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通过在线肿瘤会议优化妇科和乳腺癌的临床管理。

Optimizing the clinical management of gynecological and breast cancer via online tumor conferences.

机构信息

Department of Obstetrics and Gynecology, University of Duisburg-Essen, Essen, Germany.

出版信息

Anticancer Res. 2011 Aug;31(8):2669-73.

PMID:21778321
Abstract

BACKGROUND

The therapy of gynecological malignancies and breast cancer requires a multimodal therapy approach based on current individualized and risk adapted state of the art therapy concepts. The aim of this online tumor conference project is to reach a broad interdisciplinary and cross-sectoral participation of specialists in order to develop high-quality therapy recommendations for complex casuistics.

PATIENTS AND METHODS

The concept of the interdisciplinary online tumor conference was established in 2004 at the Department of Gynecology, Charité Campus Virchow, University Hospital of Berlin to conduct online tumor board meetings of specialists in the field of gynecological cancer from different hospitals and gynecological and oncological practitioners from the outpatient sector. Following a systematic approach, patient data, relevant external clinical evidence and therapy preference are presented to the participants. An individual therapy recommendation for each patient is reached by consensus discussion.

RESULTS

By July 2009, 131 online tumor conferences had been performed with a total of 275 participants were developed. Per session, a median of 14 participants logged in online. Additionally 398 second opinion recommendations were performed. In an anonymous survey, carried out at the beginning of 2009, 95% of the participating physicians reported being satisfied with the information content and 50% were stimulated to seek more second opinions by the possibility of the online tumor conference. All contributors attested to a high comprehension of the developed therapy recommendations; 70% confirmed further that the conference presents an optimal possibility for fast and detailed exchange of information between disciplines and care sectors (in- and out-patient) and improves advanced educational training (81%).

CONCLUSION

The online tumor conference provides a time saving and high quality possibility for receiving a treatment recommendation based on the best available clinical and scientific evidence and contributes to continuously advanced training for therapists in the field of gynecological cancer.

摘要

背景

妇科恶性肿瘤和乳腺癌的治疗需要基于当前个体化和风险适应的最新治疗概念的多模式治疗方法。本次在线肿瘤会议项目的目的是实现广泛的跨学科和跨部门的专家参与,以便为复杂病例制定高质量的治疗建议。

患者和方法

2004 年,柏林夏洛蒂医科大学附属医院妇科在部门内建立了跨学科在线肿瘤会议的概念,以进行来自不同医院的妇科癌症专家和妇科和肿瘤学从业者的在线肿瘤委员会会议。遵循系统的方法,向参与者展示患者数据、相关外部临床证据和治疗偏好。通过共识讨论为每位患者达成个体化的治疗建议。

结果

截至 2009 年 7 月,已进行了 131 次在线肿瘤会议,共有 275 名参与者。每次会议,中位数有 14 名参与者在线登录。此外,还进行了 398 次第二意见建议。在 2009 年初进行的匿名调查中,95%的参与医生报告对信息内容感到满意,50%的医生因在线肿瘤会议提供的可能性而寻求更多的第二意见。所有贡献者都证明了对制定的治疗建议有很高的理解;70%的人进一步确认,会议为不同学科和护理部门(门诊和住院)之间快速和详细的信息交流提供了最佳可能性,并提高了高级教育培训(81%)。

结论

在线肿瘤会议为根据最佳可用的临床和科学证据获得治疗建议提供了节省时间且高质量的可能性,并有助于不断提高妇科癌症治疗领域治疗师的培训水平。

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1
Optimizing the clinical management of gynecological and breast cancer via online tumor conferences.通过在线肿瘤会议优化妇科和乳腺癌的临床管理。
Anticancer Res. 2011 Aug;31(8):2669-73.
2
[Gynecological tumor aftercare].[妇科肿瘤术后护理]
Schweiz Rundsch Med Prax. 1983 Jul 5;72(27):922-6.
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Mitomycin C in patients with gynecological malignancies.丝裂霉素C用于妇科恶性肿瘤患者。
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Reproduction beyond cancer: a message of hope for young women.癌症之外的生育:给年轻女性的希望讯息。
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[Stage adjusted therapy of malignancies and breast cancers].[恶性肿瘤和乳腺癌的分期调整治疗]
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Online tumor conference in the clinical management of gynecological cancer: experience from a pilot study in Germany.妇科癌症临床管理中的在线肿瘤会议:来自德国一项试点研究的经验
Int J Gynecol Cancer. 2008 Jan-Feb;18(1):1-7. doi: 10.1111/j.1525-1438.2007.00971.x. Epub 2007 Apr 27.
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[Clinical impact of locoregional hyperthermia in gynecological oncology].[局部区域热疗在妇科肿瘤学中的临床影响]
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