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The impact of a multidisciplinary team approach on the management of focal pancreatic lesions: a single tertiary center experience.
Francisse, Sophie; Gkolfakis, Paraskevas; Viesca, Michael Fernandez Y; Mans, Laura; Demols, Anne; Pezzullo, Martina; Loi, Patricia; Navez, Julie; Closset, Jean; Bali, Maria Antonietta; Wettere, Morgane Van; D'Haene, Nicki; Demetter, Pieter; Verset, Laurine; Bouchart, Christelle; Lemmers, Arnaud; Deviere, Jacques; Delhaye, Myriam; Laethem, Jean-Luc Van; Arvanitakis, Marianna.
Afiliação
  • Francisse S; Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, HUB (Sophie Francisse, Paraskevas Gkolfakis, Michael Fernandez Y Viesca, Laura Mans, Anne Demols, Arnaud Lemmers, Jacques Deviere, Myriam Delhaye, Jean-Luc Van Laethem, Marianna Arvanitakis).
  • Gkolfakis P; Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, HUB (Sophie Francisse, Paraskevas Gkolfakis, Michael Fernandez Y Viesca, Laura Mans, Anne Demols, Arnaud Lemmers, Jacques Deviere, Myriam Delhaye, Jean-Luc Van Laethem, Marianna Arvanitakis).
  • Viesca MFY; Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, HUB (Sophie Francisse, Paraskevas Gkolfakis, Michael Fernandez Y Viesca, Laura Mans, Anne Demols, Arnaud Lemmers, Jacques Deviere, Myriam Delhaye, Jean-Luc Van Laethem, Marianna Arvanitakis).
  • Mans L; Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, HUB (Sophie Francisse, Paraskevas Gkolfakis, Michael Fernandez Y Viesca, Laura Mans, Anne Demols, Arnaud Lemmers, Jacques Deviere, Myriam Delhaye, Jean-Luc Van Laethem, Marianna Arvanitakis).
  • Demols A; Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, HUB (Sophie Francisse, Paraskevas Gkolfakis, Michael Fernandez Y Viesca, Laura Mans, Anne Demols, Arnaud Lemmers, Jacques Deviere, Myriam Delhaye, Jean-Luc Van Laethem, Marianna Arvanitakis).
  • Pezzullo M; Department of Radiology, Erasme University Hospital, HUB (Martina Pezzullo, Morgane Van Wettere).
  • Loi P; Department of Digestive Surgery, Surgical Oncology, Metabolic Surgery, Hepatopancreatology, Liver and Kidney Transplantations, Erasme University Hospital, HUB (Patricia Loi, Julie Navez, Jean Closset).
  • Navez J; Department of Digestive Surgery, Surgical Oncology, Metabolic Surgery, Hepatopancreatology, Liver and Kidney Transplantations, Erasme University Hospital, HUB (Patricia Loi, Julie Navez, Jean Closset).
  • Closset J; Department of Digestive Surgery, Surgical Oncology, Metabolic Surgery, Hepatopancreatology, Liver and Kidney Transplantations, Erasme University Hospital, HUB (Patricia Loi, Julie Navez, Jean Closset).
  • Bali MA; Department of Radiology, Institute Jules Bordet, HUB (Maria Antonietta Bali).
  • Wettere MV; Department of Radiology, Erasme University Hospital, HUB (Martina Pezzullo, Morgane Van Wettere).
  • D'Haene N; Department of Pathology, Erasme University Hospital, HUB (Nicki D'Haene).
  • Demetter P; Department of Pathology, Institute Jules Bordet, HUB (Pieter Demetter, Laurine Verset).
  • Verset L; Department of Pathology, Institute Jules Bordet, HUB (Pieter Demetter, Laurine Verset).
  • Bouchart C; Department of Radiation-Oncology, Institute Jules Bordet, HUB (Christelle Bouchart), Brussels, Belgium.
  • Lemmers A; Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, HUB (Sophie Francisse, Paraskevas Gkolfakis, Michael Fernandez Y Viesca, Laura Mans, Anne Demols, Arnaud Lemmers, Jacques Deviere, Myriam Delhaye, Jean-Luc Van Laethem, Marianna Arvanitakis).
  • Deviere J; Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, HUB (Sophie Francisse, Paraskevas Gkolfakis, Michael Fernandez Y Viesca, Laura Mans, Anne Demols, Arnaud Lemmers, Jacques Deviere, Myriam Delhaye, Jean-Luc Van Laethem, Marianna Arvanitakis).
  • Delhaye M; Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, HUB (Sophie Francisse, Paraskevas Gkolfakis, Michael Fernandez Y Viesca, Laura Mans, Anne Demols, Arnaud Lemmers, Jacques Deviere, Myriam Delhaye, Jean-Luc Van Laethem, Marianna Arvanitakis).
  • Laethem JV; Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, HUB (Sophie Francisse, Paraskevas Gkolfakis, Michael Fernandez Y Viesca, Laura Mans, Anne Demols, Arnaud Lemmers, Jacques Deviere, Myriam Delhaye, Jean-Luc Van Laethem, Marianna Arvanitakis).
  • Arvanitakis M; Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, HUB (Sophie Francisse, Paraskevas Gkolfakis, Michael Fernandez Y Viesca, Laura Mans, Anne Demols, Arnaud Lemmers, Jacques Deviere, Myriam Delhaye, Jean-Luc Van Laethem, Marianna Arvanitakis).
Ann Gastroenterol ; 36(5): 580-587, 2023.
Article em En | MEDLINE | ID: mdl-37664233
Background: Multidisciplinary team (MDT) meetings aim to optimize patient management. We evaluated the impact of MDT discussions on the management and diagnosis of focal pancreatic lesions in a single tertiary center. Methods: All patients with an initial diagnosis of solid or cystic pancreatic lesion discussed in our institution's MDT meeting on pancreatic diseases between January 1, 2020, and December 31, 2021, were included. The impact of MDT discussion on patient management, defined as a modification of the initially proposed therapeutic plan after MDT discussion, as well as the criteria leading to this modification, were the primary outcomes. Impact on diagnosis was the secondary outcome. Results: A total of 522 patients were included. Of these, 185 (35.4%) and 337 (64.6%) had an initial diagnosis of cystic or solid lesion, respectively. The most common referral query was regarding the management plan (349/522; 66.9%). Endoscopy was the procedure most often proposed before MDT discussion (109/522; 20.9%). Overall, the MDT discussion led to modification of the management plan in 377/522 patients (72.2%), with a statistically significant difference between cystic and solid lesions (63.2% vs. 77.2%; P<0.001). Management modifications were mainly driven by revision of cross-sectional radiological images. MDT discussion led to modification of the diagnosis in 92/522 patients (17.6%), with a significant difference regarding cystic lesions (35.7% vs. 7.7%; P<0.001). Conclusion: MDT discussion impacts the management of patients with cystic and solid pancreatic lesions, leading to a modification of the initially proposed management in two-thirds of them, mainly through revision of cross-sectional imaging.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Ann Gastroenterol Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Ann Gastroenterol Ano de publicação: 2023 Tipo de documento: Article