Clinical outcomes of patients with pancreatic tumors discussed in Tumor Board
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100210 |
Resumo: | ABSTRACT Objective: the recommendations of the decisions made by the Tumor Board (TB) should be followed to identify barriers that may interfere with the execution of the previously decided, best care for the patient. The aim of this study is to assess whether the TB conduct decision was performed in patients with pancreatic tumors, their life status 90 days after the TB decision, and to analyze the reasons why the conduct was not performed. Methods: we conducted a retrospective study with patients with pancreas tumors, evaluated between 2017 and 2019. We collected data on epidemiological status, whether the TB procedure was performed, the reason for not performing it, life status 90 days after the TB decision, and how many times each patient was discussed at a meeting. We compared categorical variables using the chi square test, numerical variables were presented as means and standard deviation. Results: we studied 111 session cases, in 95 patients, 86 (90.5%) diagnosed with cancer. After 90 days of TB, 83 patients (87.37%) remained alive, 9 had (9.47%) died, and 3 (3.16%) were lost to follow-up. The TB decision was not observed in 12 (10.8%) cases and the reasons were: 25% (3) for loss of follow-up, 8.33% (1) for patient refusal, and 66.67% (8) due to clinical worsening. The cases of patients with metastases had a lower rate of TB conduct compliance (p=0.006). Conclusions: the TB conduct was performed in most cases and the most evident reason for non-compliance with the conducts is the patient’s clinical worsening. |
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Clinical outcomes of patients with pancreatic tumors discussed in Tumor BoardInterdisciplinary CommunicationDecision-makingPancreatic NeoplasmsABSTRACT Objective: the recommendations of the decisions made by the Tumor Board (TB) should be followed to identify barriers that may interfere with the execution of the previously decided, best care for the patient. The aim of this study is to assess whether the TB conduct decision was performed in patients with pancreatic tumors, their life status 90 days after the TB decision, and to analyze the reasons why the conduct was not performed. Methods: we conducted a retrospective study with patients with pancreas tumors, evaluated between 2017 and 2019. We collected data on epidemiological status, whether the TB procedure was performed, the reason for not performing it, life status 90 days after the TB decision, and how many times each patient was discussed at a meeting. We compared categorical variables using the chi square test, numerical variables were presented as means and standard deviation. Results: we studied 111 session cases, in 95 patients, 86 (90.5%) diagnosed with cancer. After 90 days of TB, 83 patients (87.37%) remained alive, 9 had (9.47%) died, and 3 (3.16%) were lost to follow-up. The TB decision was not observed in 12 (10.8%) cases and the reasons were: 25% (3) for loss of follow-up, 8.33% (1) for patient refusal, and 66.67% (8) due to clinical worsening. The cases of patients with metastases had a lower rate of TB conduct compliance (p=0.006). Conclusions: the TB conduct was performed in most cases and the most evident reason for non-compliance with the conducts is the patient’s clinical worsening.Colégio Brasileiro de Cirurgiões2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100210Revista do Colégio Brasileiro de Cirurgiões v.49 2022reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20223150eninfo:eu-repo/semantics/openAccessSILVA,JULIANA RIBEIRORIECHELMANN,RACHEL SIMÕES PIMENTAVIZZACCHI,BÁRBARA ALANAMOLINA,PATRICIAJESUS,VICTOR HUGO FONSECA DECOIMBRA,FELIPE JOSE FERNANDEZALVES,FULVIO APARECIDO SANTOSCAMARGO,THAMIRES DE BRITOVICENTE,GABRIELA AGUIARSANTOS,DENNYS RIBEIRO DOSANDRADE,VICTOR PIANA DECARVALHO,GENIVAL BARBOSA DEeng2022-05-09T00:00:00Zoai:scielo:S0100-69912022000100210Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2022-05-09T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Clinical outcomes of patients with pancreatic tumors discussed in Tumor Board |
title |
Clinical outcomes of patients with pancreatic tumors discussed in Tumor Board |
spellingShingle |
Clinical outcomes of patients with pancreatic tumors discussed in Tumor Board SILVA,JULIANA RIBEIRO Interdisciplinary Communication Decision-making Pancreatic Neoplasms |
title_short |
Clinical outcomes of patients with pancreatic tumors discussed in Tumor Board |
title_full |
Clinical outcomes of patients with pancreatic tumors discussed in Tumor Board |
title_fullStr |
Clinical outcomes of patients with pancreatic tumors discussed in Tumor Board |
title_full_unstemmed |
Clinical outcomes of patients with pancreatic tumors discussed in Tumor Board |
title_sort |
Clinical outcomes of patients with pancreatic tumors discussed in Tumor Board |
author |
SILVA,JULIANA RIBEIRO |
author_facet |
SILVA,JULIANA RIBEIRO RIECHELMANN,RACHEL SIMÕES PIMENTA VIZZACCHI,BÁRBARA ALANA MOLINA,PATRICIA JESUS,VICTOR HUGO FONSECA DE COIMBRA,FELIPE JOSE FERNANDEZ ALVES,FULVIO APARECIDO SANTOS CAMARGO,THAMIRES DE BRITO VICENTE,GABRIELA AGUIAR SANTOS,DENNYS RIBEIRO DOS ANDRADE,VICTOR PIANA DE CARVALHO,GENIVAL BARBOSA DE |
author_role |
author |
author2 |
RIECHELMANN,RACHEL SIMÕES PIMENTA VIZZACCHI,BÁRBARA ALANA MOLINA,PATRICIA JESUS,VICTOR HUGO FONSECA DE COIMBRA,FELIPE JOSE FERNANDEZ ALVES,FULVIO APARECIDO SANTOS CAMARGO,THAMIRES DE BRITO VICENTE,GABRIELA AGUIAR SANTOS,DENNYS RIBEIRO DOS ANDRADE,VICTOR PIANA DE CARVALHO,GENIVAL BARBOSA DE |
author2_role |
author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
SILVA,JULIANA RIBEIRO RIECHELMANN,RACHEL SIMÕES PIMENTA VIZZACCHI,BÁRBARA ALANA MOLINA,PATRICIA JESUS,VICTOR HUGO FONSECA DE COIMBRA,FELIPE JOSE FERNANDEZ ALVES,FULVIO APARECIDO SANTOS CAMARGO,THAMIRES DE BRITO VICENTE,GABRIELA AGUIAR SANTOS,DENNYS RIBEIRO DOS ANDRADE,VICTOR PIANA DE CARVALHO,GENIVAL BARBOSA DE |
dc.subject.por.fl_str_mv |
Interdisciplinary Communication Decision-making Pancreatic Neoplasms |
topic |
Interdisciplinary Communication Decision-making Pancreatic Neoplasms |
description |
ABSTRACT Objective: the recommendations of the decisions made by the Tumor Board (TB) should be followed to identify barriers that may interfere with the execution of the previously decided, best care for the patient. The aim of this study is to assess whether the TB conduct decision was performed in patients with pancreatic tumors, their life status 90 days after the TB decision, and to analyze the reasons why the conduct was not performed. Methods: we conducted a retrospective study with patients with pancreas tumors, evaluated between 2017 and 2019. We collected data on epidemiological status, whether the TB procedure was performed, the reason for not performing it, life status 90 days after the TB decision, and how many times each patient was discussed at a meeting. We compared categorical variables using the chi square test, numerical variables were presented as means and standard deviation. Results: we studied 111 session cases, in 95 patients, 86 (90.5%) diagnosed with cancer. After 90 days of TB, 83 patients (87.37%) remained alive, 9 had (9.47%) died, and 3 (3.16%) were lost to follow-up. The TB decision was not observed in 12 (10.8%) cases and the reasons were: 25% (3) for loss of follow-up, 8.33% (1) for patient refusal, and 66.67% (8) due to clinical worsening. The cases of patients with metastases had a lower rate of TB conduct compliance (p=0.006). Conclusions: the TB conduct was performed in most cases and the most evident reason for non-compliance with the conducts is the patient’s clinical worsening. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100210 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100210 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-6991e-20223150en |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.49 2022 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
institution |
CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
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1754209215421874176 |