IMPACT the Brain: A Team-Based Approach to Management of Metastatic Breast Cancer With CNS Metastases
| العنوان: | IMPACT the Brain: A Team-Based Approach to Management of Metastatic Breast Cancer With CNS Metastases |
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| المؤلفون: | Nicole M. Grogan Fleege, Donna Pierce-Gjeldum, Leigh K. Swartz, Kait Verbal, Sofia Merajver, Christopher R. Friese, Ayano Kiyota, Jason Heth, Denise Leung, Sean R. Smith, Nicolette Gabel, Michelle M. Kim, Aki Morikawa |
| المصدر: | JCO Oncology Practice. 19:e67-e77 |
| بيانات النشر: | American Society of Clinical Oncology (ASCO), 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Oncology, Oncology (nursing), Health Policy |
| الوصف: | PURPOSE: CNS metastases are associated with decreased survival and quality of life for patients with metastatic breast cancer (MBC). Team-based care can optimize outcomes. IMPACT the Brain is a care coordination program that aims to improve access to team-based care for patients with MBC and CNS metastases. MATERIALS AND METHODS: Patients with MBC and CNS metastases were eligible for enrollment in this care coordination program. A team of specialists supported a dedicated program coordinator who provided navigation, education, specialty referral, and clinical trial screening. A unique intake form developed for the program created personalized, coordinated, and expedited specialty referrals. Patient-reported outcomes and caregiver burden assessments were collected on a voluntary basis throughout enrollment. Data were analyzed using descriptive statistics. RESULTS: Sixty patients were referred, and 53 were enrolled (88%). The median time to program enrollment was 1 day (range, 0-11) and to first visit was 5 days (range, 0-25). On the basis of the program intake form, 47 referrals were made across six specialties, most commonly physical medicine and rehabilitation (n = 10), radiation oncology (n = 10), and neuropsychology (n = 10). Nineteen patients (36%) consented to enroll in clinical trials. CONCLUSION: A tailored team-based care coordination program for patients with MBC and CNS metastases is feasible. Use of a unique intake screening form by a dedicated program coordinator resulted in faster time to first patient visit, enabled access to subspecialist care, and supported enrollment in clinical trials. Future research should focus on intervention development using PRO data collected in this care coordination program. |
| تدمد: | 2688-1535 2688-1527 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6b80608daaccfed7e3e04973613d1370 https://doi.org/10.1200/op.22.00291 |
| رقم الأكسشن: | edsair.doi.dedup.....6b80608daaccfed7e3e04973613d1370 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 26881535 26881527 |
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