The effect of multidisciplinary team care on cancer management

Abdulrahman, Ganiy Opeyemi

doi:10.4314/pamj.v9i1.71195

Cited by 41 publications

(45 citation statements)

References 11 publications

(16 reference statements)

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“…Legal aspects and the costs of planning an extensive multidisciplinary surgery should also be taken into account. However, multi-step surgery is often unfeasible and referring the patient from one physician to another without an integrated approach can result in patient dissatisfaction, reduced quality of life and decreased chances of survival 25 . Some health systems have published guidelines for creating effective multidisciplinary teams which dictate team membership and leadership, infrastructure and logistics, decision-making processes 26 .…”

Section: Providing the Best Available Healthcare From Diagnosis To Rementioning

confidence: 99%

Difficulties in the surgical management of head and neck cancer patient

Sarafoleanu

Vuzitas

Manea

2017

Romanian Journal of Rhinology

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Malignancies of the upper aerodigestive tract are high morbidity bearing and life-threatening diseases, which require thorough care from diagnostic suspicion and confirmation to surgical and/or oncologic treatment and rehabilitation. Difficulties in managing head and neck cancers arise from delays in diagnosis and treatment caused by either patient-related factors or healthcare system-related factors. Tumor origin and stage determine whether surgical excision is feasible, the approach required for safe excision, the extent of functional and aesthetic sacrifice required to attain oncologic safety and the need for reconstructive surgery. A thorough and systematic preoperative risk versus benefits assessment to select potential surgical candidates and give realistic outcomes is important from both a medical and a legal point of view. Because tumors in the head and neck region frequently involve more than one system and sensory organ, potential loss of function from either the disease course, surgical or nonsurgical treatment should be taken into account form a quality of life perspective. Effective management of head and neck cancer patients requires the cooperation and combined effort of a multidisciplinary team of surgeons, physicians and other workers over a long period of time which, in the absence of a specialised head and neck cancer centre and guidelines, can lead to increased morbidity and mortality, and patient dissatisfaction.

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Section: Providing the Best Available Healthcare From Diagnosis To Rementioning

confidence: 99%

Difficulties in the surgical management of head and neck cancer patient

Sarafoleanu

Vuzitas

Manea

2017

Romanian Journal of Rhinology

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“…Overall, in our opinion, the early formation of the interdisciplinary team during the preparation phase was essential to the success of the procedure and appears to be in line with current trends in surgical oncology. 34 Our two main qualification criteria for PC patients were related to factors associated with the condition of the patient and to the aetiology of the cancer. This biphasic qualification methodology was formulated based on the literature and was consistent with the qualification criteria used by other PIPAC centres that aim to precisely determine eligibility for the procedure.…”

Section: Discussionmentioning

confidence: 99%

The scientific report from the first pressurized intraperitoneal aerosol chemotherapy (PIPAC) procedures performed in the eastern part of Central Europe

Nowacki

Zegarski

2018

J Int Med Res

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ObjectiveTo perform a single-centre, detailed analysis of the preparations for the introduction of the first pressurized intraperitoneal aerosol chemotherapy (PIPAC) programme in the eastern part of Central Europe.MethodsThe study analysed the 14-month preparation period prior to the performance of the first PIPAC procedure with respect to: (i) general preparations; (ii) patient referral and qualification; (iii) the first PIPAC procedure; (iv) the 2 weeks following PIPAC programme establishment; and (v) general problematic issues that arose.ResultsThe length of time needed to prepare our institution for the first PIPAC procedure was extremely long compared with other European Union PIPAC centres: 14 months versus a standard 3–6 months of preparation. The longest amount of time (12 months) was required to prepare the required paperwork.ConclusionsA new PIPAC programme was successfully established in the eastern part of Central Europe. The length of time to implement this method was significantly longer because of lengthy bureaucratic processes. These current findings should help new centres, especially in this part of Europe, to establish a PIPAC programme more quickly.

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“…At present, the multidisciplinary team (MDT) is widely used in hospitals and medical centers in developed countries. Experts from different disciplines provide patients with diagnosis and treatment services for a certain disease [13], especially in cancer care. [14].…”

Section: Introductionmentioning

confidence: 99%

Impact of Multidisciplinary Collaborative Intervention on Isolation Implementation in the Prevention and Control of Multidrug Resistance Infection—A Retrospective Study

Wang¹,

Zhang²,

Lai³

2020

Preprint

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Background: Isolation is important in the prevention and control of infection with multidrug-resistant organisms(MDROs) but implementation is weak. We aim to analyze the impact of multidisciplinary collaborative intervention on isolation in multidrug-resistant organism(MDRO) infection and determine the factors affecting the implementation of isolation measures.Methods: A retrospective analysis of the issuance of isolation orders for 1338 patients with MDRO infection and colonization in 10 months before and after multidisciplinary collaborative interventions carried out on November 1, 2018 at a teaching tertiary hospital in central China. Univariate analysis and multivariate logistic regression analysis were used to analyze factors affecting isolation implementation. Results: The overall issuance rate of isolation orders was 66.12%, which increased from 33.12% before the intervention to 75.88% after the intervention (P <0.000). The multidisciplinary collaborative intervention (OR = 0.154) is a promoting factor for the issuance of isolation orders, in addition to Length of stay(LOS)> 15d (OR = 0.459) and department (P <0.05). Conclusions: Multidisciplinary collaborative interventions related to isolation can promote doctors to issue isolation orders in accordance with regulations.

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The effect of multidisciplinary team care on cancer management

Cited by 41 publications

References 11 publications

Difficulties in the surgical management of head and neck cancer patient

Difficulties in the surgical management of head and neck cancer patient

The scientific report from the first pressurized intraperitoneal aerosol chemotherapy (PIPAC) procedures performed in the eastern part of Central Europe

Impact of Multidisciplinary Collaborative Intervention on Isolation Implementation in the Prevention and Control of Multidrug Resistance Infection—A Retrospective Study

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