Journal Article


Donal O'Shea
Dermot O'Toole
Lisa McGowan
Niall Swan
Colin Cantwell
David P Brophy
Oscar Traynor
Donal Maguire
Conor D Collins
David Fennelly
and 4 others


Medicine & Nursing

systematic approach tertiary care patients follow up multidisciplinary patient care management tumor

Initial impact of a systematic multidisciplinary approach on the management of patients with gastroenteropancreatic neuroendocrine tumor. (2012)

Abstract According to the international guidelines, a multidisciplinary approach is currently advised for the optimal care of patients with a gastroenteropancreatic neuroendocrine tumor (GEP NET). In our institution (tertiary care center), a systematic multidisciplinary approach was established in May 2007. In this study, we have aimed to assess the initial impact of establishing a systematic multidisciplinary approach to the management of GEP NET patients. We have collected and compared the biochemical, imaging, and pathological data and the therapeutic strategies in GEP NET patients diagnosed, treated, or followed-up from January 1993 to April 2007 versus GEP NET patients attending our institution after the multidisciplinary approach starting, from May 2007 to October 2008. Data of 91 patients before and 42 patients after the establishment of the multidisciplinary approach (total: 133 consecutive GEP NET patients) have been finally collected and analyzed. Before the establishment of the multidisciplinary approach, a lack of consistency in the biochemical, imaging, and pathological findings before treatment initiation as well as during follow-up of GEP NET patients was identified. These inconsistencies have been reduced by the systematic multidisciplinary approach. In addition, the therapeutic management of GEP NET patients has been altered by the multidisciplinary approach and became more consistent with recommended guidelines. We think that a systematic multidisciplinary approach significantly impacts on GEP NET patient care and should be established in all centers dealing with these tumors.
Collections Ireland -> University College Dublin -> PubMed

Full list of authors on original publication

Donal O'Shea, Dermot O'Toole, Lisa McGowan, Niall Swan, Colin Cantwell, David P Brophy, Oscar Traynor, Donal Maguire, Conor D Collins, David Fennelly and 4 others

Experts in our system

Donal F O'Shea
University College Dublin
Total Publications: 136
Dermot O'Toole
Trinity College Dublin
Total Publications: 8
Donal Maguire
Trinity College Dublin
Total Publications: 4
David Fennelly
Trinity College Dublin
Total Publications: 11