Referral rates to multidisciplinary team meetings: Is there disparity between tumour streams?

被引:19
作者
Atwell, Daisy [1 ,2 ]
Vignarajah, Dinesh D. [1 ,2 ]
Chan, Bryan A. [3 ,4 ]
Buddle, Nicole [1 ]
Manders, Peter M. [3 ]
West, Katrina [3 ]
Knesl, Marcel [1 ,2 ]
Long, Jeremy [3 ]
Min, Myo [1 ,2 ,4 ,5 ]
机构
[1] Sunshine Coast Univ Hosp, Dept Radiat Oncol, Birtinya, Qld, Australia
[2] Icon Radiat Oncol Ctr, 60 Wises Rd, Maroochydore, Qld 4558, Australia
[3] Sunshine Coast Univ Hosp, Dept Med Oncol, Birtinya, Qld, Australia
[4] Univ Queensland, Sch Med, St Lucia, Qld, Australia
[5] Griffith Univ, Sch Med, Gold Coast, Qld, Australia
关键词
cancer care; multidisciplinary team meeting; referral patterns; PROSTATE-CANCER; RADICAL PROSTATECTOMY; HEAD; CARE;
D O I
10.1111/1754-9485.12851
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Introduction The multidisciplinary team meeting (MDTM) approach is accepted as standard of care to optimise treatment for patients diagnosed with cancer. This retrospective audit reviews the proportion of patients whose care is being discussed at cancer MDTMs within the Sunshine Coast Hospital and Health Service (SCHHS). Methods Patients included were those diagnosed with cancer within the SCHHS between 2010 and 2015, and subsequently referred to a public MDTM for discussion. Data were extracted from the Queensland Cancer Control Analysis Team (QCCAT) database regarding the incidence of breast, lung, upper gastrointestinal (GI), colorectal, genitourinary and malignant haematological cancers and the number of patients referred to the corresponding MDTM. Results Data from 2015 show referral rates to MDTMs as follows: lung 100%, upper gastrointestinal 100%, colorectal 64%, breast 60%, malignant haematology 40% and genitourinary 28%. Of the genitourinary presentations, 70% were prostate cases and 14% bladder cases. Review of genitourinary MDTM outcomes found that, of the patients with prostate cancer discussed, 30% were metastatic, 19% were poor surgical candidates and 15% had biochemical recurrence. Conclusion This audit demonstrates variable utilisation of MDTMs between tumour streams. Our study shows a high and increasing referral rate to all tumour stream MDTMs except for genitourinary. This suggests a possible underutilisation of genitourinary MDTMs to discuss treatment options for patients with genitourinary cancer. Collaborative research is warranted to further investigate whether this is a local or widespread issue.
引用
收藏
页码:378 / 382
页数:5
相关论文
共 13 条
  • [1] AIWH, 2014, PROST CANC AUSTR AIH
  • [2] A Randomized trial comparing radical prostatectomy plus endocrine therapy versus external beam radiotherapy plus endocrine therapy for locally advanced prostate cancer: Results at median follow-up of 102 months
    Akakura, Koichiro
    Suzuki, Hiroyoshi
    Ichikawa, Tomohiko
    Fujimoto, Hiroyuki
    Maeda, Osamu
    Usami, Michiyuki
    Hirano, Daisaku
    Takimoto, Yukie
    Kamoto, Toshiyuki
    Ogawa, Osamu
    Sumiyoshi, Yoshiteru
    Shimazaki, Jun
    Kakizoe, Tadao
    [J]. JAPANESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 36 (12) : 789 - 793
  • [3] Is there a Benefit of Multidisciplinary Cancer Team Meetings for Patients with Gastrointestinal Malignancies?
    Basta, Yara L.
    Baur, Onno L.
    van Dieren, Susan
    Klinkenbijl, Jean H. G.
    Fockens, Paul
    Tytgat, Kristien M. A. J.
    [J]. ANNALS OF SURGICAL ONCOLOGY, 2016, 23 (08) : 2430 - 2437
  • [4] Does a multidisciplinary team approach in a tertiary referral centre impact on the initial management of head and neck cancer?
    Bergamini, Cristiana
    Locati, Laura
    Bossi, Paolo
    Granata, Roberta
    Alfieri, Salvatore
    Resteghini, Carlo
    Imbimbo, Martina
    Fallai, Carlo
    Orlandi, Ester
    Tana, Silvia
    Iacovelli, Nicola Alessandro
    Guzzo, Marco
    Ibba, Tullio
    Colombo, Sarah
    Bianchi, Roberto
    Pizzi, Natalia
    Fontanella, Walter
    Licitra, Lisa
    [J]. ORAL ONCOLOGY, 2016, 54 : 54 - 57
  • [5] The importance of multidisciplinary team management of patients with non-small-cell lung cancer
    Ellis, P. M.
    [J]. CURRENT ONCOLOGY, 2012, 19 : S7 - S15
  • [6] Gomella LG, 2012, NAT REV UROL, V9, P360, DOI [10.1038/nruro1.2012.105, 10.1038/nrurol.2012.105]
  • [7] 10-Year Outcomes after Monitoring, Surgery, or Radiotherapy for Localized Prostate Cancer
    Hamdy, F. C.
    Donovan, J. L.
    Lane, J. A.
    Mason, M.
    Metcalfe, C.
    Holding, P.
    Davis, M.
    Peters, T. J.
    Turner, E. L.
    Martin, R. M.
    Oxley, J.
    Robinson, M.
    Staffurth, J.
    Walsh, E.
    Bollina, P.
    Catto, J.
    Doble, A.
    Doherty, A.
    Gillatt, D.
    Kockelbergh, R.
    Kynaston, H.
    Paul, A.
    Powell, P.
    Prescott, S.
    Rosario, D. J.
    Rowe, E.
    Neal, D. E.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2016, 375 (15) : 1415 - 1424
  • [8] Analysis of time taken to discuss new patients with head and neck cancer in multidisciplinary team meetings
    Mullan, B. J.
    Brown, J. S.
    Lowe, D.
    Rogers, S. N.
    Shaw, R. J.
    [J]. BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2014, 52 (02) : 128 - 133
  • [9] National Cancer Expert Reference Group (NCERG), OPT CAR PATHW MEN PR
  • [10] Utilizing the Multidisciplinary Team for Planning and Monitoring Care and Quality Improvement
    Patel, A.
    Franko, Edward R., Jr.
    Fleshman, James W.
    [J]. CLINICS IN COLON AND RECTAL SURGERY, 2015, 28 (01) : 12 - 20