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Influence of a multidisciplinary cancer board on treatment decisions
Kenji Nemoto1, Misako Murakami, Mayumi Ichikawa
1Department of Radiation Oncology, Yamagata University School of Medicine, 2-2-2 Iida-nishi, Yamagata, 990-9585, Japan. knemoto@ymail.plala.or.jp
Background:
To clarify how a multidisciplinary cancer board (CB) influences treatment decisions.
Methods:
From March 2010 to June 2011, a total of 475 cases were discussed at our CB and the minutes of the board were reviewed for this study.
Results:
Of the 475 patients, minor changes in treatment methods were made in 42 patients (9 %) and major changes were made in 28 patients (6 %). Further diagnostic procedures, further publication surveys and reconfirmation of patient's wishes were recommended in 80 patients (17 %). In the 392 patients for whom treatment was recommended, the CB's recommendation was realized in 349 patients (89 %) and was not realized in 20 (5 %) patients.
Conclusions:
It is obvious that a CB has a great influence on cancer treatment decisions, but the effectiveness of the CB in our hospital should be verified in the future by analyzing treatment outcomes.
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