Initial impact of a systematic multidisciplinary approach on the management of patients with gastroenteropancreatic neuroendocrine tumor.

Hdl Handle:
http://hdl.handle.net/10147/323891
Title:
Initial impact of a systematic multidisciplinary approach on the management of patients with gastroenteropancreatic neuroendocrine tumor.
Authors:
Tamagno, Gianluca; Sheahan, Kieran; Skehan, Stephen J; Geoghegan, Justin G; Fennelly, David; Collins, Conor D; Maguire, Donal; Traynor, Oscar; Brophy, David P; Cantwell, Colin; Swan, Niall; McGowan, Lisa; O'Toole, Dermot; O'Shea, Donal
Affiliation:
Department of Endocrinology & Diabetes Mellitus, St Vincent's University Hospital-University College Dublin, 4 Elm Park, Dublin 4, Ireland, gianlucatamagno@tiscali.it.
Citation:
Tamagno G et al. Initial impact of a systematic multidisciplinary approach on the management of patients with gastroenteropancreatic neuroendocrine tumor. 2013, 44 (2):504-9 Endocrine
Journal:
Endocrine
Issue Date:
Oct-2013
URI:
http://hdl.handle.net/10147/323891
DOI:
10.1007/s12020-013-9910-5
PubMed ID:
23471696
Abstract:
According to the international guidelines, a multidisciplinary approach is currently advised for the optimal care of patients with a gastroenteropancreatic neuroendocrine tumor (GEP NET). In our institution (tertiary care center), a systematic multidisciplinary approach was established in May 2007. In this study, we have aimed to assess the initial impact of establishing a systematic multidisciplinary approach to the management of GEP NET patients. We have collected and compared the biochemical, imaging, and pathological data and the therapeutic strategies in GEP NET patients diagnosed, treated, or followed-up from January 1993 to April 2007 versus GEP NET patients attending our institution after the multidisciplinary approach starting, from May 2007 to October 2008. Data of 91 patients before and 42 patients after the establishment of the multidisciplinary approach (total: 133 consecutive GEP NET patients) have been finally collected and analyzed. Before the establishment of the multidisciplinary approach, a lack of consistency in the biochemical, imaging, and pathological findings before treatment initiation as well as during follow-up of GEP NET patients was identified. These inconsistencies have been reduced by the systematic multidisciplinary approach. In addition, the therapeutic management of GEP NET patients has been altered by the multidisciplinary approach and became more consistent with recommended guidelines. We think that a systematic multidisciplinary approach significantly impacts on GEP NET patient care and should be established in all centers dealing with these tumors.
Item Type:
Article
Language:
en
Keywords:
CANCER
Local subject classification:
MULTIDISCIPLINARY TEAM
MeSH:
Adolescent; Adult; Aged; Aged, 80 and over; Combined Modality Therapy; Female; Humans; Interdisciplinary Communication; Intestinal Neoplasms; Male; Middle Aged; Neuroendocrine Tumors; Pancreatic Neoplasms; Patient Care Team; Prognosis; Stomach Neoplasms; Treatment Outcome; Young Adult
ISSN:
1559-0100

Full metadata record

DC FieldValue Language
dc.contributor.authorTamagno, Gianlucaen_GB
dc.contributor.authorSheahan, Kieranen_GB
dc.contributor.authorSkehan, Stephen Jen_GB
dc.contributor.authorGeoghegan, Justin Gen_GB
dc.contributor.authorFennelly, Daviden_GB
dc.contributor.authorCollins, Conor Den_GB
dc.contributor.authorMaguire, Donalen_GB
dc.contributor.authorTraynor, Oscaren_GB
dc.contributor.authorBrophy, David Pen_GB
dc.contributor.authorCantwell, Colinen_GB
dc.contributor.authorSwan, Niallen_GB
dc.contributor.authorMcGowan, Lisaen_GB
dc.contributor.authorO'Toole, Dermoten_GB
dc.contributor.authorO'Shea, Donalen_GB
dc.date.accessioned2014-07-29T09:30:01Z-
dc.date.available2014-07-29T09:30:01Z-
dc.date.issued2013-10-
dc.identifier.citationTamagno G et al. Initial impact of a systematic multidisciplinary approach on the management of patients with gastroenteropancreatic neuroendocrine tumor. 2013, 44 (2):504-9 Endocrineen_GB
dc.identifier.issn1559-0100-
dc.identifier.pmid23471696-
dc.identifier.doi10.1007/s12020-013-9910-5-
dc.identifier.urihttp://hdl.handle.net/10147/323891-
dc.description.abstractAccording to the international guidelines, a multidisciplinary approach is currently advised for the optimal care of patients with a gastroenteropancreatic neuroendocrine tumor (GEP NET). In our institution (tertiary care center), a systematic multidisciplinary approach was established in May 2007. In this study, we have aimed to assess the initial impact of establishing a systematic multidisciplinary approach to the management of GEP NET patients. We have collected and compared the biochemical, imaging, and pathological data and the therapeutic strategies in GEP NET patients diagnosed, treated, or followed-up from January 1993 to April 2007 versus GEP NET patients attending our institution after the multidisciplinary approach starting, from May 2007 to October 2008. Data of 91 patients before and 42 patients after the establishment of the multidisciplinary approach (total: 133 consecutive GEP NET patients) have been finally collected and analyzed. Before the establishment of the multidisciplinary approach, a lack of consistency in the biochemical, imaging, and pathological findings before treatment initiation as well as during follow-up of GEP NET patients was identified. These inconsistencies have been reduced by the systematic multidisciplinary approach. In addition, the therapeutic management of GEP NET patients has been altered by the multidisciplinary approach and became more consistent with recommended guidelines. We think that a systematic multidisciplinary approach significantly impacts on GEP NET patient care and should be established in all centers dealing with these tumors.en_GB
dc.language.isoenen
dc.rightsArchived with thanks to Endocrineen_GB
dc.subjectCANCERen_GB
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshCombined Modality Therapy-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshInterdisciplinary Communication-
dc.subject.meshIntestinal Neoplasms-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshNeuroendocrine Tumors-
dc.subject.meshPancreatic Neoplasms-
dc.subject.meshPatient Care Team-
dc.subject.meshPrognosis-
dc.subject.meshStomach Neoplasms-
dc.subject.meshTreatment Outcome-
dc.subject.meshYoung Adult-
dc.subject.otherMULTIDISCIPLINARY TEAMen_GB
dc.titleInitial impact of a systematic multidisciplinary approach on the management of patients with gastroenteropancreatic neuroendocrine tumor.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Endocrinology & Diabetes Mellitus, St Vincent's University Hospital-University College Dublin, 4 Elm Park, Dublin 4, Ireland, gianlucatamagno@tiscali.it.en_GB
dc.identifier.journalEndocrineen_GB
dc.description.fundingOtheren
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen

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