City Tumour board Karachi: An innovative step in multidisciplinary consensus meeting and its two years audit

Asghar Hussain Asghar, Ahmed Nadeem Abbasi, Abid Jamal, Ghulam Haider, Sadia Rizvi

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)

Abstract

Management of cancer patients is a team work which usually comprises of surgeons, oncologists, radiologists, pathologists, psychiatrist, nutritionist and a nurse. Any patient who is suffering from any tumour needs a multimodality meeting as cancer treatment is not a single persons job. Most of the time, it is difficult to get the whole team together for a plan discussion due to their busy schedule. This problem was overcome by starting a tumour board meeting early morning of Sunday in Karachi which was named "City Tumour Board (CTB) Karachi". Its first meeting was held on Sunday March 28, 2010 and since then it takes place regularly fortnightly. Till March 2012, 44 sessions were conducted and total 264 cases were discussed. Here we present an audit of these two years. On average, in 60% of cases, tumour was up (36%) or down staged (12%) while in 52% of cases the stage remained unchanged. In 70% of cases (inclusive of above 60%), initial treatment plan was changed after discussion in the tumour board. This data signifies the importance of tumour board especially in a Pakistani setup where patient and even referring persons are not well aware of this disease and its outcome. It is advisable that every case should be discussed in tumour board before embarking on any treatment so that the best treatment plan can be given. It is also important that all relevant specialists should be present in the tumour board when planning for any treatment.

Original languageEnglish
Pages (from-to)1534-1535
Number of pages2
JournalJournal of the Pakistan Medical Association
Volume63
Issue number12
Publication statusPublished - Dec 2013
Externally publishedYes

Keywords

  • Multidisciplinary cancer meeting
  • Multimodality team approach
  • Tumour board

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