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How effective is a virtual consultation process in facilitating multidisciplinary decision-making for malignant
David Fitzpatrick1, Daniel Grabarz, Lisa Wang
1Palliative Radiation Oncology Program and Princess Margaret Hospital, University Health Network, University of Toronto, Canada.
Summary
Virtual consultation (VC) accurately guides treatment for malignant epidural spinal cord compression (MESCC). This process offers a reliable multidisciplinary opinion, potentially improving patient outcomes and reducing transfers.
Area of Science:
- Oncology
- Neurosurgery
- Radiology
Background:
- Malignant epidural spinal cord compression (MESCC) requires timely multidisciplinary decision-making.
- Patient transfer for consultations can delay treatment and impact outcomes.
Purpose of the Study:
- To evaluate the accuracy of a virtual consultation (VC) process for determining treatment strategies in MESCC patients.
- To assess the reliability of VC in guiding surgical recommendations.
Main Methods:
- A prospective database of MESCC patients was utilized.
- A VC process involving clinical data and imaging facilitated remote decision-making between oncologists and spinal surgeons.
- Retrospective review of diagnostic imaging was performed for surgical opinions.
Main Results:
- The study included 125 eligible patients for virtual consultation.
- The VC process demonstrated an overall accuracy of 92% in predicting the final treatment recommendation.
- Surgery was recommended in 28 of 46 patients who underwent VC, and 5 additional patients not seen via VC would have been surgical candidates.
Conclusions:
- The virtual consultation process is a reliable method for obtaining multidisciplinary opinions for MESCC.
- VC can minimize patient transfers, potentially shortening treatment decision times and improving clinical outcomes.
