دورية أكاديمية
A virtual multi-disciplinary meeting is a cost-effective method of triaging referrals to a regional musculoskeletal oncology service.
| العنوان: | A virtual multi-disciplinary meeting is a cost-effective method of triaging referrals to a regional musculoskeletal oncology service. |
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| المؤلفون: | Alanie OM; Specialist Registrar, Department of Musculoskeletal Oncology Surgery, Glasgow Royal Infirmary, UK., Mahendra A; Consultant Orthopaedic Surgeon, Department of Musculoskeletal Oncology Surgery, Glasgow Royal Infirmary, UK., Mackinnon M; Sarcoma Nurse Specialist, Department of Musculoskeletal OncologySurgery, Glasgow Royal Infirmary, UK, McCleery M; Consultant Musculoskeletal Radiologist, Department of MusculoskeletalRadiology, Glasgow Royal Infirmary, UK, Nicholas C; Consultant Musculoskeletal Radiologist, Department of MusculoskeletalRadiology, Glasgow Royal Infirmary, UK, Gupta S; Consultant Orthopaedic Surgeon, Department of Musculoskeletal Oncology Surgery, Glasgow Royal Infirmary, UK. |
| المصدر: | Scottish medical journal [Scott Med J] 2021 Aug; Vol. 66 (3), pp. 142-147. Date of Electronic Publication: 2021 May 09. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Country of Publication: Scotland NLM ID: 2983335R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0036-9330 (Print) Linking ISSN: 00369330 NLM ISO Abbreviation: Scott Med J Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Feb. 2013- : London : Sage Original Publication: Edinburgh : Longman Group |
| مواضيع طبية MeSH: | Oncology Service, Hospital*/economics , Oncology Service, Hospital*/organization & administration , Patient Care Team*/economics , Patient Care Team*/organization & administration , Referral and Consultation*/economics , Referral and Consultation*/organization & administration, Sarcoma/*therapy , Triage/*methods, Adult ; COVID-19/epidemiology ; Cost-Benefit Analysis ; Feasibility Studies ; Female ; Health Care Costs ; Humans ; Male ; Sarcoma/diagnosis ; Sarcoma/economics ; Scotland/epidemiology ; Tertiary Care Centers/economics ; Tertiary Care Centers/organization & administration ; Triage/economics ; Videoconferencing |
| مستخلص: | Background and Aims: In 2010, a virtual sarcoma referral model was implemented, which aims to provide a centralised multidisciplinary team (MDT) to provide rapid advice, avoiding unnecessary appointments and providing a streamlined service. The aim of this study is to examine the feasibility of this screening tool in reducing the service burden and expediting patient journey. Methods and Results: All referrals made to a single tertiary referral sarcoma unit from January 2010 to December 2018 were extracted from a prospective database. Only 26.0% events discussed required review directly. 30.3% were discharged back to referrer. 16.5% required further investigations. 22.5% required a biopsy prior to review. There was a reduction in the rate of patients reviewed at the sarcoma clinic, and a higher discharge rate from the MDT in 2018 versus 2010 (p < 0.001). This gives a potential cost saving of 670,700 GBP over the 9 year period. Conclusion: An MDT meeting which triages referrals is cost-effective at reducing unnecessary referrals. This can limit unnecessary exposure of patients who may have an underlying diagnosis of cancer to a high-risk environment, and reduces burden on services as it copes with increasing demands during the COVID-19 pandemic. |
| فهرسة مساهمة: | Keywords: Sarcoma; cost-effective; orthopaedic oncology; virtual referral |
| تواريخ الأحداث: | Date Created: 20210510 Date Completed: 20210809 Latest Revision: 20210824 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1177/00369330211008598 |
| PMID: | 33966512 |
| قاعدة البيانات: | MEDLINE |
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