NDLI: Implémentation d'un programme de soins oncologiques en consultation multidisciplinaire.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Sculier, J-P Leclercq, N. Meert, A-P Paesmans, M. Berghmans, T.
Description	Author Affiliation: Sculier JP ( Service des soins intensifs et urgences oncologiques & oncologie thoracique, centre des tumeurs de l'université Libre de Bruxelles, institut Jules-Bordet, 1, rue Héger-Bordet, 1000 Bruxelles, Belgique. Electronic address: sculier@bordet.be.); Leclercq N ( Service des soins intensifs et urgences oncologiques & oncologie thoracique, centre des tumeurs de l'université Libre de Bruxelles, institut Jules-Bordet, 1, rue Héger-Bordet, 1000 Bruxelles, Belgique.); Meert AP ( Service des soins intensifs et urgences oncologiques & oncologie thoracique, centre des tumeurs de l'université Libre de Bruxelles, institut Jules-Bordet, 1, rue Héger-Bordet, 1000 Bruxelles, Belgique.); Paesmans M ( Service des soins intensifs et urgences oncologiques & oncologie thoracique, centre des tumeurs de l'université Libre de Bruxelles, institut Jules-Bordet, 1, rue Héger-Bordet, 1000 Bruxelles, Belgique.); Berghmans T ( Service des soins intensifs et urgences oncologiques & oncologie thoracique, centre des tumeurs de l'université Libre de Bruxelles, institut Jules-Bordet, 1, rue Héger-Bordet, 1000 Bruxelles, Belgique.)
Abstract	INTRODUCTION: A working group has highlighted guidelines in thoracic oncology in Europe without study of their implementation, due to a lack of data. METHODS: The records of 354 untreated lung cancer patients seen between January 2009 and December 2012 were reviewed. Any new treatment should have been proposed by a multidisciplinary consultation (MDC) in accordance with an oncology care program (OCP) based on the European Lung Cancer Working Party guidelines. RESULTS: For the 354 patients, there were 636 MDC (332, 176, 81 and 47 in 1st, 2nd, 3rd and subsequent lines). For the first line, the MDC rate was 88%, in accordance with the OCP, and 75% of treatments were in agreement with the guidelines. For the 2nd and 3rd lines, the rates were 93% and 92% respectively (MDC), 90 and 89% (OCP), 55 and 63% (guidelines). In the first line, the main causes of non-compliance with the OCP were patient's refusal or doctor's choice and with guidelines a lack of adequate recommendations for specific situations such as comorbidities or the appearance of new treatments. CONCLUSION: The vast majority of patients are the subject of a MDC with a high rate of application of OCP. Guidelines should be updated regularly to incorporate new treatments.
File Format	HTM / HTML
ISSN	07618425
Issue Number	7
Journal	Revue des Maladies Respiratoires
Volume Number	33
e-ISSN	17762588
Language	French
Publisher	Elsevier
Publisher Date	2016-09-01
Publisher Place	France
Access Restriction	Subscribed
Subject Keyword	Discipline Pulmonary Medicine
Alternative Title	Implementation of an oncological care program in a multidisciplinary clinic
Content Type	Text
Resource Type	Article
Subject	Pulmonary and Respiratory Medicine

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