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多学科的胰腺囊诊所:一个协作方法,简化管理
Yasmin G Hernandez-Barco1, Carlos Fernandez-Del Castillo2, Evangelos Fradelos1
1Pancreas and Biliary Program, Division of Gastroenterology, Massachusetts General Hospital, Boston, MA, USA.
概括
一个多学科的胰腺囊诊所 (PCC) 改善了胰腺囊的诊断和管理. 该诊所提供量身定制的建议,加强准则的遵守,并支持转诊提供者,以获得更好的患者结果.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 放射学 放射学是一门学科.
背景情况:
- 在成像过程中经常偶然发现胰腺囊.
- 粘性囊具有恶性潜力,需要谨慎管理.
- 不一致的指导方针应用和缺乏专门的基础设施在胰腺囊护理方面带来了挑战.
研究的目的:
- 建立一个多学科的胰腺囊诊所 (PCC),以应对诊断和管理方面的挑战.
- 为胰腺囊患者提供准确的诊断和个性化管理计划.
- 创建一个潜在的数据库来研究胰腺囊的自然史和治疗结果.
主要方法:
- 实施了一个虚拟的,每周的多学科PCC会议,与外科瘤学,胃肠病学和放射学方面的领导进行了会议.
- 利用电子医疗记录进行患者转诊和沟通.
- 收集患者评估,诊断程序 (EUS) 和治疗途径的前性数据.
主要成果:
- 在2020-2021年期间评估了1052名患者.
- 18.6%接受了内镜超声波 (EUS),3.9%进行了前期手术切除.
- 大多数患者 (56.7%) 通过与初级保健提供者协调的监测进行管理,61.3%的监测囊保持稳定.
结论:
- PCC提供了对胰腺囊管理的多学科审查和共识的基本基础设施.
- 该诊所改善了指导方针的实施,并提供了个性化的患者建议.
- PCC支持整个卫生系统的非专家推提供者.
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