Bhartesh A Shah1, Muhammad M Qureshi1, Scharukh Jalisi2, Gregory Grillone2, Andrew Salama3, Timothy Cooley4, Ken Zaner4, Osamu Sakai5, Minh Tam Truong6. 1. Department of Radiation Oncology, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts. 2. Department of Otolaryngology, Head and Neck Surgery, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts. 3. Department of Oral & Maxillofacial Surgery, Boston University School of Dental Medicine, Boston, Massachusetts. 4. Section of Hematology and Oncology, Medicine, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts. 5. Department of Radiology, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts. 6. Department of Radiation Oncology, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts. Electronic address: mitruong@bu.edu.
Abstract
PURPOSE: To evaluate incorporation of National Cancer Comprehensive Network (NCCN) guidelines in decision making at a head and neck cancer (HNC) multidisciplinary tumor board (MDT) at an urban academic medical center. METHODS AND MATERIALS: A retrospective study of 176 HNC patients was performed. The extent to which MDT decisions and subsequent patient care incorporate NCCN guidelines was evaluated. RESULTS: A total of 173 (98.3%) HNC patients received MDT recommendations according to NCCN guidelines. Of the 159 patients treated, 153 (96.2%) received treatment according to NCCN guidelines. The MDT recommended the highest available evidence-based NCCN category guideline in 78.0%. Subsequent treatment using the same or higher category MDT recommendation occurred in 87.0% of patients. CONCLUSIONS: Evaluation of patients at an MDT using NCCN guidelines incorporates the highest level of evidence in approximately 80% of patients and translates well into subsequent care. Incorporation of the highest available NCCN guideline may be improved, although management should be individualized.
PURPOSE: To evaluate incorporation of National Cancer Comprehensive Network (NCCN) guidelines in decision making at a head and neck cancer (HNC) multidisciplinary tumor board (MDT) at an urban academic medical center. METHODS AND MATERIALS: A retrospective study of 176 HNC patients was performed. The extent to which MDT decisions and subsequent patient care incorporate NCCN guidelines was evaluated. RESULTS: A total of 173 (98.3%) HNC patients received MDT recommendations according to NCCN guidelines. Of the 159 patients treated, 153 (96.2%) received treatment according to NCCN guidelines. The MDT recommended the highest available evidence-based NCCN category guideline in 78.0%. Subsequent treatment using the same or higher category MDT recommendation occurred in 87.0% of patients. CONCLUSIONS: Evaluation of patients at an MDT using NCCN guidelines incorporates the highest level of evidence in approximately 80% of patients and translates well into subsequent care. Incorporation of the highest available NCCN guideline may be improved, although management should be individualized.
Authors: Miguel Angel Noy; Benjamin J Rich; Ricardo Llorente; Deukwoo Kwon; Matthew Abramowitz; Brandon Mahal; Eric A Mellon; Nicholas G Zaorsky; Alan Dal Pra Journal: Adv Radiat Oncol Date: 2021-10-29
Authors: Abdulrahman Jazieh; Mohammad Omar Alkaiyat; Yosra Ali; Mohamed Ahmed Hashim; Nafisa Abdelhafiz; Ashwaq Al Olayan Journal: BMJ Open Qual Date: 2019-08-26