Impact of a dedicated multidisciplinary meeting on the management of superficial cancers of the digestive tract
Background The recent development of endoscopic resection for superficial gastrointestinal cancers could justify the need for a dedicated oncological multidisciplinary meeting (MDM). The aim of our study was to evaluate the impact of the dedicated MDM on the management of superficial cancers of the...
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Format: | Article |
Language: | English |
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Georg Thieme Verlag KG
2018-12-01
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Series: | Endoscopy International Open |
Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-0658-1350 |
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doaj-22c54a3047ad4a1a821952a2c220eaab |
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Article |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Solène Dermine Maximilien Barret Caroline Prieux Sophie Ribière Sarah Leblanc Marion Dhooge Catherine Brezault Vered Abitbol Benoit Terris Frédéric Beuvon Alexandre Rouquette Bertrand Dousset Sébastien Gaujoux Philippe Soyer Anthony Dohan Jean-Emmanuel Bibault Romain Coriat Frédéric Prat Stanislas Chaussade |
spellingShingle |
Solène Dermine Maximilien Barret Caroline Prieux Sophie Ribière Sarah Leblanc Marion Dhooge Catherine Brezault Vered Abitbol Benoit Terris Frédéric Beuvon Alexandre Rouquette Bertrand Dousset Sébastien Gaujoux Philippe Soyer Anthony Dohan Jean-Emmanuel Bibault Romain Coriat Frédéric Prat Stanislas Chaussade Impact of a dedicated multidisciplinary meeting on the management of superficial cancers of the digestive tract Endoscopy International Open |
author_facet |
Solène Dermine Maximilien Barret Caroline Prieux Sophie Ribière Sarah Leblanc Marion Dhooge Catherine Brezault Vered Abitbol Benoit Terris Frédéric Beuvon Alexandre Rouquette Bertrand Dousset Sébastien Gaujoux Philippe Soyer Anthony Dohan Jean-Emmanuel Bibault Romain Coriat Frédéric Prat Stanislas Chaussade |
author_sort |
Solène Dermine |
title |
Impact of a dedicated multidisciplinary meeting on the management of superficial cancers of the digestive tract |
title_short |
Impact of a dedicated multidisciplinary meeting on the management of superficial cancers of the digestive tract |
title_full |
Impact of a dedicated multidisciplinary meeting on the management of superficial cancers of the digestive tract |
title_fullStr |
Impact of a dedicated multidisciplinary meeting on the management of superficial cancers of the digestive tract |
title_full_unstemmed |
Impact of a dedicated multidisciplinary meeting on the management of superficial cancers of the digestive tract |
title_sort |
impact of a dedicated multidisciplinary meeting on the management of superficial cancers of the digestive tract |
publisher |
Georg Thieme Verlag KG |
series |
Endoscopy International Open |
issn |
2364-3722 2196-9736 |
publishDate |
2018-12-01 |
description |
Background The recent development of endoscopic resection for superficial gastrointestinal cancers could justify the need for a dedicated oncological multidisciplinary meeting (MDM). The aim of our study was to evaluate the impact of the dedicated MDM on the management of superficial cancers of the digestive tract.
Methods A dedicated MDM was developed at our tertiary referral center. A retrospective review of the MDM conclusions for all patients referred from March 2015 to March 2017 was performed. Outcomes measurements were the outcomes of endoscopic resection, and the concordance rate between the MDM recommendations, European Society of Gastrointestinal Endoscopy (ESGE) guidelines, and final patient management.
Results In total, 153 patients with a median age of 69 years were included. Half of the patients had major comorbidities. The mean lesion size was 25 mm, and R0 and curative resection rate were 73.9 % and 56.9 %, respectively. Forty-three patients had an indication for surgery after endoscopic resection. The concordance rate between ESGE guidelines and MDM recommendation was 92.2 %, and 12 patients did not receive the treatment recommended due to comorbidities.
Conclusion A MDM dedicated to superficial tumors helped tailor the ESGE guidelines to each patient in order to avoid unnecessary surgery. |
url |
http://www.thieme-connect.de/DOI/DOI?10.1055/a-0658-1350 |
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doaj-22c54a3047ad4a1a821952a2c220eaab2020-11-25T03:20:15ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362018-12-010612E1470E147610.1055/a-0658-1350Impact of a dedicated multidisciplinary meeting on the management of superficial cancers of the digestive tractSolène Dermine0Maximilien Barret1Caroline Prieux2Sophie Ribière3Sarah Leblanc4Marion Dhooge5Catherine Brezault6Vered Abitbol7Benoit Terris8Frédéric Beuvon9Alexandre Rouquette10Bertrand Dousset11Sébastien Gaujoux12Philippe Soyer13Anthony Dohan14Jean-Emmanuel Bibault15Romain Coriat16Frédéric Prat17Stanislas Chaussade18Department of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, FranceDepartment of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, FranceDepartment of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, FranceDepartment of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, FranceDepartment of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, FranceDepartment of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, FranceDepartment of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, FranceDepartment of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, FranceDepartment of Pathology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, FranceDepartment of Pathology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, FranceDepartment of Pathology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, FranceDepartment of Digestive Surgery, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, FranceDepartment of Digestive Surgery, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, FranceDepartment of Radiology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, FranceDepartment of Radiology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, FranceDepartment of Radiotherapy, Georges Pompidou European Hospital, Assistance Publique – Hôpitaux de Paris, Paris, FranceDepartment of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, FranceDepartment of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, FranceDepartment of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, FranceBackground The recent development of endoscopic resection for superficial gastrointestinal cancers could justify the need for a dedicated oncological multidisciplinary meeting (MDM). The aim of our study was to evaluate the impact of the dedicated MDM on the management of superficial cancers of the digestive tract. Methods A dedicated MDM was developed at our tertiary referral center. A retrospective review of the MDM conclusions for all patients referred from March 2015 to March 2017 was performed. Outcomes measurements were the outcomes of endoscopic resection, and the concordance rate between the MDM recommendations, European Society of Gastrointestinal Endoscopy (ESGE) guidelines, and final patient management. Results In total, 153 patients with a median age of 69 years were included. Half of the patients had major comorbidities. The mean lesion size was 25 mm, and R0 and curative resection rate were 73.9 % and 56.9 %, respectively. Forty-three patients had an indication for surgery after endoscopic resection. The concordance rate between ESGE guidelines and MDM recommendation was 92.2 %, and 12 patients did not receive the treatment recommended due to comorbidities. Conclusion A MDM dedicated to superficial tumors helped tailor the ESGE guidelines to each patient in order to avoid unnecessary surgery.http://www.thieme-connect.de/DOI/DOI?10.1055/a-0658-1350 |