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Multidisciplinary Approach to HCC Management: How Can This Be Done?
Melissa M Gadsden1,2, David E Kaplan3,4
1Department of Medicine, Division of Gastroenterology and Hepatology, Perelman School of Medicine, University of Pennsylvania, 7th Floor, 3400 Civic Center Drive, Philadelphia, PA, 19104, USA.
Digestive Diseases and Sciences
|March 20, 2019
Summary
Multidisciplinary tumor boards (MTBs) improve hepatocellular carcinoma (HCC) treatment by integrating diverse specialists. Further research is needed to confirm survival and cost benefits of this complex cancer care approach.
Area of Science:
- Oncology
- Hepatology
- Surgical Oncology
- Radiology
- Medical Oncology
Background:
- Multidisciplinary tumor boards (MTBs) are essential for managing complex cancer cases like hepatocellular carcinoma (HCC), which often occurs with cirrhosis.
- Integrating specialists such as hepatologists, surgeons, oncologists, and radiologists is crucial for optimal HCC treatment planning.
- The structure of MTBs has evolved since the early 2000s, leading to improved treatment timeliness and patient satisfaction.
Purpose of the Study:
- To review the evolution and impact of multidisciplinary tumor boards (MTBs) in hepatocellular carcinoma (HCC) management.
- To highlight the importance of expert input from various medical disciplines in developing therapeutic strategies for HCC.
- To identify research gaps concerning the clinical outcomes and cost-effectiveness of MTBs.
Main Methods:
- Review of existing literature and retrospective studies on MTB implementation for HCC.
- Analysis of changes in treatment plans post-MTB review and adherence to guidelines.
- Identification of recommendations for standardized documentation and data collection.
Main Results:
- MTBs have demonstrated a reduction in time to treatment and enhanced patient satisfaction.
- Retrospective studies show frequent treatment plan modifications after MTB review to align with guideline-recommended care.
- Standardized documentation is recommended for effective communication between MTBs and referring providers.
Conclusions:
- MTBs play a vital role in optimizing hepatocellular carcinoma (HCC) treatment by consolidating expert opinions.
- While MTBs improve care processes, further research is necessary to quantify their impact on patient survival and cost-effectiveness.
- Establishing centralized databases is recommended to facilitate future outcome studies and quality improvement initiatives for MTBs.
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