Multidisciplinarietà nella gestione dei pazienti oncologici. Impatto dei Tumor Board sugli outcome clinico-assistenziali [Poster]

Translated title of the contribution: [Autom. eng. transl.] Multidisciplinarity in the management of cancer patients. Impact of Tumor Boards on Clinical Care Outcomes [Poster]

Maria Lucia Specchia, Gualtiero Ricciardi, Gianfranco Damiani, Emanuela Maria Frisicale, Pasquale Cacciatore, Elettra Carini, Angelo Maria Pezzullo, M Scattaglia

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

[Autom. eng. transl.] INTRODUCTION The Multidisciplinary Tumor Board (MTB) are teams in which different specialists work together sharing strictly clinical decisions. They are generally composed of a group of medical oncologists, radiologists, pathologists and surgeons, to which other professionals can from time to time join, depending on the type of tumor pathology discussed. The objective of the study was to investigate the impact of MTB on the management of cancer patients. MATERIALS AND METHODS A systematic literature review was conducted through Pubmed and Scopus. The study was limited to the time interval 01/01 / 2004-30 / 04/2017 and to the following inclusion criteria: description of MTB application experiences and their clinical / organizational impact. The data were extracted and summarized on: first author, year of publication, objective, study design, population, country, setting, MTB structure, key results and effect (positive or negative) on the reported outcome. A meta-analysis was performed using Revman and the heterogeneity was quantified through the Cochran Q and I2 tests. RESULTS Fifty-three out of 2041 potentially relevant articles were included in the review. The studies focused on 11 tumors: esophagus (5 studies), stomach (4), pancreas (3), liver (2), colon-rectum (16), breast (2), brain (2), lung (8) , head-neck (10), prostate (2), urinary tract (3). Regarding the impact of MTB, 33 studies reported changes in survival time, 7 of the diagnosis, 17 of therapy. A positive impact was reported in 58 cases (85%). The impact was positive in 27 cases (82%), 7 (100%) and 15 (88%) respectively with regard to survival time, diagnosis and therapy. The meta-analysis of the 3-year mortality studies for colorectal cancer is expressed in an OR = 0.61 (95% CI = 0.50-0.74; p = 0.54; I2 = 0%). CONCLUSIONS MTBs are groups of different specialists and healthcare professionals who share evidence-based clinical decisions and coordinate care for cancer patients. The study showed a positive impact of MTB on clinical management and on the outcomes of these patients. In particular, an improvement in diagnostic / therapeutic appropriateness and survival time was highlighted. Further studies may contribute to the production of useful evidence regarding the implementation of the multidisciplinary clinical approach and its assistance effects.
Translated title of the contribution[Autom. eng. transl.] Multidisciplinarity in the management of cancer patients. Impact of Tumor Boards on Clinical Care Outcomes [Poster]
Original languageItalian
Title of host publicationAtti del 51° Congresso Nazionale della Società Italiana di Igiene, Medicina Preventiva e Sanità Pubblica (SItI) “I primi 40 anni del Servizio Sanitario Nazionale: il contributo dell’igiene alla salute e all’equità”
Pages509
Number of pages1
Publication statusPublished - 2018
Event51° Congresso Nazionale della Società Italiana di Igiene, Medicina Preventiva e Sanità Pubblica (SItI) “I primi 40 anni del Servizio Sanitario Nazionale: il contributo dell’igiene alla salute e all’equità” - Riva del Garda Centro Congressi
Duration: 17 Oct 201820 Oct 2018

Conference

Conference51° Congresso Nazionale della Società Italiana di Igiene, Medicina Preventiva e Sanità Pubblica (SItI) “I primi 40 anni del Servizio Sanitario Nazionale: il contributo dell’igiene alla salute e all’equità”
CityRiva del Garda Centro Congressi
Period17/10/1820/10/18

Keywords

  • Multidisciplinarietà
  • Outcome Clinico-assistenziali
  • Tumor Board

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