Initial impact of a systematic multidisciplinary approach on the management of patients with gastroenteropancreatic neuroendocrine tumor.
Tamagno, Gianluca Sheahan, Kieran Skehan, Stephen J Geoghegan, Justin G Fennelly, David Collins, Conor D Maguire, Donal Traynor, Oscar Brophy, David P Cantwell, Colin
Tamagno, Gianluca
Sheahan, Kieran
Skehan, Stephen J
Geoghegan, Justin G
Fennelly, David
Collins, Conor D
Maguire, Donal
Traynor, Oscar
Brophy, David P
Cantwell, Colin
Advisors
Editors
Other Contributors
Date
2013-10
Date Submitted
Keywords
CANCER
Other Subjects
MULTIDISCIPLINARY TEAM
Subject 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
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
Planned Date
Start Date
Collaborators
Principal Investigators
Alternative Titles
Publisher
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.
Language
en
ISSN
1559-0100
eISSN
ISBN
DOI
10.1007/s12020-013-9910-5
PMID
23471696