Skip to main content

Multidisciplinary Model for Liver Tumors

  • Chapter
  • First Online:
Radiation Therapy for Liver Tumors

Abstract

The multidisciplinary approach to patient care is widely utilized in many healthcare settings today, as we are now living in an era where patient-centered care is being recognized as a quality measure by government and regulatory agencies. In the management of liver tumors, multimodality therapy is often necessary and it is only through the comprehensive multidisciplinary approach that patients are afforded the most current and up-to-date therapeutic options. The traditional scenario for multidisciplinary care has been a tumor board-type setting; however, this often results in fragmented and physician-centered patient care. A newer, more formalized approach is a clinic and conference combination over a one- or two-day period. In this setting, the patient undergoes radiographic/laboratory testing and history and physical examination in the morning, followed by consultation with a multidisciplinary team of specialists in the afternoon. This approach has been found to be beneficial to healthcare providers and patients and is quickly becoming the preferred model in caring for patients with malignancies.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Meguid C, Ryan CE, Edil BH, Schulick RD, Gajdos C, Boniface M, et al. Establishing a framework for building multidisciplinary programs. J Multidiscip Healthc. 2015;8:519–26.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Chang JH, Vines E, Bertsch H, Fraker DL, Czerniecki BJ, Rosato EF, et al. The impact of a multidisciplinary breast cancer center on recommendations for patient management: The University of Pennsylvania experience. Cancer. 2001;91(7):1231–7.

    Article  CAS  PubMed  Google Scholar 

  3. Fleissig A, Jenkins V, Catt S, Fallowfield L. Multidisciplinary teams in cancer care: are they effective in the UK? Lancet Oncol. 2006;7(11):935–43.

    Article  PubMed  Google Scholar 

  4. Gabel M, Hilton NE, Nathanson SD. Multidisciplinary breast cancer clinics. Do they work? Cancer. 1997;79(12):2380–4.

    Article  CAS  PubMed  Google Scholar 

  5. Page AJ, Cosgrove D, Elnahal SM, Herman JM, Pawlik TM. Organizing a multidisciplinary clinic. Chin Clin Oncol. 2014;3(4):43.

    PubMed  Google Scholar 

  6. Elnahal SM, Moningi S, Wild AT, Dholakia AS, Hodgin M, Fan KY, et al. Improving safe patient throughput in a multidisciplinary oncology clinic. Physician Leadersh J. 2015;2(2):56–60, 2, 4–5.

    Google Scholar 

  7. Yopp AC, Mansour JC, Beg MS, Arenas J, Trimmer C, Reddick M, et al. Establishment of a multidisciplinary hepatocellular carcinoma clinic is associated with improved clinical outcome. Ann Surg Oncol. 2014;21(4):1287–95.

    Article  PubMed  Google Scholar 

  8. Siegel GW, Biermann JS, Chugh R, Jacobson JA, Lucas D, Feng M, et al. The multidisciplinary management of bone and soft tissue sarcoma: an essential organizational framework. J Multidiscip Healthc. 2015;8:109–15.

    PubMed  PubMed Central  Google Scholar 

  9. Charara RN, Kreidieh, FY, Farhat RA, Al-Feghali KA, Khoury KE, Haydar A, Nassar L, Berjawi G, Shamseddine A, El Saghir NS. Practice and impact of multidisciplinary tumor boards on patient management: a prospective study. J Glob Oncol. 2016. doi:10.1200/JGO.2016.004960 [Epub ahead of print].

  10. Park HC, Seong J, Tanaka M, Zeng ZC, Lim HY, Guan S, et al. Multidisciplinary management of nonresectable hepatocellular carcinoma. Oncology. 2011;81(Suppl 1):134–40.

    Article  PubMed  Google Scholar 

  11. Venkatesh SK, Chandan V, Roberts LR. Liver masses: a clinical, radiologic, and pathologic perspective. Clin Gastroenterol Hepatol. 2014;12(9):1414–29.

    Article  PubMed  Google Scholar 

  12. Ward TJ, Madoff DC, Weintraub JL. Interventional radiology in the multidisciplinary management of liver lesions: pre- and postoperative roles. Semin Liver Dis. 2013;33(3):213–25.

    Article  PubMed  Google Scholar 

  13. Jacobson JO. Multidisciplinary cancer management: a systems-based approach to deliver complex care. J Oncol Pract. 2010;6(6):274–5.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Newman EA, Guest AB, Helvie MA, Roubidoux MA, Chang AE, Kleer CG, et al. Changes in surgical management resulting from case review at a breast cancer multidisciplinary tumor board. Cancer. 2006;107(10):2346–51.

    Article  PubMed  Google Scholar 

  15. Petty JK, Vetto JT. Beyond doughnuts: tumor board recommendations influence patient care. J Cancer Educ. 2002;17(2):97–100.

    PubMed  Google Scholar 

  16. Meguid C, Schulick RD, Schefter TE, Lieu CH, Boniface M, Williams N, et al. The multidisciplinary approach to GI cancer results in change of diagnosis and management of patients. Multidisciplinary care impacts diagnosis and management of patients. Ann Surg Oncol. 2016;23(12):3986–90.

    Article  PubMed  Google Scholar 

  17. van Hagen P, Spaander MC, van der Gaast A, van Rij CM, Tilanus HW, van Lanschot JJ, et al. Impact of a multidisciplinary tumour board meeting for upper-GI malignancies on clinical decision making: a prospective cohort study. Int J Clin Oncol. 2013;18(2):214–9.

    Article  PubMed  Google Scholar 

  18. Schmidt HM, Roberts JM, Bodnar AM, Kunz S, Kirtland SH, Koehler RP, et al. Thoracic multidisciplinary tumor board routinely impacts therapeutic plans in patients with lung and esophageal cancer: a prospective cohort study. Ann Thorac Surg. 2015;99(5):1719–24.

    Article  PubMed  Google Scholar 

  19. Pawlik TM, Laheru D, Hruban RH, Coleman J, Wolfgang CL, Campbell K, et al. Evaluating the impact of a single-day multidisciplinary clinic on the management of pancreatic cancer. Ann Surg Oncol. 2008;15(8):2081–8.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Bumm R, Feith M, Lordick F, Herschbach P, Siewert JR. Impact of multidisciplinary tumor boards on diagnosis and treatment of esophageal cancer. Eur Surg. 2007;39(3):136–40.

    Google Scholar 

  21. Gardner TB, Barth RJ, Zaki BI, Boulay BR, McGowan MM, Sutton JE, et al. Effect of initiating a multidisciplinary care clinic on access and time to treatment in patients with pancreatic adenocarcinoma. J Oncol Pract. 2010;6(6):288–92.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Litton G, Kane D, Clay G, Kruger P, Belnap T, Parkinson B. Multidisciplinary cancer care with a patient and physician satisfaction focus. J Oncol Pract. 2010;6(6):e35–7.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Wilson EE, Thompson SK, Bull J, Jones B, Price T, Devitt PG, et al. Improving care for patients with oesophageal and gastric cancer: impact of a statewide multidisciplinary team. ANZ J Surg. 2016;86(4):270–3.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Cheryl Meguid DNP .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Meguid, C., Schefter, T.E. (2017). Multidisciplinary Model for Liver Tumors. In: Meyer, J., Schefter, T. (eds) Radiation Therapy for Liver Tumors. Springer, Cham. https://doi.org/10.1007/978-3-319-54531-8_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-54531-8_19

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-54530-1

  • Online ISBN: 978-3-319-54531-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics