The missing voice in multidisciplinary tumor boards.
The missing voice in multidisciplinary tumor boards.
复制标题
多学科肿瘤板中缺少的声音。
DOI：
10.1016/j.jgo.2021.03.004
复制
发表时间：
2021-11
影响因子：
3
通讯作者：
Williams GR
中科院分区：
文献类型：
--
作者：
Rocque G;Wheeler S;Williams GR
近几十年来，癌症护理的复杂性呈指数级增长。提供高质量的护理服务需要医疗团队不同成员之间的接触和协调，包括但不限于内科肿瘤学、外科肿瘤学、放射肿瘤学、病理学、放射学和支持性护理的提供者。协调治疗计划的一个关键战略是使用跨学科会议，来自不同学科的医生、护士和技术人员在会上协作制定称为多学科肿瘤委员会的治疗计划。1这些会议还提供了一个机制，以便就需要作出复杂决策的具有挑战性的案件获得同事的反馈。尽管结果喜忧参半，但一些研究表明，多学科肿瘤委员会在提高诊断准确性、生活质量、提供最新治疗和生存方面有好处。2多学科肿瘤委员会的使用已成为癌症委员会等认证组织的质量标准，该委员会要求将一个机构所有新病例的至少15%提交给肿瘤委员会。肿瘤委员会在国际上也在增加，美国临床肿瘤学会在美国以外执业的86%的成员报告说他们的机构可以使用肿瘤委员会。3尽管肿瘤委员会汇集了多种临床观点，但它们实质上缺乏患者的声音。患者的观点在很大程度上是由主讲人提出的讨论。这些人可能会也可能不会分享对患者当前功能状态和护理偏好的见解。即使医生确实选择非正式地分享这一主观信息，认识到医生记者的不完美本质也很重要。以前的文献表明，医生
In recent decades, the complexity of cancer care has grown exponentially. Provision of high-quality care delivery requires access to and coordination amongst diverse members of the healthcare team, including, but not limited to, providers in medical oncology, surgical oncology, radiation oncology, pathology, radiology, and supportive care. A key strategy for coordinating treatment plans is the use of interdisciplinary conferences in which physicians, nurses and technicians from these diverse disciplines collaboratively make treatment plans termed multidisciplinary tumor boards. 1 These meetings also provide a mechanism for obtaining feedback from colleagues on challenging cases requiring complex decision making. Although results are mixed, some studies have shown benefits of multidisciplinary tumor boards in improving diagnostic accuracy, quality of life, provision of up-to-date treatment, and survival. 2 The use of multidisciplinary tumor boards has become a quality standard by accrediting organizations such as the Commission on Cancer, which requires at least 15% of all new cases at an institution to be presented to tumor boards. Tumor boards are also increasing internationally, with 86% of members of the American Society of Clinical Oncology practicing outside the US reporting access to tumor boards at their institution. 3While tumor boards bring together multiple clinical perspectives, they substantively lack the patient voice. The patient perspective largely is brought to the discussion by the primary presenting physicians. These individuals may or may not share insights into the patient’s current functional status and preferences for care. Even if the physician does choose to share this subjective information informally, it is important to recognize the imperfect nature of the physician reporter. Previous literature demonstrates that physicians
登录
查看更多内容
影响因子：
45.3
作者：
Lanz, NK;Wren, PA;Wilkins, EG
通讯作者：
Wilkins, EG
影响因子：
5.4
作者：
Charles, C;Gafni, A;Whelan, T
通讯作者：
Whelan, T
影响因子：
3
作者：
Festen, Suzanne;Kok, Maaike;van Leeuwen, Barbara L.
通讯作者：
van Leeuwen, Barbara L.
影响因子：
2.3
作者：
Janse, Sarah;Janssen, Ellen;Bridges, John F. P.
通讯作者：
Bridges, John F. P.
影响因子：
5.8
作者：
Rocque, Gabrielle B.;Rasool, Aysha;Knight, Sara J.
通讯作者：
Knight, Sara J.