Berumen Kiara S, Sánchez-Navarro Alberto, Velázquez Andrea, Solano Manuel, Anaya Francisco, Rosales Gustavo, Díaz Alexandra, Jazer Johana, Zamudio Kathia, Suder Susana, Quintero Marisol, González-Martínez Adriana, García Luis A
School of Medicine, Universidad del Valle de Atemajac, Guadalajara 45050, Jalisco, México.
Instituto Oncológico Nacional, Guadalajara 44600, Jalisco, México.
Ecancermedicalscience. 2025 Jan 22;19:1830. doi: 10.3332/ecancer.2025.1830. eCollection 2025.
The management of the oncology patient is complex, due to late diagnosis, treatment and costs, affecting the medical, psychological, nutritional and economic areas. The creation of a multispecialty team, with specialists from health and other fields, is the characteristic of the institute. Since 1920, multidisciplinary has evolved and stood out in developed countries; in Mexico and continues to grow. Although it presents challenges, such as lack of time and coordination, its implementation significantly improves the comprehensive approach to patients.
A retrospective study conducted at the Instituto Oncológico Nacional (ION) in Guadalajara, Mexico, was conducted from April 2019 to December 2023, involving multispecialty sessions via Zoom for oncology patients. Information were collected from medical records with specific inclusion criteria, for the creation of a database in Excel and subsequent analysis with the IBM SPSS Statistics 22 tool.
93.09% of the patients were placed in a specialised unit, while 6.91% in 'other tumours'. 37.2% of the sessions were held to establish treatment, 32% for diagnosis and 30.8% for both. The breast tumour unit had the most sessions (15%) and the robotic surgery unit had the least sessions (0.8%). 74.9% of the cases required one session and 25.1% required more sessions. An average saving of 5 consultations were generated; 68.8% of the sessions met their objectives and were followed up.
Multispecialty virtual sessions in ION generate significant benefits: they reduce waiting times, save resources, improve access to specialised units and a comprehensive approach. Success is due to team coordination, communication between specialists and patients and implementation of decision making. It is recommended to promote this approach to optimise clinical outcomes and quality of life, overcoming logistical barriers and evaluating its long-term impact.
肿瘤患者的管理很复杂，这是由于诊断、治疗延迟以及费用问题，影响到医疗、心理、营养和经济等领域。组建一个由健康及其他领域专家组成的多专业团队是该机构的特色。自1920年以来，多学科模式在发达国家不断发展并崭露头角；在墨西哥也持续发展。尽管它面临一些挑战，比如时间不足和协调问题，但其实施显著改善了对患者的综合治疗方法。
在墨西哥瓜达拉哈拉的国家肿瘤研究所（ION）进行了一项回顾性研究，研究时间为2019年4月至2023年12月，涉及通过Zoom为肿瘤患者召开的多专业会议。从符合特定纳入标准的病历中收集信息，用于在Excel中创建数据库，并随后使用IBM SPSS Statistics 22工具进行分析。
93.09%的患者被安置在专科病房，而6.91%在“其他肿瘤”病房。37.2%的会议用于确定治疗方案，32%用于诊断，30.8%用于两者。乳腺肿瘤病房的会议最多（15%），机器人手术病房的会议最少（0.8%）。74.9%的病例只需一次会议，25.1%的病例需要更多会议。平均节省了5次会诊；68.8%的会议达到了目标并得到了跟进。
ION的多专业虚拟会议产生了显著效益：它们减少了等待时间，节省了资源，改善了专科病房的就医机会和综合治疗方法。成功得益于团队协调、专家与患者之间的沟通以及决策的实施。建议推广这种方法以优化临床结果和生活质量，克服后勤障碍并评估其长期影响。
