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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.
Purpose:
Multidisciplinary tumour boards (MDTs) are conducted worldwide for the management of patients with cancer, and they deliver a higher standard of care by simultaneously involving different specialists in diagnosis and treatment planning. However, information of paediatric MDTs functioning is scarce. A pilot study was conducted in Spain in the frame of the European Expert Paediatric Oncology Reference Network for Diagnostics and Treatment (ExPO-r-Net).
Methods:
A specific questionnaire was designed regarding various features of MDT practice. Data collected included information on the centres and the team, infrastructure for meetings, MDT organization/logistics and clinical decision-making. The survey was distributed to all Paediatric Oncology Units that register patients in the Spanish Registry of Childhood Tumours (RETI-SEHOP).
Results:
32 out of 43 contacted centres responded the questionnaire (74 % response rate; 88 % response rate for centres with >25 new patients/year). All units with >25 new patients/year have a dedicated Paediatric MDT compared to 76 % of units with ≤25 new patients/year. MDTs should be improved at institutional level by clear protected time in service planning for all specialists involved, incentives for attendance and attendance registration. Clinical decision-making process and follow-up of recommendation adherence should be assessed and potential legal responsibilities for physicians participating in Tumour Board defined. Network collaboration through virtual MDTs, using available videoconferencing tools, is an opportunity to share expertise among centres.
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