A rationale for multidisciplinary care in treating neuroendocrine tumours Journal Article
| Authors: | Metz, D. C.; Choi, J.; Strosberg, J.; Heaney, A. P.; Howden, C. W.; Klimstra, D.; Yao, J. C. |
| Article Title: | A rationale for multidisciplinary care in treating neuroendocrine tumours |
| Abstract: | Purpose of review Disease heterogeneity and multisystem complications represent challenges to the diagnosis and management of neuroendocrine tumours (NET), with the disease often remaining undiagnosed for years after initial presentation. The purpose of this review is to assess the limitations of traditional care models and review the potential benefits of the multidisciplinary team approach in cancer treatment and to explore the potential usefulness of the multidisciplinary team approach for patients with NET. Recent findings This article outlines important considerations for the multidisciplinary management of NET, offers a model for team structure and function and identifies skill sets of members that may augment patient care. We believe a multidisciplinary team should include three to four clinicians with extensive NET experience. A coordinating physician plays a crucial role by facilitating team cohesiveness and maintaining constant patient contact throughout the course of treatment. Our model emphasizes collaboration between members of the core team and can be extended to include interactions with community healthcare professionals and others. Summary A multidisciplinary approach offers the best prospect for improving clinical outcomes and understanding the natural history of NET. Copyright © Lippincott Williams & Wilkins. |
| Keywords: | treatment outcome; patient satisfaction; review; sunitinib; advanced cancer; chemoembolization; treatment planning; cancer patient; nuclear magnetic resonance imaging; outcome assessment; cancer diagnosis; computer assisted tomography; tumor volume; differential diagnosis; food and drug administration; oncology; neuroendocrine tumor; patient care; patient care team; cancer center; radiologist; surgeon; health care personnel; insulin; glucose blood level; medical specialist; physician; glucose; insulin blood level; traditional medicine; general practitioner; management; everolimus; stomach carcinoid; pathologist; diet restriction; skill; endoscopic echography; pentetreotide in 111; somatostatin; neuroendocrine tumors; insulinoma; clinical trial (topic); 5 hydroxyindoleacetic acid; gastrin; carcinoid syndrome; nurse practitioner; process optimization; neuroendocrine tumour; gastrinoma; glucagonoma; somatostatinoma; vipoma; vasoactive intestinal polypeptide; pharmacist; pancreatic neuroendocrine tumor; multidisciplinary; physician assistant; psychologist; c peptide; proinsulin; tachykinin; endocrinologist; gastrin blood level; nuclear medicine technician; team building |
| Journal Title: | Current Opinion in Endocrinology, Diabetes and Obesity |
| Volume: | 19 |
| Issue: | 4 |
| ISSN: | 1752-296X |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 2012-08-01 |
| Start Page: | 306 |
| End Page: | 313 |
| Language: | English |
| DOI: | 10.1097/MED.0b013e32835570f1 |
| PROVIDER: | scopus |
| PUBMED: | 22760514 |
| DOI/URL: | |
| Notes: | --- - "Export Date: 4 September 2012" - "Source: Scopus" |
