Purpose: This study evaluated the impact of a departmental registry follow-up form on the retrieval rate of retrievable inferior vena cava (IVC) filters. Materials and Methods: We performed a case–controlled retrospective study of all patients who had received such filters 2 years before and after the follow-up registry was implemented at the study center in June 2015. Patients were analyzed based on age, gender, indication, type of filter, date and location of filter insertion, date of retrieval, dwelling time, and previous attempts at retrieval. The two groups were compared in terms of filter type, rate of retrieval, and dwelling time, before and after the registry was implemented. Results: Between June 2013 and May 2017, 307 filters were inserted in 183 males and 124 females. Of these filters, 296 (96.42%) were placed below the renal veins and 11 (3.58%) were placed suprarenally. A total of 148 (48.21%) filters were inserted before implementing the follow-up form and 159 (51.79%) were inserted afterward. The retrieval rate was 35.81% before implementation of the registry form and 38.36% afterward. The mean dwelling time of retrieved filters prior to implementation was 32 days and 48 days during the 2 years after implementation, respectively. Filter retrieval was successful in 110 patients from the first attempt (96.49%) and four patients required more than one attempt (3.51%). Conclusion: The departmental vena cava filters' registry resulted in minimal improvement of retrievability rates. Younger age was associated with increased likelihood of retrieval. These data suggest that additional measures are required to further enhance retrieval rates.
Objectives: To evaluate the impact of coordination of care of lung cancer in a tertiary care center.Methods: A retrospective study was carried out on all patients diagnosed with lung cancer between 2016-2017 at King Abdulaziz Medical City, Riyadh, Saudi Arabia. Data were collected from medical records, which included demographic data, the interval between cancer suspicion and definitive therapy, multidisciplinary tumor board (MTB) data, and palliative care.Results: A total of 60 (41 males and 19 females) cases of lung cancer were analyzed. The majority of patients had adenocarcinoma (63.3%) and stage IV (70%) lung cancer. A total of 32 (76.2%) of stage IV patients were referred to palliative care. Only 40 (66.7%) of the patients were presented in the MTB, of whom new findings were found in 15 (37.5%) patients including pathology findings in 3 (7.5%), radiology findings in 7 (17.5%), and staging data in 5 (12.5%). Multidisciplinary tumor board discussion had impacted the management in 14 (35%) of patients presented.
Conclusion:Discussion of lung cancer cases in MTB had a positive influence on the coordination of patients' care.
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