Mano Max S, Çitaku Fadil T, Barach Paul
Grupo Oncoclínicas, São Paulo, Brazil.
Academy of Leadership Sciences Switzerland, Switzerland.
Future Oncol. 2022 Jan;18(3):375-384. doi: 10.2217/fon-2021-0471. Epub 2021 Nov 17.
The healthcare industry compares unfavorably with other ultra-safe industries such as aviation and nuclear power plants, which address complexity by reducing the vulnerability of a single person and promoting teams and strong systems. A multidisciplinary tumor board (MTB) is an evidence-based organizational approach to implementing a more effective concept in oncology practice. Studies addressing the correlation between MTBs and cancer outcomes show promising results, and other potential benefits are also addressed. The objectives of this article are to define and characterize MTBs in modern oncology practice, review the current literature on MTBs effectiveness and address challenges to the implementation and maintenance of MTBs. In this commentary-type narrative review, the authors present their opinions and, whenever possible, substantiate recommendations by citing supportive literature.
医疗行业与其他超安全行业(如航空和核电站)相比存在劣势,后者通过降低个体的脆弱性、促进团队协作和建立强大的系统来应对复杂性。多学科肿瘤委员会(MTB)是一种基于证据的组织方法,用于在肿瘤学实践中实施更有效的理念。关于MTB与癌症治疗结果之间相关性的研究显示出了有前景的结果,同时也探讨了其他潜在益处。本文的目的是定义并描述现代肿瘤学实践中的MTB,回顾当前关于MTB有效性的文献,并探讨MTB实施和维持过程中面临的挑战。在这篇评论性叙述综述中,作者阐述了他们的观点,并尽可能通过引用支持性文献来证实建议。