Ten-year experience of a national multidisciplinary tumour board for cancer and pregnancy in the Netherlands

Heimovaara, Joosje H.; Haan, J. de; Calsteren, Kristel Van; Lok, Christianne; Zuylen, Lia van; Boere, Ingrid; Amant, Frédéric; Beerendonk, C.C.M.; Bellido-Casado, M.; Beltman, Jogchum Jan; Bos, M.E.M.M.; Duvekot, Johannes J.; C.G., Gerestein; Gordijn, Sanne J.; Groot, Christianne J.M. de; Grotel, Martine van; Han, Sileny N.; Heeres, B.C.; Heuvel‐Eibrink, Marry M. van den; Houwink, A.; Huitema, D.R.; Koken, PhW.; Koppert, Linetta B.; Lugtenburg, Pieternella J.; Ottevanger, Petronella B.; Painter, Rebecca C.; Poortmans, Philip; Roes, E.M.; Scheer, L. van der; Schröder, Carolien P.; Suelmann, Britt B. M.; Suijkerbuijk, K.P.M.; Tienhoven, Geertjan van; Trommel, Nienke E. van; Trum, J.W.; Velden, J. van der; Vriens, Ingeborg J. H.; Witteveen, Petronella O.

doi:10.1016/j.ejca.2022.04.040

Cited by 9 publications

(15 citation statements)

References 32 publications

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“…A total of 13 medical disciplines are represented on the board, and during less than 10 years the advisory group has provided 213 recommendations to 42 hospitals. 8 The experience of consultations with the board was evaluated and judged positive in 2020 using The additional challenges of cancer during pregnancy are also evident from the collection of a limited number of cases in the literature. Therefore systematic reviews and meta-analysis are also needed, which is well illustrated in the studies by Marasciulo et al, 9 and Zhang et al, 10 in this special issue.…”

Section: E D I T O R I a L The Challenges Of Cancer During Pregnancymentioning

confidence: 99%

The challenges of cancer during pregnancy

Rodriguez‐Wallberg,

Pettersson

2024

Acta Obstet Gynecol Scand

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Section: E D I T O R I a L The Challenges Of Cancer During Pregnancymentioning

confidence: 99%

The challenges of cancer during pregnancy

Rodriguez‐Wallberg,

Pettersson

2024

Acta Obstet Gynecol Scand

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“…New cancer treatment modalities, such as targeted and immunotherapies, have emerged, leading to even more complex handling. In 2012, an Advisory Board on Cancer in Pregnancy was established to support Dutch physicians’ decisions regarding the management of pregnant cancer patients 53 . The board consists of 22 members from 13 different medical disciplines and involves international experts.…”

Section: Advisory Boardsmentioning

confidence: 99%

“…The amount of advice given, has increased over time and more treating physicians have been requesting guidance on oncological treatment and obstetric handling, resulting in fewer preterm deliveries and more treatment during pregnancy. The experience from the Netherlands is that the advisory board has a high clinical impact, which has led to more qualified oncological and obstetrical treatment for the pregnant cancer patient 53 . In 2021, an international Advisory Board on Cancer in Pregnancy (ABCIP) was established by INCIP 54 .…”

Section: Advisory Boardsmentioning

confidence: 99%

Cancer in pregnancy — The obstetrical management

Storgaard,

Greiber,

Pedersen

et al. 2023

Acta Obstet Gynecol Scand

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Cancer in pregnancy, defined as a cancer diagnosed during pregnancy, is a rare but severe condition presenting both clinical and ethical challenges. During the last two decades a paradigm shift has occurred towards recommending similar staging and treatment regimens of pregnant and non‐pregnant cancer patients. This strategy is a result of an increasing number of reassuring reports on chemotherapy treatment in pregnancy after the first trimester. The management of cancer in pregnancy should be managed in a multidisciplinary team where staging, oncological treatment, social and mental care, timing of delivery, and follow‐up of the infant should be planned. Due to the rarity, centralization is recommended to allow experience accumulation. Furthermore, national and international advisory boards are supportive when there is a lack of expertise.

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“…This increase in expertise and centralization of care may offer the benefit of less delay of oncologic treatment and may prevent unnecessary preterm deliveries. Over the last decade, several initiatives have been launched to achieve this goal 11–13 . The International Network on Cancer, Infertility and Pregnancy (INCIP) has investigated this group of patients extensively over the past decades, to improve knowledge and, by that, care for these women.…”

Section: Introductionmentioning

confidence: 99%

Results of an international survey on the current organization of care for pregnant women with cancer

Heimovaara,

van Calsteren,

Lok

et al. 2024

Acta Obstet Gynecol Scand

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The global incidence of cancer is increasing, including its incidence in women of reproductive age. Still, physicians encounter this situation rarely, which could lead to substandard care. This research sought to explore opportunities to improve future care for pregnant women with cancer, by describing the outcomes of a survey distributed to physicians all over the world focusing on clinical experience with pregnant women with cancer, the organization of care and current gaps in knowledge. We included 249 responses from physicians working across 36 countries. Responses demonstrate a wide variation in the organization of care – generally lacking centralization, and the physicians' acknowledgement of insufficient knowledge on the management of pregnant women with cancer. There is a need for improvement through national centralization and/or establishing advisory boards for cancer in pregnancy. Seeing the paucity of cancer in pregnancy experience, the importance of global multidisciplinary collaboration is emphasized.

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Ten-year experience of a national multidisciplinary tumour board for cancer and pregnancy in the Netherlands

Cited by 9 publications

References 32 publications

The challenges of cancer during pregnancy

The challenges of cancer during pregnancy

Cancer in pregnancy — The obstetrical management

Results of an international survey on the current organization of care for pregnant women with cancer

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