Optimizing the structure of interdisciplinary tumor boards for effective cancer care

2023-04-26 | journal article. A publication with affiliation to the University of Göttingen.

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​Optimizing the structure of interdisciplinary tumor boards for effective cancer care​
Braulke, F.; Kober, K.; Arndt, A.; Papendick, M.; Strauss, A.; Kramm, C. M. & Thoms, K.-M. et al.​ (2023) 
Frontiers in Oncology13.​ DOI: https://doi.org/10.3389/fonc.2023.1072652 

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Authors
Braulke, Friederike; Kober, Kathrin; Arndt, Andreas; Papendick, Maximilian; Strauss, Arne; Kramm, Christof Maria; Thoms, Kai-Martin; König, Alexander; Gaedcke, Jochen; Gallwas, Julia; Wulf, Svenja; Szuszies, Christoph; Wulf, Gerald; Rödel, Ralph; Wolfer, Susanne; Malinova, Vesna; Overbeck, Tobias R.; Hinterthaner, Marc; Lotz, Joachim; Nauck, Friedemann; Ernst, Marielle; Stadelmann, Christine; Ströbel, Philipp; Ellenrieder, Volker; Asendorf, Thomas ; Rieken, Stefan
Abstract
Introduction Multi-professional interdisciplinary tumor boards (ITB) are essential institutions to discuss all newly diagnosed, relapsed or complex cancer patients in a team of specialists to find an optimal cancer care plan for each individual patient with regard to national and international clinical practice guidelines, patient´s preference and comorbidities. In a high-volume cancer center, entity-specific ITBs take place at least once a week discussing a large number of patients. To a high level of expertise and dedication, this also requires an enormous amount of time for physicians, cancer specialists and administrative support colleagues, especially for radiologists, pathologists, medical oncologists and radiation oncologists, who must attend all cancer-specific boards according to certification requirements. Methods In this 15-month prospective German single-center analysis, we examined the established structures of 12 different cancer-specific ITBs at the certified Oncology Center and demonstrate tools helping to optimize processes before, during and after the boards for optimal, time-saving procedures. Results By changing pathways, introducing revised registration protocols and new digital supports we could show that the workload of preparation by radiologists and pathologists could be reduced significantly by 22.9% (p=<0.0001) and 52.7% (p=<0.0001), respectively. Furthermore, two questions were added to all registration forms about the patient´s need for specialized palliative care support that should lead to more awareness and early integration of specialized help. Discussion There are several ways to reduce the workload of all ITB team members while maintaining high quality recommendations and adherence to national and international guidelines.
Issue Date
26-April-2023
Journal
Frontiers in Oncology 
Organization
UniversitätsKrebszentrum Göttingen ; Klinik für Urologie ; Abteilung Pädiatrische Hämatologie und Onkologie ; Klinik für Dermatologie, Venerologie und Allergologie ; Klinik für Gastroenterologie, gastrointestinale Onkologie und Endokrinologie ; Klinik für Allgemein-, Viszeral- und Kinderchirurgie ; Klinik für Gynäkologie und Geburtshilfe ; Klinik für Hämatologie und Medizinische Onkologie ; Klinik für Hals-Nasen-Ohrenheilkunde ; Klinik für Mund-, Kiefer- und Gesichtschirurgie ; Klinik für Neurochirurgie ; Klinik für Thorax-, Herz- und Gefäßchirurgie ; Institut für Diagnostische und Interventionelle Radiologie ; Klinik für Palliativmedizin ; Institut für Diagnostische und Interventionelle Neuroradiologie ; Institut für Neuropathologie ; Institut für Pathologie ; Institut für Medizinische Statistik ; Klinik für Strahlentherapie und Radioonkologie 
eISSN
2234-943X
Language
English
Sponsor
Open-Access-Publikationsfonds 2023

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