Multidisciplinary Clinics for Colorectal Cancer Care Reduces Treatment Time

Clinical Colorectal Cancer
Vanessa N KozakMatthew F Kalady

Abstract

Management of locally advanced and metastatic colorectal cancer (CRC) requires the expertise of multiple specialists. Multidisciplinary clinics (MDCs) are a working model designed to facilitate delivery of coordinated care. The present study evaluated the effects of MDC on the time to treatment (TTT). Patients with CRC or locally advanced anal cancer who were evaluated at a single-institution MDC from January 2014 to October 2015 were identified from an institutional registry. The clinical characteristics and timelines for various aspects of treatment were retrospectively reviewed and recorded. A control population of patients not evaluated at the MDC was matched 1:2 by disease and the number of treating specialties. The primary endpoints were the TTT from diagnosis and the TTT from the first consultation. A total of 105 patients were included: 35 were evaluated at the MDC and 70 were controls. The MDC patients experienced a 7.8-day shorter TTT from the first consultation (21.5 vs. 29.3 days; P = .01). The difference was greater for patients visiting 3 departments (21.3 vs. 30.6 days; P < .001). Patients requiring neoadjuvant chemoradiation accounted for most of the decreased interval compared with those requiring surgery alone...Continue Reading

Citations

Feb 16, 2020·The Annals of Otology, Rhinology, and Laryngology·Kevin L LiWaleed M Abuzeid
Aug 1, 2020·JCO Oncology Practice·James B HammockGabrielle B Rocque
May 24, 2020·Annals of Surgical Oncology·Jeremy D Kratz, Noelle K LoConte
Apr 11, 2018·Cancer·Christina S Wu, Bassel F El-Rayes
May 7, 2020·Female Pelvic Medicine & Reconstructive Surgery·Sarah B JochumCynthia A Brincat
Sep 19, 2020·American Journal of Surgery·Joceline V VuKarin M Hardiman
Aug 15, 2020·Journal of the Academy of Nutrition and Dietetics·Pooja MehtaEdwin Liu

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