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Impact of a multidisciplinary thoracic oncology clinic on the timeliness of care.

Publication ,  Journal Article
Riedel, RF; Wang, X; McCormack, M; Toloza, E; Montana, GS; Schreiber, G; Kelley, MJ
Published in: J Thorac Oncol
September 2006

BACKGROUND: Multidisciplinary clinics have been recommended for the evaluation of patients with lung cancer. Evidence to support this recommendation, however, is limited. A single-center, retrospective review of lung cancer patients at a Veterans Affairs hospital was performed comparing timeliness of diagnostic and treatment decisions during the operation of a multidisciplinary thoracic oncology clinic (MTOC) with a period after it closed (non-MTOC), during which only a weekly multidisciplinary conference was held. METHODS: Patients were identified from a tumor registry. Manual chart reviews were performed on all patients. Outcome measures included time from initial presentation to diagnosis (TTD) and time from diagnosis to treatment initiation (TTT). RESULTS: Three hundred forty-five patients (244 in MTOC, 101 in non-MTOC) diagnosed with lung cancer between 1999 and 2003 were included in the study. Baseline characteristics were similar between the two groups. Median TTD was 48 days (95% confidence interval [CI]: 37-61) and 47 days (95% CI: 39-55) in the MTOC (n = 164) and non-MTOC cohorts (n = 89), respectively (p = 0.09). Median TTT was 22 days (95% CI: 20-27) and 23 days (95% CI: 20-34) in the MTOC (n = 165) and non-MTOC cohorts (n = 89), respectively (p = 0.71). There was no difference in overall survival. CONCLUSION: Retrospective comparison of sequential cohorts failed to reveal benefit in the timeliness of care measures during the time period of MTOC operation. Potential confounders include the absence of a surgeon in the MTOC setting, an ongoing weekly multidisciplinary conference in the non-MTOC cohort, and existing infrastructures based on previous MTOC experiences and past provider experience. Confirmation of these findings in other health care settings is warranted, preferably in a prospective fashion.

Duke Scholars

Published In

J Thorac Oncol

EISSN

1556-1380

Publication Date

September 2006

Volume

1

Issue

7

Start / End Page

692 / 696

Location

United States

Related Subject Headings

  • Time Factors
  • Survival Rate
  • Specialization
  • Outpatient Clinics, Hospital
  • Outcome Assessment, Health Care
  • Oncology & Carcinogenesis
  • Medicine
  • Male
  • Lung Neoplasms
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Riedel, R. F., Wang, X., McCormack, M., Toloza, E., Montana, G. S., Schreiber, G., & Kelley, M. J. (2006). Impact of a multidisciplinary thoracic oncology clinic on the timeliness of care. J Thorac Oncol, 1(7), 692–696.
Riedel, Richard F., Xiaofei Wang, Meg McCormack, Eric Toloza, Gustavo S. Montana, Gilbert Schreiber, and Michael J. Kelley. “Impact of a multidisciplinary thoracic oncology clinic on the timeliness of care.J Thorac Oncol 1, no. 7 (September 2006): 692–96.
Riedel RF, Wang X, McCormack M, Toloza E, Montana GS, Schreiber G, et al. Impact of a multidisciplinary thoracic oncology clinic on the timeliness of care. J Thorac Oncol. 2006 Sep;1(7):692–6.
Riedel, Richard F., et al. “Impact of a multidisciplinary thoracic oncology clinic on the timeliness of care.J Thorac Oncol, vol. 1, no. 7, Sept. 2006, pp. 692–96.
Riedel RF, Wang X, McCormack M, Toloza E, Montana GS, Schreiber G, Kelley MJ. Impact of a multidisciplinary thoracic oncology clinic on the timeliness of care. J Thorac Oncol. 2006 Sep;1(7):692–696.
Journal cover image

Published In

J Thorac Oncol

EISSN

1556-1380

Publication Date

September 2006

Volume

1

Issue

7

Start / End Page

692 / 696

Location

United States

Related Subject Headings

  • Time Factors
  • Survival Rate
  • Specialization
  • Outpatient Clinics, Hospital
  • Outcome Assessment, Health Care
  • Oncology & Carcinogenesis
  • Medicine
  • Male
  • Lung Neoplasms
  • Humans