Takeda Takayuki, Takeda Sorou, Uryu Kiyoaki, Ichihashi Yoshio, Harada Hiromasa, Iwase Akihiko, Tamura Yukihiro, Hibino Makoto, Horiuchi Shigeto, Kani Hisanori
Uji-Tokushukai Medical Center, Kyoto, Japan.
Yao-Tokushukai General Hospital, Osaka, Japan.
JCO Clin Cancer Inform. 2019 Mar;3:1-7. doi: 10.1200/CCI.18.00115.
The complexity of lung cancer treatment is rapidly increasing, necessitating the use of multidisciplinary approaches for improving outcomes. Although it is common for institutions to have their own tumor boards, tumor boards connecting several general hospitals, and therefore allowing for more diverse opinions, are not prevalent.
A tumor board connecting eight hospitals was formed to discuss patients for whom formulating a treatment strategy was difficult. Physicians and hospital staff accessed a high-security communication line via LiveOn ( Japan Media Systems Corporation, Tokyo, Japan), which is completely isolated from the Internet and password protected, that enables each hospital to share the electronic medical records and images of relevant patients at other hospitals on desktop computers in real time. The lung cancer tumor board began in April 2017 and has since been held every Tuesday evening for 1 hour. Preparatory records containing the age, sex, histology, TNM classification, background, and discussion points for each patient are created before each tumor board meeting. After the tumor board discussion, all conclusions and related articles used in the board are added to the minutes, which are finalized as Microsoft Word files, consolidated, and archived. These files can be retrieved later using key words.
From April 2017 to June 2018, 202 patients were discussed. Although TNM classification was not changed for any patient, diverse opinions led to a change in the proposed strategy for 49 of 202 patients.
The multidisciplinary tumor board was useful in obtaining various opinions from the perspectives of different experts. This should be evaluated in a prospective study.
肺癌治疗的复杂性正在迅速增加，因此需要采用多学科方法来改善治疗效果。虽然各机构通常都有自己的肿瘤专家委员会，但连接多家综合医院、从而能有更多样化意见的肿瘤专家委员会并不常见。
成立了一个连接八家医院的肿瘤专家委员会，以讨论制定治疗策略困难的患者。医生和医院工作人员通过LiveOn（日本媒体系统公司，东京，日本）访问一个高度安全的通信线路，该线路与互联网完全隔离且有密码保护，能使每家医院在台式电脑上实时共享其他医院相关患者的电子病历和图像。肺癌肿瘤专家委员会于2017年4月开始，此后每周二晚上举行1小时。在每次肿瘤专家委员会会议前，会创建包含每位患者的年龄、性别、组织学、TNM分类、背景和讨论要点的预备记录。肿瘤专家委员会讨论后，委员会中得出的所有结论和使用的相关文章都会添加到会议记录中，会议记录最终整理为Microsoft Word文件，进行合并和存档。这些文件稍后可通过关键词检索。
2017年4月至2018年6月，共讨论了202例患者。虽然所有患者的TNM分类均未改变，但多样化的意见导致202例患者中有49例的拟议治疗策略发生了改变。
多学科肿瘤专家委员会有助于从不同专家的角度获得各种意见。这一点应在前瞻性研究中进行评估。
