Effect of Initiating a Multidisciplinary Care Clinic on Access and Time to Treatment in Patients With Pancreatic Adenocarcinoma
Effect of Initiating a Multidisciplinary Care Clinic on Access and Time to Treatment in Patients With Pancreatic Adenocarcinoma
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DOI：
10.1200/jop.2010.000041
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发表时间：
2010-11-01
影响因子：
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通讯作者：
Pipas, J. Marc
中科院分区：
文献类型：
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作者：
Gardner, Timothy B.;Barth, Richard J., Jr.;Pipas, J. Marc
目的：胰腺癌的新辅助治疗需要在开始治疗前转诊给多位专家。我们评估了建立一个多学科诊所（MDC）的新诊断的胰腺癌患者的治疗访问和时间therapy.Methods：新诊断的胰腺癌诊断和治疗在我们的中心的患者。定义了两个患者组：临床前代表2008年之前诊断的患者，MDC代表2009年以来诊断的患者，他们在新创建的MDC中接受治疗，最初是新辅助治疗的候选者。主要结果是从诊断到第一次治疗（开始化疗或外照射）的天数，完成所有所需的咨询天数，以及开始治疗前所需的就诊次数。结果：2003年至2008年，我们的医疗中心诊断和治疗了97例患者; 2009年实施MDC后，有22例患者接受了治疗。与临床前组相比，在MDC治疗的患者从活检到治疗的时间更短（7.7天vs29.5天，P
Purpose: Neoadjuvant therapy for pancreatic adenocarcinoma requires referral to multiple specialists before initiating therapy. We evaluated the effect of establishing a multidisciplinary clinic (MDC) for patients with newly diagnosed pancreatic adenocarcinoma on treatment access and time to therapy.Methods: Patients with newly diagnosed pancreatic adenocarcinoma diagnosed and treated at our center were included. Two patient groups were defined: preclinic represented those patients diagnosed before 2008 and MDC represented those patients diagnosed since 2009 who were treated in the newly created MDC and were initially candidates for neoadjuvant therapy. The primary outcomes were days from diagnosis to first treatment (initiation of chemotherapy or external beam radiation), days to completion of all required consultations, and number of visits needed before initiation of therapy.Results: Ninety-seven patients were diagnosed and treated at our medical center from 2003 to 2008; 22 were treated in 2009 after the implementation of the MDC. Compared with the preclinic group, patients treated in the MDC had shorter times from biopsy to treatment (7.7 days v 29.5 days, P