在一个大量的头瘤中心,多学科团队决策的变化跟随了其首选合作伙伴的决策
Jan-Jaap Hendrickx1, Tommy Mennega1, Jeroen M Uppelschoten2
1Department of Otolaryngology-Head and Neck Surgery, Amsterdam University Medical Center-location VUmc, Amsterdam, Netherlands.
Frontiers in oncology
|September 20, 2023
概括
在头癌护理中的多学科团队会议 (MDTs) 在22%的病例中导致了显著的治疗变化. 为确保最佳的头癌管理,建议所有患者使用高容量中心.
科学领域:
- 在瘤学瘤学.
- 医疗保健管理的管理
背景情况:
- 头癌的治疗需要复杂的,多学科的决策.
- 在荷兰,护理集中在大量的头部和部瘤中心 (HNOC) 中,附属的优先合作伙伴 (PP) 中心.
研究的目的:
- 评估HNOC强制性的多学科团队会议 (MDT) 讨论对最初在PP中心管理的头癌患者的治疗建议的影响.
- 评估HNOCMDT审查后管理建议 (MR) 的变化速度和性质.
主要方法:
- 在2011年1月至2018年10月期间,向HNOC进行MDT评估的头癌患者的回顾性分析.
- 将MDT建议中的变化分类为重大或次要.
主要成果:
- 在HNOC审查的22% (113/515) 的案件中,管理建议发生了变化.
- 16% (86/515) 的案件涉及到管理层的重大变化.
- 在这些变化中,59.3%是护理升级,38.1%是护理降级.
结论:
- 管理建议的显著变化率凸显了HNOCMDT审查的价值.
- 患者和瘤特征无法可靠地预测这些变化,这强调了需要集中评估的必要性.
- 所有头癌患者都应该接受临床介绍,诊断审查和MDT讨论在一个大批量的HNOC.
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