Journal article
Influence of endocrine multidisciplinary tumor board on patient management and treatment decision making
The American journal of surgery, Vol.223(1), pp.76-80
01/01/2022
DOI: 10.1016/j.amjsurg.2021.07.013
PMID: 34303521
Abstract
Background: Multidisciplinary Tumor Boards (MDT) are used to obtain input regarding cancer man-agement. This study assessed the impact of our institutional Endocrine MDT.
Methods: MDT notes on patients with thyroid cancer treated during 2012-2018 were abstracted retrospectively from the electronic medical record. Management change (MC) was prospectively collected by the MDT coordinator. Biannual evaluations reviewed the impact of the MDT as observed by attendees.
Results: MC was recommended in 47 (15%) of 286 presentations, with additional imaging being the most frequent (43%). Presentation of recurrences were more likely to result in MC (24% vs. 13% initial, p = 0.03). Overall, 98% of attendees found the conference exceeded educational expectations. About 24% reported intending to use a more evidence/guideline-based approach after attending and this trend increased over time (p = 0.002).
Conclusion: MDT presentations led to a higher rate of MC particularly in recurrent TC patients and increased evidenced-based practice for attendees. (C) 2021 Published by Elsevier Inc.
Details
- Title: Subtitle
- Influence of endocrine multidisciplinary tumor board on patient management and treatment decision making
- Creators
- Sarah Kelley - University of IowaAnna C. Beck - University of Iowa Hospitals and ClinicsRonald J. Weigel - University of Iowa Hospitals and ClinicsJames R. Howe - University of Iowa Hospitals and ClinicsSonia L. Sugg - University of IowaGeeta Lal - University of Iowa Hospitals and Clinics
- Resource Type
- Journal article
- Publication Details
- The American journal of surgery, Vol.223(1), pp.76-80
- Publisher
- Elsevier
- DOI
- 10.1016/j.amjsurg.2021.07.013
- PMID
- 34303521
- ISSN
- 0002-9610
- eISSN
- 1879-1883
- Number of pages
- 5
- Grant note
- T32CA148062 / NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
- Language
- English
- Date published
- 01/01/2022
- Academic Unit
- Molecular Physiology and Biophysics; Anatomy and Cell Biology; Stead Family Department of Pediatrics; Surgery; Biochemistry and Molecular Biology
- Record Identifier
- 9984284335102771
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