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Virtual Multidisciplinary Tumor Boards: A Narrative Review Focused on Lung Cancer

Authors :
Alberto Firenze
Livio Blasi
Francesco Verderame
Alba La Sala
I. Fazio
Sergio Rizzo
Hector Soto-parra
Gianluca Mortillaro
Roberto Marchese
Maurizio Chiarenza
Giuseppe Agneta
M. Spada
Dario Piazza
Enrico Potenza
Helga Lipari
M. R. Valerio
Concetta Sergi
Sergio Baldari
Amato C
Alfio Di Grazia
F. Ferraù
Alessandro Bertani
Elena Roz
Vittorio Gebbia
Gianfranco Mancuso
A. Guarini
Gebbia V.
Guarini A.
Piazza D.
Bertani A.
Spada M.
Verderame F.
Sergi C.
Potenza E.
Fazio I.
Blasi L.
La Sala A.
Mortillaro G.
Roz E.
Marchese R.
Chiarenza M.
Soto-Parra H.
Valerio M.R.
Agneta G.
Amato C.
Lipari H.
Baldari S.
Ferrau F.
Di Grazia A.
Mancuso G.
Rizzo S.
Firenze A.
Source :
Pulmonary Therapy
Publication Year :
2021
Publisher :
Springer Science and Business Media LLC, 2021.

Abstract

To date, the virtual multidisciplinary tumor boards (vMTBs) are increasingly used to achieve high-quality treatment recommendations across health-care regions, which expands and develops the local MTB team to a regional or national expert network. This review describes the process of lung cancer-specific MTBs and the transition process from face-to-face tumor boards to virtual ones. The review also focuses on the project organization's description, advantages, and disadvantages. Semi-structured interviews identified five major themes for MTBs: current practice, attitudes, enablers, barriers, and benefits for the MTB. MTB teams exhibited positive responses to modeled data feedback. Virtualization reduces time spent for travel, allowing easier and timely patient discussions. This process requires a secure web platform to assure the respect of patients’ privacy and presents the same unanswered problems. The implementation of vMTB also permits the implementation of networks especially in areas with geographical barriers facilitating interaction between large referral cancer centers and tertiary or community hospitals as well as easier access to clinical trial opportunities. Studies aimed to improve preparations, structure, and conduct of MTBs, research methods to monitor their performance, teamwork, and outcomes are also outlined in this article. Analysis of literature shows that MTB participants discuss 5–8 cases per meeting and that the use of a vMTB for lung cancer and in particular stage III NSCLC and complex stage IV cases is widely accepted by most health professionals.Despite still-existing gaps, overall vMTB represents a unique opportunity to optimize patient management in apatient-centeredapproach.

Details

ISSN :
23641746 and 23641754
Volume :
7
Database :
OpenAIRE
Journal :
Pulmonary Therapy
Accession number :
edsair.doi.dedup.....237a8a2a86a01abf8807a392fc04d70b
Full Text :
https://doi.org/10.1007/s41030-021-00163-8