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Analysis of management decisions and outcomes of a weekly multidisciplinary pediatric tumor board meeting in Uganda

AIM: To evaluate the efficacy of a pediatric multidisciplinary tumor board (MTB) in Uganda. PATIENTS & METHODS: We documented the discussion of cases presented at a pediatric MTB and subsequently, though retrospective chart review, determined the degree to which decision were implemented. RESULT...

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Detalles Bibliográficos
Autores principales: George, Paul E, Fahdil, Geriga, Luutu, Israel, Bulamu, Alfred, Sekabira, John, Kakembo, Nasser, Nabadda, Susan, Kalungi, Sam, Kambugu, Joyce B
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Future Science Ltd 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6787502/
https://www.ncbi.nlm.nih.gov/pubmed/31608156
http://dx.doi.org/10.2144/fsoa-2019-0070
Descripción
Sumario:AIM: To evaluate the efficacy of a pediatric multidisciplinary tumor board (MTB) in Uganda. PATIENTS & METHODS: We documented the discussion of cases presented at a pediatric MTB and subsequently, though retrospective chart review, determined the degree to which decision were implemented. RESULTS: 95 patients were discussed. In total, 129 of 226 (57%) distinct management decisions reached during the MTBs were implemented. Of these, 15 resulted in changes in diagnosis and 53 were classified as major changes in management. Decisions on chemotherapy were the most likely to be successfully enacted (51/58), followed by radiotherapy (18/30) and surgery (12/21). Labs/consults were less likely to be implemented. CONCLUSION: Key improvements, specifically in the documentation and implementation of management decisions, are needed to improve the MTB's efficacy.