Development and characteristics of a multidisciplinary colorectal cancer clinic.
Development and characteristics of a multidisciplinary colorectal cancer clinic.
复制标题
DOI：
10.1016/j.amjsurg.2020.08.030
复制
发表时间：
2021-04
影响因子：
3
通讯作者：
Hardiman KM
中科院分区：
文献类型：
--
作者：
Vu JV;Morris AM;Maguire LH;De Roo AC;Mukkamala A;Krauss JC;Regenbogen SE;Hendren S;Hardiman KM
多学科癌症诊所提供简化的护理并促进专科之间的合作。我们描述了在三级护理学术机构建立的多学科结直肠癌诊所的病人数量和专科服务利用，包括手术。我们对2012-2017年间成人结直肠腺癌患者进行了一项回顾性观察队列研究。我们对患者数量、直肠癌患者百分比以及每年接受手术、化疗和放射治疗的患者数量进行了描述性分析。在5年多的时间里，这家多学科诊所为1711名患者提供了服务。患者数量增加了37%，从228人(年化)增加到312人。直肠癌患者比例从2013年的29%上升到2017年的42%。使用率最高的是手术；792名患者(46%)在多学科诊所接受手术，510名患者(30%)在那里接受化疗。在635名直肠癌患者中，114名(18%)接受了放射治疗。在一家专注于结直肠癌的多学科诊所的五年经验中，总体患者数量增加了37%。在研究期间，在多学科诊所就诊的患者中，63%最终在临床机构接受了至少一种治疗方式。总体而言，该诊所的建立导致了对复杂患者的转诊增加。
Multidisciplinary cancer clinics deliver streamlined care and facilitate collaboration between specialties. We described patient volume and specialty service utilization, including surgery, of a multidisciplinary colorectal cancer clinic established at a tertiary care academic institution. We conducted a retrospective observational cohort study of adult patients with colorectal adenocarcinoma from 2012–2017. We performed a descriptive analysis of patient volume, percentage of rectal cancer patients, and the number of patients who saw and received surgery, chemotherapy, and radiation each year. Over 5 years, 1,711 patients were served at the multidisciplinary clinic. Patient volume increased 37%, from n=228 (annualized) to n=312. The percentage of rectal cancer patients increased from 29% in 2013 to 42% in 2017. The highest rate of utilization was for surgery; 792 (46%) patients had surgery at the multidisciplinary clinic institution, and 510 (30%) received chemotherapy there. Out of 635 rectal cancer patients, 114 (18%) received radiation there. Over the five-year experience of a colorectal cancer-focused multidisciplinary clinic, overall patient volume increased by 37%. Over the study period, 63% of patients seen at the multidisciplinary clinic ultimately received at least one treatment modality at the clinic institution. Overall, the clinic’s establishment resulted in the increased referral of complex patients.
登录
查看更多内容
DOI：
10.6004/jnccn.2018.0061
发表时间：
2018-07
期刊：
Journal of the National Comprehensive Cancer Network : JNCCN
影响因子：
--
作者：
Benson AB;Venook AP;Al-Hawary MM;Cederquist L;Chen YJ;Ciombor KK;Cohen S;Cooper HS;Deming D;Engstrom PF;Grem JL;Grothey A;Hochster HS;Hoffe S;Hunt S;Kamel A;Kirilcuk N;Krishnamurthi S;Messersmith WA;Meyerhardt J;Mulcahy MF;Murphy JD;Nurkin S;Saltz L;Sharma S;Shibata D;Skibber JM;Sofocleous CT;Stoffel EM;Stotsky-Himelfarb E;Willett CG;Wuthrick E;Gregory KM;Gurski L;Freedman-Cass DA
通讯作者：
Freedman-Cass DA
影响因子：
3.3
作者：
Friedman, Eliot L.;Kruklitis, Robert J.;Weiss, Michael J.
通讯作者：
Weiss, Michael J.
影响因子：
5.8
作者：
McKee, Megan J.;Keith, Kevin;Zagar, Timothy M.
通讯作者：
Zagar, Timothy M.
影响因子：
3.7
作者：
Krell, Robert W.;Reames, Bradley N.;Wong, Sandra L.
通讯作者：
Wong, Sandra L.
影响因子：
--
作者：
Gardner, Timothy B.;Barth, Richard J., Jr.;Pipas, J. Marc
通讯作者：
Pipas, J. Marc