Endocrine Tumor Board: Ten Years’ Experience of a Multidisciplinary Clinical Working Conference
| العنوان: | Endocrine Tumor Board: Ten Years’ Experience of a Multidisciplinary Clinical Working Conference |
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| المؤلفون: | Craig Sadur, Gregory J. Rumore, Alison Savitz, Bryan P. Fong, Aaron Hochberg, Juanita Yun, Cui Chen |
| المصدر: | Perm J |
| بيانات النشر: | The Permanente Federation, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Endocrine Tumor, Adolescent, Clinical Decision-Making, MEDLINE, 030209 endocrinology & metabolism, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Multidisciplinary approach, Neoplasms, medicine, Humans, Endocrine system, Medical diagnosis, Thyroid cancer, Aged, Aged, 80 and over, Patient Care Team, business.industry, General surgery, General Medicine, Middle Aged, medicine.disease, 030220 oncology & carcinogenesis, Female, Interdisciplinary Communication, Clinical Medicine, Presentation (obstetrics), business, Primary hyperparathyroidism |
| الوصف: | Introduction Advances in specialized medical areas and updated clinical guidelines show a need for a focused approach for patients with specific disorders. Objective To describe a multidisciplinary tumor board for patients with endocrine tumors. Methods We established an endocrine tumor board at a large health maintenance organization and studied cases presented between September 2007 and August 2017. To resolve diagnostic and/or therapeutic questions, a multidisciplinary team of specialists discussed patients' clinical presentations. Cases were broken down into diagnostic categories, demographic characteristics (age, sex), and need for repeated presentations to the board. Results We included 608 patients: 401 female (66%) and 207 male (34%). Ages ranged from teens to more than 90 years, with the peak decade 50 to 59 years (26%). Although most patients needed only 1 presentation to the board, 151 (25%) required representation, for a total of 853 presentations. The diagnoses reflected the workup status with tumor identification and localization at the initial case presentation. Diagnoses included thyroid cancer (234 patients, 38.4%), adrenal mass (165 patients, 27.1%), primary hyperparathyroidism (120 patients, 19.7%), thyroid nodule (95 patients, 15.6%), and extrathyroidal mass (23 patients, 3.8%). Other diagnoses composed the remaining 14.6%. Tumor board attendees overwhelmingly supported the meetings' benefits, with all clinicians reporting frequently changing patient management because of the meetings. Conclusion Patients with endocrine tumors may benefit from a specialized approach to care. A multidisciplinary tumor board can focus discussions efficiently, provide a forum to advance care, apply endocrine-related clinical guidelines, and lead to recommendations that clinicians often employed. |
| تدمد: | 1552-5775 1552-5767 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::739662b98becdd3d2cc00c4cc0f04cf0 https://doi.org/10.7812/tpp/19.140 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....739662b98becdd3d2cc00c4cc0f04cf0 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15525775 15525767 |
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