Paediatric tumour boards in Spain: a national survey

P Berlanga1,2, V Segura3, A Juan Ribelles4,3

  • 1Paediatric Oncology Unit, Hospital Universitario y Politécnico La Fe, Valencia, Spain. berlanga_pab@gva.es.

Insights

Multidisciplinary tumor boards (MDTs) improve pediatric cancer care. While most high-volume centers have dedicated pediatric MDTs, improvements in protected time, attendance tracking, and defined legal responsibilities are needed for optimal function.

Area of Science:

  • Oncology
  • Healthcare Management
  • Clinical Practice

Background:

  • Multidisciplinary tumor boards (MDTs) are crucial for optimal cancer patient management.
  • While their role in adult oncology is established, data on pediatric MDT functioning remains limited.
  • This study addresses the scarcity of information regarding pediatric MDTs in Spain.

Purpose of the Study:

  • To evaluate the current state of multidisciplinary tumor board (MDT) practice in pediatric oncology units in Spain.
  • To identify areas for improvement in the organization, logistics, and clinical decision-making processes of pediatric MDTs.
  • To inform the European Expert Paediatric Oncology Reference Network for Diagnostics and Treatment (ExPO-r-Net) initiative.

Main Methods:

  • A specific questionnaire was developed to assess various aspects of MDT practice.
  • Data collection focused on center/team characteristics, meeting infrastructure, organization, logistics, and clinical decision-making.
  • The survey was distributed to all Paediatric Oncology Units registered in the Spanish Registry of Childhood Tumours (RETI-SEHOP).

Main Results:

  • A 74% response rate was achieved, with 88% of high-volume centers (>25 new patients/year) responding.
  • All high-volume centers reported dedicated pediatric MDTs, compared to 76% of lower-volume centers.
  • Key areas for improvement include protected time for specialists, attendance incentives, and clear definition of legal responsibilities.

Conclusions:

  • Dedicated pediatric multidisciplinary tumor boards (MDTs) are prevalent in high-volume Spanish centers.
  • Enhancements are needed at the institutional level, including protected time, attendance tracking, and legal clarity for physicians.
  • Virtual MDTs offer a promising avenue for inter-center collaboration and expertise sharing in pediatric oncology.
Abstract