A model of interdisciplinary care

Vinciullo, Carl

doi:10.1111/bjd.17736

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…Initiating iMMS discussions preoperatively also allows collaborators to plan for their involvement and offer input into the treatment approach. 4,7,18 This study has limitations. First, data were collected retrospectively at a single tertiary academic institution with a large volume of highly complex cases and frequent multidisciplinary collaboration, and these results may not translate to centers with less frequent interdisciplinary collaborations.…”

Section: Discussionmentioning

confidence: 96%

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Anticipated Versus Unanticipated Incomplete Mohs Micrographic Surgery for Keratinocyte Carcinomas: Impact on Treatment Delays and Final Margin Status

Lin,

Deitermann,

Lubeck

et al. 2023

Dermatol Surg

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BACKGROUND Mohs micrographic surgery may be discontinued with positive margins as an anticipated strategy for multidisciplinary care or as an unanticipated occurrence. Management of primary tumors has not been compared after anticipated versus unanticipated incomplete Mohs micrographic surgery (iMMS). OBJECTIVE To compare rates and timing of adjuvant surgery after iMMS and final margin status when iMMS is anticipated versus unanticipated. Secondary outcomes were preoperative and intraoperative clinicopathologic factors associated with iMMS. METHODS Cases of iMMS of keratinocyte carcinomas at a tertiary academic center between 2005 and 2022 were classified as anticipated (preoperative assembly of multidisciplinary teams) or unanticipated (ad hoc management of positive margins). Rate, timing, and final margin status of adjuvant surgery was compared between anticipated and unanticipated iMMS cohorts using χ2/Fisher exact test for categorical variables and t-test for continuous variables. RESULTS Of 127 iMMS cases, 51.2% (65/127) were anticipated. Anticipated iMMS cases were more likely to undergo additional resection (98.5% vs 72.6%, p < .001), with fewer delays (3.9 vs 13.2 days, p < .001) and higher rates of final margin clearance (84.6% vs 59.7%, p < .001). CONCLUSION When iMMS is anticipated as part of multidisciplinary care, patients are more likely to undergo additional resection, with fewer delays to next surgery and higher final margin clearance rates.

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Section: Discussionmentioning

confidence: 96%

“…Initiating iMMS discussions preoperatively also allows collaborators to plan for their involvement and offer input into the treatment approach. 4,7,18…”

Section: Discussionmentioning

confidence: 99%

Anticipated Versus Unanticipated Incomplete Mohs Micrographic Surgery for Keratinocyte Carcinomas: Impact on Treatment Delays and Final Margin Status

Lin,

Deitermann,

Lubeck

et al. 2023

Dermatol Surg

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Multidisciplinary Tumor Boards in Dermatologic Surgery

Chen

Cintolo-Gonzalez

Cook

et al. 2019

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BACKGROUND Recent advances in diagnostic and therapeutic modalities have made oncologic care ever more challenging, and multidisciplinary tumor boards (MTBs) are increasingly being used as a forum to discuss and coordinate care for complex oncology patients. Literature on the use of MTBs specific to cutaneous oncology and dermatologic surgery remains limited. OBJECTIVE To share our experiences with cutaneous oncology MTBs at the University of Vermont Medical Center (UVMMC). METHODS We describe the formation, timing, participation, clinical discussion, case follow-up, and coordination of care of our MTBs. RESULTS A log of all cases discussed at cutaneous oncology MTBs from August 2018 to August 2019 is presented as an example. Five specific cases are described in further detail to demonstrate critical components of multidisciplinary care. CONCLUSION The MTBs at UVMMC has created a collaborative environment for providers in multiple specialties to jointly formulate and coordinate optimal treatment plans for difficult cases, particularly when treatment guidelines do not exist or are insufficient. Furthermore, MTBs can serve as an educational forum for all participants.

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Mohs micrographic surgery and multidisciplinary management

Vinciullo

2019

Aust J Dermatology

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A model of interdisciplinary care

Abstract: Linked Article: Weesie et al. Br J Dermatol 2019; 180:1176–1182.

Cited by 3 publications

References 10 publications

Anticipated Versus Unanticipated Incomplete Mohs Micrographic Surgery for Keratinocyte Carcinomas: Impact on Treatment Delays and Final Margin Status

Anticipated Versus Unanticipated Incomplete Mohs Micrographic Surgery for Keratinocyte Carcinomas: Impact on Treatment Delays and Final Margin Status

Multidisciplinary Tumor Boards in Dermatologic Surgery

Mohs micrographic surgery and multidisciplinary management

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