Health Resource and Cost Savings Achieved in a Multidisciplinary Lung Cancer Clinic

Stone, Christopher; Johnson, Ana; Robinson, Danielle; Katyukha, Andriy; Egan, Rylan; Linton, Sophia; Parker, Christopher M.; Robinson, Andrew; Digby, Geneviève C.

doi:10.3390/curroncol28030157

Cited by 15 publications

(6 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Multidisciplinary programs were shown to be cost effective within an oncological context. The implementation of such boards for breast cancer in Mozambique and for lung cancer at the Kingston Health Sciences Center improved both outcomes and reduced costs ( 34 , 35 ). Such reduction is attributed to decreased patients’ visits, better planning and administration of treatment, improved clinical course, and more efficient resource utilization.…”

Section: Discussionmentioning

confidence: 99%

Libyan cancer patients at King Hussein Cancer Center for more than a decade, the current situation, and a future vision

et al. 2023

View full text Add to dashboard Cite

BackgroundSince 2011, the Libyan civil war crisis had affected all dimensions of livelihood including cancer care. This has resulted in a steady incline in the number of Libyan patients with cancer seeking oncologic care and management in Tunisia, Egypt and Jordan, among others. King Hussein Cancer Center (KHCC) has been one of the main destinations for Libyan patients with cancer for more than a decade.AimWe are reporting on the characteristics of Libyan patients with cancer presenting to KHCC during the past fourteen years.MethodsWe performed a retrospective chart review of all Libyan patients with cancer presenting to KHCC between 2006 and 2019.ResultsA total of 3170 records were included in the final analysis. The overall sample was predominantly adults (71%) with a male-to-female ratio of 1:1.2. Overall, the most common referred cancers to KHCC were breast (21%), hematolymphoid (HL) (17%), and gastrointestinal tract (GIT) (16.2%) cancers. Breast cancer was the most common among adult females (41.7%), GIT among adult males (23.6%), and HL among pediatrics (38.5%). Around 37.8% of patients presented with distant metastasis at their first encounter at KHCC, among which 14.7% were candidates for palliative care.ConclusionThe sustenance of treatment for Libyan patients with cancer requires extensive collaboration between governmental and private sectors. The Libyan oncological landscape could benefit from national screening and awareness programs, twining programs and telemedicine, introduction of multidisciplinary boards, and the formulation of a national cancer registry. Adopting the successful models at KHCC can help to augment the oncology services within the Libyan healthcare sector.

show abstract

Section: Discussionmentioning

confidence: 99%

Libyan cancer patients at King Hussein Cancer Center for more than a decade, the current situation, and a future vision

et al. 2023

View full text Add to dashboard Cite

show abstract

“…In 2016 when the SE-LHIN was identified as having the lowest 5-year LC survival in the province of Ontario, the SE-LDAP implemented several quality improvement efforts to provide more efficient, timely, and cost-effective care with a goal of improving patient care and outcomes [9,[15][16][17]. In this study, we evaluate the association of LDAP management with LC outcomes, including survival in the SE region.…”

Section: Introductionmentioning

confidence: 99%

Characterizing Variability in Lung Cancer Outcomes and Influence of a Lung Diagnostic Assessment Program in Southeastern Ontario, Canada

et al. 2023

Self Cite

View full text Add to dashboard Cite

Introduction: Regional variability in lung cancer (LC) outcomes exists across Canada, including in the province of Ontario. The Lung Diagnostic Assessment Program (LDAP) in southeastern (SE) Ontario is a rapid-assessment clinic that expedites the management of patients with suspected LC. We evaluated the association of LDAP management with LC outcomes, including survival, and characterized the variability in LC outcomes across SE Ontario. Methods: We conducted a population-based retrospective cohort study by identifying patients with newly diagnosed LC through the Ontario Cancer Registry (January 2017–December 2019) and linked to the LDAP database to identify LDAP-managed patients. Descriptive data were collected. Using a Cox model approach, we compared 2-year survival for patients managed through LDAP vs. non-LDAP. Results: We identified 1832 patients, 1742 of whom met the inclusion criteria (47% LDAP-managed and 53% non-LDAP). LDAP management was associated with a lower probability of dying at 2 years (HR 0.76 vs. non-LDAP, p < 0.0001). Increasing distance from the LDAP was associated with a lower likelihood of LDAP management (OR 0.78 for every 20 km increase, p < 0.0001). LDAP-managed patients were more likely to receive specialist assessment and undergo treatments. Conclusions: In SE Ontario, initial diagnostic care provided via LDAP was independently associated with improved survival in patients with LC.

show abstract

“…Multidisciplinary clinics (MDC) have been developed in various specialties. 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 These clinics provide collaborative care from multiple medical specialties and health professionals for patients with complex diseases. Care for these patients has classically been provided in silos.…”

mentioning

confidence: 99%

“… 17 , 18 , 19 , 20 , 21 , 22 , 23 These MDCs have improved diagnostic accuracies and patient satisfaction while reducing costs, treatment delays, and the number of appointments patients attend. 15 , 17 , 18 , 23 …”

mentioning

confidence: 99%

See 1 more Smart Citation

Carbon Footprint Reduction Associated With Multidisciplinary Pediatric Airway Clinics: A Program Evaluation Study

Zgardau,

Hathi,

Fowler

et al. 2024

OTO Open

View full text Add to dashboard Cite

ObjectiveHealth care is a significant contributor to the climate crisis. Multidisciplinary clinics (MDC) may reduce carbon emissions by combining multiple appointments into one. This is the first program evaluation study to quantify the carbon footprint associated with multidisciplinary pediatric airway clinics.Study DesignRetrospective.SettingChildren's Hospital at London Health Sciences Center, London, Canada.MethodsPediatric airway MDC allows patients to see otolaryngology and respirology in one appointment. The carbon and financial savings (Canadian Dollars) of all patients attending the MDC from January 1, 2018 to December 31, 2022 were calculated. Patient postal codes and institutional parking rates were inputted into the CASCADES carbon accounting tool. Total distance was divided into unsustainable (vehicles) and sustainable (transit, walking, cycling) transportation to calculate carbon emissions. Travel costs included cost/kilometer for vehicles (maintenance, license/registration, insurance, fuel) and costs/ride for transit.ResultsA total of 560 MDC appointments for 300 patients saved 77,785 km. Total carbon emissions saved from travel averted was 16.21 tonnes. The total carbon emissions saved, minus public transit, was 15.60 tonnes. Using the Natural Resources Canada Greenhouse Gas Equivalencies Calculator, 16.21 tonnes are approximately equivalent to 5 passenger vehicles, 6906 L of gasoline, 3.8 homes' energy, and 10.8 homes' electricity use for one year, 36.6 barrels of oil consumed, and 675 propane cylinders. Travel costs of $28,891.83 (no parking), $30,519.40 ($4 minimum parking fee), or $33,774.55 ($12 maximum parking fee) were saved.ConclusionMDC effectively reduced carbon emissions and offered patients financial savings. Similar models can be adapted across institutions to help mitigate climate change.

show abstract

Health Resource and Cost Savings Achieved in a Multidisciplinary Lung Cancer Clinic

Cited by 15 publications

References 51 publications

Libyan cancer patients at King Hussein Cancer Center for more than a decade, the current situation, and a future vision

Libyan cancer patients at King Hussein Cancer Center for more than a decade, the current situation, and a future vision

Characterizing Variability in Lung Cancer Outcomes and Influence of a Lung Diagnostic Assessment Program in Southeastern Ontario, Canada

Carbon Footprint Reduction Associated With Multidisciplinary Pediatric Airway Clinics: A Program Evaluation Study

Contact Info

Product

Resources

About