Ibekwe Opuruiche, Agyemang Amma F, Gaudioso Carmelo, Attwood Kristopher M, Nwogu Chukwumere, Frederick Peter J
Department of Thoracic Surgery, Roswell Park Comprehensive Cancer Center, Elm and Carlton Sts, Buffalo, NY, 14263, USA.
Department of Gynecologic Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
J Cancer Educ. 2025 Jan 3. doi: 10.1007/s13187-024-02556-0.
Multidisciplinary cancer conferences (MCCs) improve patient outcomes. Our goals were to investigate the impact of a technology platform, navify® Clinical Hub for Tumor Boards (nCH) on the quality and educational value of gynecologic oncology MCCs. We conducted a prospective, mixed methods study of the gynecologic oncology MCC at a comprehensive cancer center from 2020 to 2023. Using a validated observational tool, we assessed the quality of case presentation and discussion (as measured by a mean composite score) before and after the introduction of nCH. We also evaluated compliance of care plans with national guidelines, changes in care plans, and concordance of treatment received with MCC recommendations. Surveys and interviews were used to evaluate the educational value of the MCCs. Analyses were conducted using SAS v9.4 (Cary, NC) and Dedoose v9.0.17, (Los Angeles, CA). Pre- and post-nCH cohorts consisted of 49 and 60 patients, respectively. When comparing both cohorts, there was a difference in the mean composite score (50.57 vs 54.11; p = 0.016). Care plans were changed by the MCC in approximately 12% of cases, and MCC recommendations were 93-96% concordant with treatment received, but no statistically significant differences were observed. Additionally, MCC recommendations were 100% compliant with guidelines. Interviews of MCC participants revealed that the post-nCH presentation was more concise and structured. Despite limited use of some nCH features, GYN fellows reported a high educational value of the MCC. nCH improved the quality of the gynecologic oncology MCC and the educational experience of trainees.
多学科癌症会议（MCCs）可改善患者预后。我们的目标是研究一种技术平台，即用于肿瘤病例讨论会的navify®临床中心（nCH）对妇科肿瘤MCCs的质量和教育价值的影响。我们于2020年至2023年在一家综合癌症中心对妇科肿瘤MCC进行了一项前瞻性混合方法研究。使用经过验证的观察工具，我们在引入nCH之前和之后评估了病例展示和讨论的质量（以平均综合评分衡量）。我们还评估了护理计划与国家指南的符合情况、护理计划的变化以及所接受治疗与MCC建议的一致性。通过调查和访谈来评估MCCs的教育价值。使用SAS v9.4（北卡罗来纳州卡里）和Dedoose v9.0.17（加利福尼亚州洛杉矶）进行分析。nCH引入前和引入后的队列分别包括49例和60例患者。比较两个队列时，平均综合评分存在差异（50.57对54.11；p = 0.016）。MCC在约12%的病例中更改了护理计划，MCC建议与所接受治疗的一致性为93% - 96%，但未观察到统计学上的显著差异。此外，MCC建议100%符合指南。对MCC参与者的访谈显示，nCH引入后的展示更简洁且结构更清晰。尽管nCH的一些功能使用有限，但妇科住院医师报告称MCC具有很高的教育价值。nCH提高了妇科肿瘤MCC的质量以及实习生的教育体验。
