Development and characteristics of a multidisciplinary colorectal cancer clinic - 12/04/21
Abstract |
Background |
Multidisciplinary cancer clinics deliver streamlined care and facilitate collaboration between specialties. We described patient volume and specialty service utilization, including surgery, of a multidisciplinary colorectal cancer clinic established at a tertiary care academic institution.
Methods |
We conducted a retrospective observational cohort study of adult patients with colorectal adenocarcinoma from 2012 to 2017. We performed a descriptive analysis of patient volume, percentage of rectal cancer patients, and the number of patients who saw and received surgery, chemotherapy, and radiation each year.
Results |
Over 5 years, 1711 patients were served at the multidisciplinary clinic. Patient volume increased 37%, from n = 228 (annualized) to n = 312. The percentage of rectal cancer patients increased from 29% in 2013 to 42% in 2017. The highest rate of utilization was for surgery; 792 (46%) patients had surgery at the multidisciplinary clinic institution, and 510 (30%) received chemotherapy there. Out of 635 rectal cancer patients, 114 (18%) received radiation there.
Conclusions |
Over the five-year experience of a colorectal cancer-focused multidisciplinary clinic, overall patient volume increased by 37%. Over the study period, 63% of patients seen at the multidisciplinary clinic ultimately received at least one treatment modality at the clinic institution. Overall, the clinic’s establishment resulted in the increased referral of complex patients.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Establishing a multidisciplinary cancer clinic requires shared resources, oversight, and buy-in from the beginning from multiple specialties and professions. |
• | Complex patient volume may increase over time after establishment of a multidisciplinary clinic for colorectal cancer. |
• | Many patients seen at a multidisciplinary colorectal cancer clinic may undergo surgery at the clinic institution, representing a return on investment for surgeons. |
Keywords : Multidisciplinary clinic, Colorectal cancer, Tumor board
Plan
Vol 221 - N° 4
P. 826-831 - avril 2021 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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