The Uro-Oncology Multi-disciplinary team (MDT) Clinic - Clinical and Patient-Reported Outcomes From Implementing a New Model of Care

被引：0

作者：

Lee, Alvin Yuanming ^{[1
]}

Tiwari, Raj ^{[1
]}

Neo, Shuhui ^{[1
]}

Huned, Daanesh ^{[1
]}

Kumaran, Arjunan ^{[1
]}

Lim, Chloe Li Wen ^{[1
]}

Chua, Melvin Lee Kiang ^{[2
,3
]}

Kanesvaran, Ravindran ^{[4
]}

Lee, Lui Shiong ^{[1
]}

机构：

[1] Sengkang Gen Hosp, Dept Urol, 110 Sengkang East Way, Singapore 544886, Singapore

[2] Natl Canc Ctr, Div Radiat Oncol, Singapore, Singapore

[3] Duke NUS Med Sch, Singapore, Singapore

[4] Natl Canc Ctr, Div Med Oncol, Singapore, Singapore

来源：

PROCEEDINGS OF SINGAPORE HEALTHCARE | 2022年 / 31卷

关键词：

Bladder cancer; kidney cancer; multi-disciplinary team clinic; prostate cancer; uro-oncology; MANAGEMENT; PHYSICIAN; THERAPY;

D O I：

10.1177/20101058211055222

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction A multi-disciplinary approach has often been advocated to improve the delivery of oncological care, as compared to a mono-disciplinary and linear approach. Our study elucidates the clinical and patient-reported outcomes from a urologic-oncology multi-disciplinary team (MDT) clinic in a regional general hospital. Materials and Methods Patients who attended a uro-oncology MDT clinic which was started in January 2019 were identified. This service was specifically catered to patients who were histologically diagnosed with urological cancers. The MDT service comprised a multi-disciplinary tumour board followed by outpatient clinical consults with representatives from urology, medical and radiation oncology. Demographic variables, disease characteristics and treatment rendered were analysed. A survey was administered to assess patient satisfaction. Results Fifty patients with a median age of 70 years with complete case records were identified. The cancer types included prostate cancers (46%), urothelial cancers (26%) and renal cell carcinoma (12%) as the most frequent urological cancers. The median time from MDT to therapy initiation was 8 days. Among those with prostate, urothelial, renal and testicular malignancies, 71% (32/45) of our patients received treatment that were in accordance to guideline recommendations. A post-clinic survey showed that patients were satisfied with the information provided during the clinic and this also facilitated decision and time to initiation of therapy. Conclusion A multi-disciplinary service comprising a tumour board followed by a one-stop clinic provides patients with multi-disciplinary care, improved access to subsequent therapy, better time efficiency and high patient satisfaction scores. More studies are warranted to demonstrate its oncological outcomes.

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页数：5