making were essential.ConclusionMTBs enhance the multidisciplinary management of patients with cancer. Upfront multidisciplinary decision making should be considered as an indicator of benefit from MTBs, in addition to changes in management plans made at MTBs. Increasing the contributions of surgeons to MTBs should include bringing more of their own cases for discussion.

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Section: Introductionmentioning

confidence: 99%

Practice and Impact of Multidisciplinary Tumor Boards on Patient Management: A Prospective Study

Charara

Kreidieh

Farhat

et al. 2017

JGO

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“…The most robust and easily assessable parameter to analyze the value of tumor boards in cancer patients is survival. A review of the literature shows that there is a controversial discussion concerning the value of tumor boards . Former studies imply that the benefit of hospital‐based tumor boards seems less promising than expected and there are little data that indicate a direct effect on the outcome of cancer patients from tumor board recommendations .…”

Section: Discussionmentioning

confidence: 99%

“…A review of the literature shows that there is a controversial discussion concerning the value of tumor boards. [12][13][14][15][16][17] Former studies imply that the benefit of hospital-based tumor boards seems less promising than expected and there are little data that indicate a direct effect on the outcome of cancer patients from tumor board recommendations. 12,[18][19][20] Ascribing changes in survival rates as an effect of tumor board recommendations is precarious, as there are a number of factors that influence the outcome for cancer patients.…”

Section: Variousmentioning

confidence: 99%

“…The existence of tumor boards is a mandatory module of a Comprehensive Cancer Center. A review of the literature showed that the value of tumor boards seems less promising than expected and their impact is the subject of intense debate …”

Section: Introductionmentioning

confidence: 99%

“…A review of the literature showed that the value of tumor boards seems less promising than expected and their impact is the subject of intense debate. [12][13][14][15][16][17][18][19][20] The aim of our study was to retrospectively analyze the possible impact ITB recommendations may have had on the outcome of patients who were treated according to the EURO-E.W.I.N.G.-99 protocol. In order to provide solid statistical data, we compared the group of patients who were discussed in the ITB with regard to clinical presentation, adherence to recommended treatment, and OAS with a matched group of patients who did not receive such a recommendation.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Impact of the Interdisciplinary Tumor Board of the Cooperative Ewing Sarcoma Study Group on local therapy and overall survival of Ewing sarcoma patients after induction therapy

Kreyer

Ranft

Timmermann

et al. 2018

Pediatric Blood & Cancer

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Multidisciplinary Care

Daly¹,

Riess²

2016

Cancer Treatment and Research

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Optimal multidisciplinary care of the lung cancer patient at all stages should encompass integration of the key relevant medical specialties, including not only medical, surgical, and radiation oncology, but also pulmonology, interventional and diagnostic radiology, pathology, palliative care, and supportive services such as physical therapy, case management, smoking cessation, and nutrition. Multidisciplinary management starts at staging and tissue diagnosis with pathologic and molecular phenotyping, extends through selection of a treatment modality or modalities, management of treatment and cancer-related symptoms, and to survivorship and end-of-life care. Well-integrated multidisciplinary care may reduce treatment delays, improve cancer-specific outcomes, and enhance quality of life. We address key topics and areas of ongoing investigation in multidisciplinary decision making at each stage of the lung cancer treatment course for early-stage, locally advanced, and metastatic lung cancer patients.

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Re: Tumor Boards and the Quality of Cancer Care

Cited by 11 publications

References 5 publications

Practice and Impact of Multidisciplinary Tumor Boards on Patient Management: A Prospective Study

Practice and Impact of Multidisciplinary Tumor Boards on Patient Management: A Prospective Study

Impact of the Interdisciplinary Tumor Board of the Cooperative Ewing Sarcoma Study Group on local therapy and overall survival of Ewing sarcoma patients after induction therapy

Multidisciplinary Care

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