Réunions nationales de cas complexes en radiothérapie pédiatrique : retour sur six années d’expérience

Tanguy, Ronan; Alapetite, Claire; Laprie, A.; Vigneron, C.; Bolle, Stéphanie; Wellmant, Julien; Huchet, A.; Stefan, Dinu; Potet, H.; Bernier, V.; Jouglar, Emmanuel; Escande, Alexandre; Murraciole, X.; Leseur, J.; Truc, G.; Chapet, S.; Pasteris, C.; Bondiau, Pierre‐Yves; Claude, L.

doi:10.1016/j.bulcan.2022.04.011

Cited by 3 publications

(2 citation statements)

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“…Telemedicine has been a part of the care of cancer patients during the COVID-19 pandemic ( 14 , 15 ). Using web conferences to discuss complex or rare cancer cases is reliable and effective for decision-making ( 16 , 17 ). Virtual multidisciplinary approaches could improve MDT workflow efficiency, shorten the preparation time of MDTs, reduce the meeting time, and yield the same survival results as those in the literature ( 18 , 19 ).…”

Section: Introductionmentioning

confidence: 99%

“…Virtual multidisciplinary approaches could improve MDT workflow efficiency, shorten the preparation time of MDTs, reduce the meeting time, and yield the same survival results as those in the literature ( 18 , 19 ). However, few tumor types and cases use web conferences and virtual multidisciplinary meetings; multidisciplinary experts must simultaneously discuss these meetings, which undoubtedly affects the MDT’s coverage rate and efficiency ( 16 – 21 ). Asynchronous communication content has been used between care team members of breast cancer patients, which may improve physicians’ clerical burden and reduce unnecessary interruptions ( 22 ).…”

Section: Introductionmentioning

confidence: 99%

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Cloud platform to improve efficiency and coverage of asynchronous multidisciplinary team meetings for patients with digestive tract cancer

Zhang,

Li,

Liao

et al. 2024

Front. Oncol.

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BackgroundMultidisciplinary team (MDT) meetings are the gold standard of cancer treatment. However, the limited participation of multiple medical experts and the low frequency of MDT meetings reduce the efficiency and coverage rate of MDTs. Herein, we retrospectively report the results of an asynchronous MDT based on a cloud platform (cMDT) to improve the efficiency and coverage rate of MDT meetings for digestive tract cancer.MethodsThe participants and cMDT processes associated with digestive tract cancer were discussed using a cloud platform. Software programming and cMDT test runs were subsequently conducted to further improve the software and processing. cMDT for digestive tract cancer was officially launched in June 2019. The doctor response duration, cMDT time, MDT coverage rate, National Comprehensive Cancer Network guidelines compliance rate for patients with stage III rectal cancer, and uniformity rate of medical experts’ opinions were collected.ResultsThe final cMDT software and processes used were determined. Among the 7462 digestive tract cancer patients, 3143 (control group) were diagnosed between March 2016 and February 2019, and 4319 (cMDT group) were diagnosed between June 2019 and May 2022. The average number of doctors participating in each cMDT was 3.26 ± 0.88. The average doctor response time was 27.21 ± 20.40 hours, and the average duration of cMDT was 7.68 ± 1.47 min. The coverage rates were 47.85% (1504/3143) and 79.99% (3455/4319) in the control and cMDT groups, respectively. The National Comprehensive Cancer Network guidelines compliance rates for stage III rectal cancer patients were 68.42% and 90.55% in the control and cMDT groups, respectively. The uniformity rate of medical experts’ opinions was 89.75% (3101/3455), and 8.97% (310/3455) of patients needed online discussion through WeChat; only 1.28% (44/3455) of patients needed face-to-face discussion with the cMDT group members.ConclusionA cMDT can increase the coverage rate of MDTs and the compliance rate with National Comprehensive Cancer Network guidelines for stage III rectal cancer. The uniformity rate of the medical experts’ opinions was high in the cMDT group, and it reduced contact between medical experts during the COVID-19 pandemic.

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