Multidisciplinary Clinics for Colorectal Cancer Care Reduces Treatment Time

Abstract Introduction Management of locally advanced and metastatic colorectal cancer (CRC) requires expertise of multiple specialists. Multidisciplinary clinics (MDC) are a working model designed to facilitate delivery of coordinated care. This study evaluates the effects of MDC on time to treat. P...

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Bibliographic Details
Published in:Clinical colorectal cancer 2017-12, Vol.16 (4), p.366-371
Main Authors: Kozak, Vanessa N., MD, Khorana, Alok A., MD, Amarnath, Sudha, MD, Glass, Katherine E., M.P.H., M.S, Kalady, Matthew F., MD
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Ambulatory Care Facilities - organization & administration
Anus Neoplasms - therapy
Cancer Care Facilities - organization & administration
Colon cancer
Colorectal Neoplasms - therapy
Female
Gastroenterology and Hepatology
Health Services Accessibility
Hematology, Oncology and Palliative Medicine
Humans
Male
Middle Aged
Neoadjuvant Therapy - methods
Patient Care Team - organization & administration
Process improvement
Rectal cancer
Registries
Retrospective Studies
Time to treatment
Timely care
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Summary:Abstract Introduction Management of locally advanced and metastatic colorectal cancer (CRC) requires expertise of multiple specialists. Multidisciplinary clinics (MDC) are a working model designed to facilitate delivery of coordinated care. This study evaluates the effects of MDC on time to treat. Patients and Methods Patients with CRC or locally advanced anal cancer who were evaluated at a single institution MDC between January 2014 and October 2015 were identified from an institutional registry. Clinical characteristics and timelines for various aspects of treatment were retrospectively reviewed and recorded. A control population of patients not evaluated at MDC was matched 1:2 by disease and the number of treating specialties. Primary endpoints were time to treatment from diagnosis and time to treat from first consultation. Results One-hundred-five patients were included: 35 evaluated at MDC and 70 controls. MDC patients experienced a 7.8 day shorter time to treatment from first consultation (21.5 vs. 29.3 days, p = 0.01). The difference was greater for patients visiting three departments (21.3 vs. 30.6 days, p
ISSN:1533-0028
1938-0674
DOI:10.1016/j.clcc.2017.03.020