OBJECTIVE: It is recognized that multidisciplinary teams may improve management decisions for patients with malignancies. We prospectively studied the effect of such a multidisciplinary approach on the diagnosis and treatment decisions of patients newly presenting with urologic malignancies. METHODS: Two hundred sixty-nine consecutive new patients presenting to our institution with an outside diagnosis of a urologic malignancy for diagnostic or treatment considerations (2007-2008). All cases were reviewed and discussed at a tumor board with all members of the different subspecialties present. Reevaluation of the outside diagnostic and treatment plan was undertaken. Based on this team review and approach, patients were classified based on changes in diagnosis and/or treatment. RESULTS: Cohort was comprised of patients with the diagnosis of cancer of the prostate (34%), bladder (23%), kidney (35%), testicle (5%), and other (1%). Only 35% of patients had no changes in diagnosis or treatment, 38% had a change in diagnosis or treatment, 10% required further analysis (i.e., "other"), and 17% were N/A. Changes in diagnosis were most common in bladder (23%) and renal (17%) cancers. Changes in treatment were most common in bladder cancer (44%), followed by kidney (36%), testicular (29%), then prostate (22%) cancers. A stage effect on diagnostic and treatment considerations was also noted, especially for bladder cancer. CONCLUSIONS: A multidisciplinary team approach affects the diagnostic and management decisions in a significant number patients with a newly diagnosed urologic malignancy, and thereby seems to have a clinical impact for many of our patients with urologic cancers.
OBJECTIVE: It is recognized that multidisciplinary teams may improve management decisions for patients with malignancies. We prospectively studied the effect of such a multidisciplinary approach on the diagnosis and treatment decisions of patients newly presenting with urologic malignancies. METHODS: Two hundred sixty-nine consecutive new patients presenting to our institution with an outside diagnosis of a urologic malignancy for diagnostic or treatment considerations (2007-2008). All cases were reviewed and discussed at a tumor board with all members of the different subspecialties present. Reevaluation of the outside diagnostic and treatment plan was undertaken. Based on this team review and approach, patients were classified based on changes in diagnosis and/or treatment. RESULTS: Cohort was comprised of patients with the diagnosis of cancer of the prostate (34%), bladder (23%), kidney (35%), testicle (5%), and other (1%). Only 35% of patients had no changes in diagnosis or treatment, 38% had a change in diagnosis or treatment, 10% required further analysis (i.e., "other"), and 17% were N/A. Changes in diagnosis were most common in bladder (23%) and renal (17%) cancers. Changes in treatment were most common in bladder cancer (44%), followed by kidney (36%), testicular (29%), then prostate (22%) cancers. A stage effect on diagnostic and treatment considerations was also noted, especially for bladder cancer. CONCLUSIONS: A multidisciplinary team approach affects the diagnostic and management decisions in a significant number patients with a newly diagnosed urologic malignancy, and thereby seems to have a clinical impact for many of our patients with urologic cancers.
Authors: Eberechukwu Onukwugha; Nicholas J Petrelli; Kathleen M Castro; James F Gardner; Jinani Jayasekera; Olga Goloubeva; Ming T Tan; Erica J McNamara; Howard A Zaren; Thomas Asfeldt; James D Bearden; Andrew L Salner; Mark J Krasna; Irene Prabhu Das; Steve B Clauser; Eberechukwu Onukwugha; Nicholas J Petrelli; Kathleen M Castro; James F Gardner; Jinani Jayasekera; Olga Goloubeva; Ming T Tan; Erica J McNamara; Howard A Zaren; Thomas Asfeldt; James D Bearden; Andrew L Salner; Mark J Krasna; Irene Prabhu Das; Steve B Clauser Journal: J Oncol Pract Date: 2015-10-13 Impact factor: 3.840
Authors: Lauren C Harshman; Abhishek Tripathi; Matthew Kaag; Jason A Efstathiou; Andrea B Apolo; Jean H Hoffman-Censits; Walter M Stadler; Evan Y Yu; Bernard H Bochner; Eila C Skinner; Tracy Downs; Anne E Kiltie; Dean F Bajorin; Khurshid Guru; William U Shipley; Gary D Steinberg; Noah M Hahn; Srikala S Sridhar Journal: Clin Genitourin Cancer Date: 2017-12-06 Impact factor: 2.872
Authors: Kyle Scarberry; Lee Ponsky; Edward Cherullo; William Larchian; Donald Bodner; Matthew Cooney; Rodney Ellis; Gregory Maclennan; Ben Johnson; William Tabayoyong; Robert Abouassaly Journal: Can Urol Assoc J Date: 2018-05-14 Impact factor: 1.862
Authors: Madhur Nayan; Bimal Bhindi; Julie L Yu; Muhammad Mamdani; Neil E Fleshner; Thomas Hermanns; Peter Chung; Michael Milosevic; Robert Bristow; Padraig Warde; Robert J Hamilton; Antonio Finelli; Michael A S Jewett; Alexandre R Zlotta; Srikala S Sridhar; Girish S Kulkarni Journal: Can Urol Assoc J Date: 2016 Jan-Feb Impact factor: 1.862