The Impact of Multidisciplinary Team Conferences in Urologic Cancer in a Tertiary Hospital
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/3784 |
Resumo: | Purpose: Multidisciplinary team (MDT) conferences are currently the standard of care in cancer patients' management. Despite evidence supporting benefits to the majority of malignancies, a paucity of data exists examining the impact in urinary and male genital cancers. This study aims to evaluate the impact of MDT conferences in urologic cancer practice. Methods: Clinical plans discussed in urologic MDT conferences in Centro Hospitalar Universitário de Lisboa Central between January 2019 and December 2019 were retrospectively analysed. Clinical plans were categorized as accepted, changed, rejected (cases that had to be re-presented to the MDT because of insufficient staging or administrative issues) or no plan. MDT conferences' impact was assessed according to type of consultation, referral medical specialty and primary tumour type. Results: 710 clinical plans were discussed at the MDT conferences. 61.8% were accepted, 10.6% were changed, 16.5% were rejected and 11.1% of cases referred to MDT discussion had no defined clinical plan. First consultations had a higher rate of accepted clinical plans (63.4%) versus subsequent consultations (56.4%). Referrals by the urology specialty had the highest rate of acceptances (64.3%). On the stratification by primary tumour site, testicular cancer had the highest acceptance rate (70.3%), whereas bladder cancer had the lowest (47.8%). Conclusions: MDT conferences had an important impact in the management of 38.2% of cases. Therefore, all patients with urologic malignancies should be referred to MDT review to ensure optimal clinical care. |
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The Impact of Multidisciplinary Team Conferences in Urologic Cancer in a Tertiary HospitalAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesTertiary Care CentersUrologic NeoplasmsCongresses as TopicPatient Care TeamPractice Patterns, Physicians'UrologyCHLC UROPurpose: Multidisciplinary team (MDT) conferences are currently the standard of care in cancer patients' management. Despite evidence supporting benefits to the majority of malignancies, a paucity of data exists examining the impact in urinary and male genital cancers. This study aims to evaluate the impact of MDT conferences in urologic cancer practice. Methods: Clinical plans discussed in urologic MDT conferences in Centro Hospitalar Universitário de Lisboa Central between January 2019 and December 2019 were retrospectively analysed. Clinical plans were categorized as accepted, changed, rejected (cases that had to be re-presented to the MDT because of insufficient staging or administrative issues) or no plan. MDT conferences' impact was assessed according to type of consultation, referral medical specialty and primary tumour type. Results: 710 clinical plans were discussed at the MDT conferences. 61.8% were accepted, 10.6% were changed, 16.5% were rejected and 11.1% of cases referred to MDT discussion had no defined clinical plan. First consultations had a higher rate of accepted clinical plans (63.4%) versus subsequent consultations (56.4%). Referrals by the urology specialty had the highest rate of acceptances (64.3%). On the stratification by primary tumour site, testicular cancer had the highest acceptance rate (70.3%), whereas bladder cancer had the lowest (47.8%). Conclusions: MDT conferences had an important impact in the management of 38.2% of cases. Therefore, all patients with urologic malignancies should be referred to MDT review to ensure optimal clinical care.SpringerRepositório do Centro Hospitalar Universitário de Lisboa Central, EPEGil, MGuerra, JAndrade, VMedeiros, MGuimarães, TBernardino, RFalcão, GCalais da Silva, FCampos Pinheiro, L2021-08-02T13:38:34Z2021-012021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/3784engInt Urol Nephrol. 2021 Jan;53(1):41-47.10.1007/s11255-020-02608-6info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:44:17Zoai:repositorio.chlc.min-saude.pt:10400.17/3784Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:21:06.315769Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
The Impact of Multidisciplinary Team Conferences in Urologic Cancer in a Tertiary Hospital |
title |
The Impact of Multidisciplinary Team Conferences in Urologic Cancer in a Tertiary Hospital |
spellingShingle |
The Impact of Multidisciplinary Team Conferences in Urologic Cancer in a Tertiary Hospital Gil, M Aged Aged, 80 and over Female Humans Male Middle Aged Retrospective Studies Tertiary Care Centers Urologic Neoplasms Congresses as Topic Patient Care Team Practice Patterns, Physicians' Urology CHLC URO |
title_short |
The Impact of Multidisciplinary Team Conferences in Urologic Cancer in a Tertiary Hospital |
title_full |
The Impact of Multidisciplinary Team Conferences in Urologic Cancer in a Tertiary Hospital |
title_fullStr |
The Impact of Multidisciplinary Team Conferences in Urologic Cancer in a Tertiary Hospital |
title_full_unstemmed |
The Impact of Multidisciplinary Team Conferences in Urologic Cancer in a Tertiary Hospital |
title_sort |
The Impact of Multidisciplinary Team Conferences in Urologic Cancer in a Tertiary Hospital |
author |
Gil, M |
author_facet |
Gil, M Guerra, J Andrade, V Medeiros, M Guimarães, T Bernardino, R Falcão, G Calais da Silva, F Campos Pinheiro, L |
author_role |
author |
author2 |
Guerra, J Andrade, V Medeiros, M Guimarães, T Bernardino, R Falcão, G Calais da Silva, F Campos Pinheiro, L |
author2_role |
author author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Gil, M Guerra, J Andrade, V Medeiros, M Guimarães, T Bernardino, R Falcão, G Calais da Silva, F Campos Pinheiro, L |
dc.subject.por.fl_str_mv |
Aged Aged, 80 and over Female Humans Male Middle Aged Retrospective Studies Tertiary Care Centers Urologic Neoplasms Congresses as Topic Patient Care Team Practice Patterns, Physicians' Urology CHLC URO |
topic |
Aged Aged, 80 and over Female Humans Male Middle Aged Retrospective Studies Tertiary Care Centers Urologic Neoplasms Congresses as Topic Patient Care Team Practice Patterns, Physicians' Urology CHLC URO |
description |
Purpose: Multidisciplinary team (MDT) conferences are currently the standard of care in cancer patients' management. Despite evidence supporting benefits to the majority of malignancies, a paucity of data exists examining the impact in urinary and male genital cancers. This study aims to evaluate the impact of MDT conferences in urologic cancer practice. Methods: Clinical plans discussed in urologic MDT conferences in Centro Hospitalar Universitário de Lisboa Central between January 2019 and December 2019 were retrospectively analysed. Clinical plans were categorized as accepted, changed, rejected (cases that had to be re-presented to the MDT because of insufficient staging or administrative issues) or no plan. MDT conferences' impact was assessed according to type of consultation, referral medical specialty and primary tumour type. Results: 710 clinical plans were discussed at the MDT conferences. 61.8% were accepted, 10.6% were changed, 16.5% were rejected and 11.1% of cases referred to MDT discussion had no defined clinical plan. First consultations had a higher rate of accepted clinical plans (63.4%) versus subsequent consultations (56.4%). Referrals by the urology specialty had the highest rate of acceptances (64.3%). On the stratification by primary tumour site, testicular cancer had the highest acceptance rate (70.3%), whereas bladder cancer had the lowest (47.8%). Conclusions: MDT conferences had an important impact in the management of 38.2% of cases. Therefore, all patients with urologic malignancies should be referred to MDT review to ensure optimal clinical care. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-08-02T13:38:34Z 2021-01 2021-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.17/3784 |
url |
http://hdl.handle.net/10400.17/3784 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Int Urol Nephrol. 2021 Jan;53(1):41-47. 10.1007/s11255-020-02608-6 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Springer |
publisher.none.fl_str_mv |
Springer |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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