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Development and characteristics of a multidisciplinary colorectal cancer clinic.


ABSTRACT:

Background

Multidisciplinary cancer clinics deliver streamlined care and facilitate collaboration between specialties. We described patient volume and specialty service utilization, including surgery, of a multidisciplinary colorectal cancer clinic established at a tertiary care academic institution.

Methods

We conducted a retrospective observational cohort study of adult patients with colorectal adenocarcinoma from 2012 to 2017. We performed a descriptive analysis of patient volume, percentage of rectal cancer patients, and the number of patients who saw and received surgery, chemotherapy, and radiation each year.

Results

Over 5 years, 1711 patients were served at the multidisciplinary clinic. Patient volume increased 37%, from n = 228 (annualized) to n = 312. The percentage of rectal cancer patients increased from 29% in 2013 to 42% in 2017. The highest rate of utilization was for surgery; 792 (46%) patients had surgery at the multidisciplinary clinic institution, and 510 (30%) received chemotherapy there. Out of 635 rectal cancer patients, 114 (18%) received radiation there.

Conclusions

Over the five-year experience of a colorectal cancer-focused multidisciplinary clinic, overall patient volume increased by 37%. Over the study period, 63% of patients seen at the multidisciplinary clinic ultimately received at least one treatment modality at the clinic institution. Overall, the clinic's establishment resulted in the increased referral of complex patients.

SUBMITTER: Vu JV 

PROVIDER: S-EPMC7910319 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature

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Publications

Development and characteristics of a multidisciplinary colorectal cancer clinic.

Vu Joceline V JV   Morris Arden M AM   Maguire Lillias H LH   De Roo Ana C AC   Mukkamala Anudeep A   Krauss John C JC   Regenbogen Scott E SE   Hendren Samantha S   Hardiman Karin M KM  

American journal of surgery 20200827 4


<h4>Background</h4>Multidisciplinary cancer clinics deliver streamlined care and facilitate collaboration between specialties. We described patient volume and specialty service utilization, including surgery, of a multidisciplinary colorectal cancer clinic established at a tertiary care academic institution.<h4>Methods</h4>We conducted a retrospective observational cohort study of adult patients with colorectal adenocarcinoma from 2012 to 2017. We performed a descriptive analysis of patient volu  ...[more]

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