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Métodos Terapéuticos y Terapias MTCI
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Head Neck ; 39(7): 1291-1295, 2017 07.
Artículo en Inglés | MEDLINE | ID: mdl-28452157

RESUMEN

BACKGROUND: Anaplastic thyroid cancer (ATC) is a highly aggressive thyroid cancer. Several treatment trials are available, but the number of eligible patients to participate is very low because of the rarity and aggressiveness of the disease. METHODS: Facilitating Anaplastic Thyroid Cancer Specialized Treatment (FAST) is a quality improvement project aimed at decreasing time from referral to disposition (scheduling of first appointment) to our institution. After identifying reasons for delays, we created a new process flow specifically for patients with ATC allowing patients to be scheduled immediately. RESULTS: Historical data revealed a mean referral to disposition time for patients with ATC of 8.7 days before our intervention. After the intervention, the mean referral to disposition time was reduced to 0.5 days. Participation in treatment trials for all patients with ATC was 34%. CONCLUSION: Since the implementation of FAST, the access time has decreased and the number of successful referrals for ATC has increased significantly.


Asunto(s)
Planificación de Atención al Paciente/organización & administración , Carcinoma Anaplásico de Tiroides/patología , Carcinoma Anaplásico de Tiroides/terapia , Neoplasias de la Tiroides/patología , Neoplasias de la Tiroides/terapia , Centros Médicos Académicos , Biopsia con Aguja , Terapia Combinada , Vías Clínicas , Supervivencia sin Enfermedad , Femenino , Humanos , Inmunohistoquímica , Comunicación Interdisciplinaria , Masculino , Mejoramiento de la Calidad , Radioterapia Adyuvante , Medición de Riesgo , Análisis de Supervivencia , Carcinoma Anaplásico de Tiroides/mortalidad , Neoplasias de la Tiroides/mortalidad , Tiroidectomía/métodos , Tiroidectomía/mortalidad , Resultado del Tratamiento , Estados Unidos
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