scholarly journals Barriers to Comprehensive Multidisciplinary Head and Neck Care in a Community Oncology Practice

2021 ◽  
pp. 1-10
Author(s):  
Muralidhar Beeram ◽  
Andrew Kennedy ◽  
Nathan Hales
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Multidisciplinary Team ◽  
Unmet Need ◽  
Multidisciplinary Teams ◽  
Team Approach ◽  
Health Care Environment ◽  
Patient Centered ◽  
Community Based

Complex, coordinated, and collaborative care of patients with head and neck cancer can be challenging yet amazingly rewarding and successful. The high symptom burden across multiple functional domains in patients with head and neck cancer, even in early stages of disease, mandates a multidisciplinary team approach that harnesses the combined contributions of physicians and ancillary providers to drive greater patient-centered care, addressing factors that heavily influence morbidity, mortality, and quality of life. Well-organized community-based multidisciplinary teams fulfill this unmet need and benefit patients with conveniently located comprehensive services that are typically found in large academic centers. Equivalent, if not superior, outcomes can be achieved in a unified community-based multidisciplinary team with shared patient-centered and outcomes-based goals. However, implementing true multidisciplinary team care in today’s complex health care environment is fraught with challenges and pitfalls. So how have some community-based practices managed to create safe and efficient programs with successful outcomes? The purpose of this review is to discuss barriers to reaching this success and emphasize practical solutions to such challenges.

scholarly journals Introduction to the United Kingdom National Multidisciplinary Guidelines for Head and Neck Cancer

2016 ◽  
Vol 130 (S2) ◽  
pp. S3-S4 ◽  
Author(s):  
V Paleri ◽  
N Roland
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Multidisciplinary Team ◽  
Cancer Care ◽  
Good Practice ◽  
Multidisciplinary Teams ◽  
Evidence Based ◽  
The United Kingdom ◽  
The Uk

AbstractThis is the 5th edition of the UK Multi-Disciplinary Guidelines for Head and Neck Cancer, endorsed by seven national specialty associations involved in head and neck cancer care. Our aim is to provide a document can be used as a ready reference for multidisciplinary teams and a concise easy read for trainees. All evidence based recommendations in this edition are indicated by ‘(R)’ and where the multidisciplinary team of authors consider a recommendation to be based on clinical experience, it is denoted by ‘(G)’ as a good practice point.

Integrated Therapeutic Approaches in Head and Neck Cancer: The Importance of Multidisciplinary Team Management

2013 ◽  
Vol 13 (6) ◽  
pp. 834-843 ◽  
Author(s):  
Francesco Perri ◽  
Paolo Muto ◽  
Corrado Aversa ◽  
Antonio Daponte ◽  
Giuseppina Vittoria ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Multidisciplinary Team ◽  
Team Management ◽  
Therapeutic Approaches

Integrated Therapeutic Approaches in Head and Neck Cancer: The Importance of Multidisciplinary Team Management

2013 ◽  
Vol 999 (999) ◽  
pp. 1-7 ◽  
Author(s):  
Francesco Perri ◽  
Paolo Muto ◽  
Corrado Aversa ◽  
Antonio Daponte ◽  
Giuseppina Della Vittoria ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Multidisciplinary Team ◽  
Team Management ◽  
Therapeutic Approaches

scholarly journals Impact of multidisciplinary team management in head and neck cancer patients

2011 ◽  
Vol 104 (8) ◽  
pp. 1246-1248 ◽  
Author(s):  
P L Friedland ◽  
B Bozic ◽  
J Dewar ◽  
R Kuan ◽  
C Meyer ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Neck Cancer ◽  
Multidisciplinary Team ◽  
Team Management

scholarly journals Development of a Patient-Centered Functional Outcomes Questionnaire in Head and Neck Cancer

2020 ◽  
Vol 146 (5) ◽  
pp. 437
Author(s):  
Adrian Mendez ◽  
Hadi Seikaly ◽  
Dean Eurich ◽  
Agnieszka Dzioba ◽  
Daniel Aalto ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Functional Outcomes ◽  
Patient Centered

scholarly journals Reducing Referral-to-Treatment Waiting Times in Cancer Patients Using a Multidisciplinary Database

2007 ◽  
Vol 89 (2) ◽  
pp. 113-117 ◽  
Author(s):  
SAR Nouraei ◽  
J Philpott ◽  
SM Nouraei ◽  
DCK Maude ◽  
GS Sandhu ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Treatment Planning ◽  
Neck Cancer ◽  
Treatment Time ◽  
Waiting Times ◽  
Multidisciplinary Teams ◽  
Number Of Patients ◽  
Cancer Plan

INTRODUCTION Modern delivery of cancer care through patient-centred multidisciplinary teams (MDT) has improved survival. This approach, however, requires effective on-going co-ordination between multiple specialties and resources and can present formidable organisational challenges. The aim of this study was to improve the efficiency of the MDT process for head and neck cancer. PATIENTS AND METHODS A systems analysis of the MDT process was undertaken to identify bottlenecks delaying treatment planning. The MDT process was then audited. A revised process was developed and an Intranet-based data management solution was designed and implemented. The MDT process was re-evaluated to complete the audit cycle. RESULTS We designed and implemented a trust-wide menu-driven database with interfaces for registering and tracking patients, and automated worklists for pathology and radiology. We audited our MDT for 11 and 10 weeks before and following the introduction of the database, with 226 and 187 patients being discussed during each period. The database significantly improved cross-specialtity co-ordination, leading to a highly significant reduction in the number of patients whose treatment planning was delayed due to unavailability of adjunctive investigations (P < 0.001). This improved the overall efficiency of the MDT by 60%. CONCLUSIONS The NHS Cancer Plan aspires to reduce the referral-to-treatment time to 1 month. We have shown that a simple, trust-wide database reduces treatment planning delays in a sizeable proportion of head and neck cancer patients with minimal resource implications. This approach could easily be applied in other MDT meetings.

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