Integrating a Disease-Focused Tumor Board as a Delivery-of-Care Model to Expedite Treatment Initiation for Patients With Liver Malignancies

Ehab, Jasmina; Powers, Benjamin D.; Kim, Richard; Haider, Mintallah; Utuama, Ovie; Chin, Alicia; Denbo, Jason W.; Kis, Béla; Frakes, Jessica M.; Jeong, Daniel; Lauwers, Gregory Y.; Vadaparampil, Susan T.; Fleming, Jason B.; Anaya, Daniel A.

doi:10.1245/s10434-021-10909-y

Cited by 5 publications

(4 citation statements)

References 27 publications

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“…This novel program provides streamlined predefined steps to coordinate care, from clinic visits to obtaining imaging and laboratory tests and finally to treatment initiation. 20 …”

Section: Discussionmentioning

confidence: 99%

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Regionalization of Head and Neck Oncology Tumor Boards: Perspectives of Collaborating Physicians

et al. 2023

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Objectives To survey academic and community physician preferences regarding the virtual multidisciplinary tumor board (MTB) for further improvement and expansion. Study Design This anonymous 14‐question survey was sent to individuals that participated in the head and neck virtual MTBs. The survey was sent via email beginning August 3, 2021, through October 5, 2021. Setting The University of Maryland Medical Center and regional practices in the state of Maryland. Methods Survey responses were recorded and presented as percentages. Subset analysis was performed to obtain frequency distributions by facility and provider type. Results There were 50 survey responses obtained with a response rate of 56%. Survey participants included 11 surgeons (22%), 19 radiation oncologists (38%), and 8 medical oncologists (16%), amongst others. More than 96% of participants found the virtual MTB to be useful when discussing complex cases and impactful to future patient care. A majority of respondents perceived a reduction in time to adjuvant care (64%). Community and academic physician responses strongly agreed that the virtual MTB improved communication (82% vs 73%), provided patient‐specific information for cancer care (82% vs 73%), and improved access to other specialties (66% vs 64%). Academic physicians, more so than community physicians, strongly agreed that the virtual MTB improves access to clinical trial enrollment (64% vs 29%) and can be useful in obtaining CME (64% vs 55%). Conclusion Academic and community physicians view the virtual MTB favorably. This platform can be adapted regionally and further expanded to improve communication between physicians and improve multidisciplinary care for patients.

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“…This novel program provides streamlined predefined steps to coordinate care, from clinic visits to obtaining imaging and laboratory tests and finally to treatment initiation. 20 …”

Section: Discussionmentioning

confidence: 99%

“…While head and neck cancer tumor boards are traditionally hosted at a single institution, inter‐institutional programs improve access to medical specialties. This novel program provides streamlined predefined steps to coordinate care, from clinic visits to obtaining imaging and laboratory tests and finally to treatment initiation 20 …”

Section: Discussionmentioning

confidence: 99%

Regionalization of Head and Neck Oncology Tumor Boards: Perspectives of Collaborating Physicians

et al. 2023

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“…The VOCAL study group reported that sub-specialist care within 30 days of HCC diagnosis, in conjunction with review by a multidisciplinary tumor board, were associated with reduced mortality (HR, 0.83; 95% CI, 0.77–0.90) [ 16 ]. Our own center's experience demonstrated the median time to treatment initiation was lower for patients reviewed at a tumor board compared to patients treated prior to the tumor board implementation (17 vs 24 days; P < 0.01) [ 17 ]. This study illustrates that patients are aware of the benefit of multidisciplinary care and its implementation in the form of a multidisciplinary tumor board.…”

Section: Discussionmentioning

confidence: 99%

Patient's informational needs and outreach preferences: A cross-sectional survey study in patients with hepatobiliary malignancies

Stokes,

Haider,

Vadaparampil

et al. 2024

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“…In a pre-and post-intervention analysis, this was shown to be associated with significantly reduced time to initiation of therapy. 5 This practice model has since been adopted by other divisions within our cancer center.…”

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confidence: 99%

Removing Barriers to Access Starts with a Phone Call: Impact of Pre-Visit Coordination of Care in Efficiency of Therapy and Patient and Provider Satisfaction

2021

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It is well known to surgeons, physicians, and in general to oncologic providers, that one of the most important moments for patients is the first clinic appointment for consultation following a new cancer diagnosis. The lack of centralized health care records and the challenges in communication between health care providers makes this visit ripe for several potential issues. Additionally, the agenda for the first clinic appointment is often wide ranging-from discussing the implications of a new diagnosis and addressing the patient's anxiety and fears, to reviewing the results of diagnostic tests and determining which studies are still needed, and finally to outlining potential treatment plans and their implications to the patient and their family. Addressing all of these issues in one sitting is frequently challenging. This is especially the case in specialty cancer centers and tertiary and quaternary referral centers where cases are often complex in nature. Independent of this, complete staging is a requisite before treatment planning can begin and patients rarely arrive at their first appointment with a complete workup as indicated per national guidelines. As a result of this, there is inefficient use of the initial clinic appointment; we often find ourselves describing potential steps that might be taken depending on the results of future workup, rather than outlining the actual plan of care based on results of workup. In an ideal world, this workup would be undertaken in parallel and completed while scheduling the first Ó Society of Surgical Oncology 2021 First

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Integrating a Disease-Focused Tumor Board as a Delivery-of-Care Model to Expedite Treatment Initiation for Patients With Liver Malignancies

Cited by 5 publications

References 27 publications

Regionalization of Head and Neck Oncology Tumor Boards: Perspectives of Collaborating Physicians

Regionalization of Head and Neck Oncology Tumor Boards: Perspectives of Collaborating Physicians

Patient's informational needs and outreach preferences: A cross-sectional survey study in patients with hepatobiliary malignancies

Removing Barriers to Access Starts with a Phone Call: Impact of Pre-Visit Coordination of Care in Efficiency of Therapy and Patient and Provider Satisfaction

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