IMPACT OF CLINICAL DECISION IN MULTI-DISCIPLINARY TUMOR BOARDS ON THE OUTCOME OF CARCINOMA PATIENTS PRESENTING IN A TERTIARY CARE HOSPITAL HOSPITAL, LAHORE
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Abstract
Background: This comprehensive study evaluates the impact of Multi-disciplinary Tumor Boards (MDTB) on the management of various carcinomas at Sheikh Zayed Hospital, Lahore. It focuses on decision-making processes, adherence to national and international guidelines, and the overall performance of MDTBs in optimizing patient care.
Methods: A total of 141 cases across different carcinoma types, including breast, periampullary, gastric, and colorectal, underwent MDTB discussions. The study analyzes outcomes related to changes in pathology reporting, imaging modalities, surgical respectability, upstaging/downstaging, decisions on surgery, and nuclear medicine interventions.
Results: MDTB discussions influenced decision-making, with notable impacts on surgery recommendations and nuclear medicine interventions. Surgical decisions were made collaboratively, considering tumor characteristics, patient health, and available resources. The study identified variations in neoadjuvant and adjuvant therapy recommendations based on MDTB discussions.
Follow-up: Detailed follow-up data revealed varying outcomes among different carcinoma types, highlighting the need for individualized approaches. Breast cancer cases, being the most prevalent, demonstrated diverse treatment paths, including Breast Conservation Surgery (BCS) and different types of mastectomies. Periampullary, gastric, and colorectal carcinoma cases exhibited specific patterns in upfront surgery, adjuvant therapy, and patient outcomes.
Discussions: The study emphasizes the benefits of MDTBs in improving patient care through collaborative decision-making, knowledge exchange, and comprehensive treatment planning. MDTBs enhance diagnostic accuracy, improve treatment planning, and provide a coordinated approach to managing carcinomas, ultimately leading to better patient outcomes and satisfaction.
Conclusions: MDTBs, guided by established guidelines, played a crucial role in managing carcinomas at Sheikh Zayed Hospital. The study highlights the positive impact of MDTBs on decision-making, mortality rates, and the overall quality of care. The collaborative nature of MDTBs fosters peer-assisted learning, knowledge sharing, and improved patient survival statistics.
Bibliography: The study is informed by relevant literature on the impact of MDTBs in cancer management, emphasizing the global significance of collaborative decision-making in oncology.
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Muneeba Binte Saeed
MBBS, MRCS Edinburgh, FCPS General Surgery Resident, Post Graduate Trainee, General Surgery and Surgical Oncology Unit 1 Sheikh Zaid Hospital Lahore Pakistan,
Ali Haider
MBBS, MRCS A Edinburgh, FCPS General Surgery Resident, Post graduate trainee, General Surgery and Surgical Oncology Unit 1, Sheikh Zaid Hospital Lahore Pakistan,
Muhammad Imran Anwar
MBBS, FCPS General Surgery, FRCS, MCPS, Professor of General Surgery and Surgical Oncology Unit 1, Sheikh Zaid Hospital Lahore,