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A Digital Solution for an Advanced Breast Tumor Board: Pilot Application Cocreation and Implementation Study.

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|May 18, 2023
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Summary

A new multidisciplinary team (MDT) application prototype improved cancer care by enhancing clinical decisions for advanced breast cancer (ABC) patients. This digital tool streamlined MDT meetings, increasing oncologists' confidence and ensuring timely treatment proposals.

Keywords:
advanced breast cancerbreast cancercancercareclinicianconfidencedatadigital healthelectronic medical recordsfollow-upgenomicmultidisciplinary meetingneoplasticpainpathologypatientrecordssoftwaretreatmenttumor

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Area of Science:

  • Oncology
  • Health Informatics
  • Clinical Decision Support

Background:

  • Personalized cancer treatment relies on integrating clinical, imaging, and genomic data.
  • Multidisciplinary team (MDT) meetings are crucial for optimal patient care but face challenges like time constraints and member availability.
  • An MDT application prototype was developed to address these challenges in advanced breast cancer (ABC) cases.

Purpose of the Study:

  • To describe the implementation of an MDT application prototype at Centre Léon Bérard (CLB) for ABC MDT meetings.
  • To evaluate the application's impact on supporting clinical decisions and improving meeting efficiency.

Main Methods:

  • An organizational audit identified key phases and challenges in ABC MDT meetings.
  • A prototype application was developed to integrate structured patient data for visualization.
  • The digital solution was assessed using before-and-after audits and healthcare professional surveys.

Main Results:

  • Discussion times per case remained comparable post-implementation.
  • Capture of MDT decisions improved, with all cases receiving a therapeutic proposal.
  • Treatment decisions were not postponed, and oncologists' confidence in decision-making increased.

Conclusions:

  • The MDT application prototype enhanced the quality and confidence in clinical decisions for ABC cases.
  • Integrating such applications with electronic medical records and structured data can improve national MDT networks and patient care.