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Implementing consistent pretreatment multidisciplinary review for breast cancer: a quality improvement project
Karina Makarova1,2, Allison Chiu3, Rebecca Warburton4,2
1The University of British Columbia, Vancouver, Canada.
Implementing multidisciplinary pretreatment reviews for complex breast cancer cases significantly improved patient management. This structured approach reduced treatment delays and led to direct changes in care for nearly a quarter of patients reviewed.
Area of Science:
- Oncology
- Surgical Oncology
- Healthcare Management
Background:
- Multimodal and multidisciplinary breast cancer care requires seamless communication.
- Lack of structured communication can cause patient journey obstacles and treatment delays.
- Improving multidisciplinary review for complex cases is crucial for optimal breast cancer management.
Purpose of the Study:
- To increase the percentage of complex breast cancer cases reviewed in a multidisciplinary setting before treatment.
- To enhance breast cancer management within a dedicated breast program.
- To assess the effectiveness and impact of pretreatment multidisciplinary case reviews.
Main Methods:
- Initiated review for oncoplastic breast reconstruction cases, aiming for 50% preoperative review by May 2023.
- Expanded the review process to all 'complex' breast cancer cases, targeting 50% by April 2024.
- Prospectively collected data on triaged cases and administered feedback surveys to assess process benefits and challenges.
Main Results:
- Achieved the study aims for both oncoplastic reconstruction and all complex cases review.
- 23% of reviewed cases resulted in direct changes to patient management.
- Feedback surveys indicated perceived benefits and sustainability of the multidisciplinary review process.
Conclusions:
- Multidisciplinary pretreatment review is an effective strategy for improving breast cancer management.
- Structured communication and case review can mitigate treatment delays and optimize patient care pathways.
- The findings support the integration of regular multidisciplinary team meetings for complex oncological cases.
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