23 July 2020

In the journal Cancer RIHS researcher Henrieke Schutte and her colleagues of Radboudumc’s Center of Head and Neck Oncology studied the outcomes after the implementation of a fast-track, multidisciplinary, integrated care program for patients with head and neck cancer (HNC).

This optimized workup included (1) a 1-day oncological workup involving all relevant medical and allied health professionals, including geriatric screening and assessment (2) the introduction of transnasal digital video endoscopy and office-based biopsy of laryngopharyngeal lesions (instead of the conventional endoscopy in general anesthesia), (3) performing all the necessary imaging within two days, including an instant check of adequacy of the fine needle aspiration cytology, and (4) the establishment of a treatment plan in the multidisciplinary tumor board meeting on day 3.

After the implementation of this fast-track multidisciplinary integrated care program, the interval from the first consultation to the start of treatment was considerably shortened, overall survival significantly improved, patient satisfaction increased, and costs remained unaltered. Optimizing the diagnostic track and quality of care in head and neck cancer was demonstrated to result in better oncologic outcomes and excellent patient reported experiences without increases in costs.

publication
Impact of optimizing diagnostic workup and reducing the time to treatment in head and neck cancer.
Schutte HW, van den Broek GB, Steens SCA, Hermens RPMG, Honings J, Marres HAM, Merkx MAW, Weijs WLJ, Arens AIJ, van Engen-van Grunsven ACH, van Herpen CML, Kaanders JHAM, van den Hoogen FJA, Takes RP.
 

Related news items


KWF grant for better selection of individuals and lung nodules in lung cancer screening

1 November 2021

The Dutch Cancer Society has awarded the consortium project ‘Multi-source data approach for Personalized Outcome Prediction in lung cancer screening’ with a grant of 1,425,000 Euro. Colin Jacobs will lead the work package on using artificial intelligence for accurate risk estimation of lung nodules.

read more

Radiation boost lowers risk of prostate cancer recurrence

21 January 2021

An additional external-beam radiation dose delivered directly to the tumor can benefit the prospects of men with non-metastatic prostate cancer, without causing additional side effects. The risk of relapse within five years for these men is smaller than for men who did not receive this boost.

read more

650,000 Euro funding for research into the phasing out of medication for leukaemia patients

30 July 2020

With a 650,000 euro funding from ZonMw, researchers from the Haematology and Pharmacy departments can develop a medication phasing out strategy for patients with chronic myeloid leukaemia. This strategy will be tested in practice.

read more

Improved method for detecting lung cancer

24 July 2020

Radboudumc researchers are the only ones in the Netherlands using a new method to make better lung cancer diagnoses earlier stage. Erik van der Heijden and Roel Verhoeven shows that the use of flexible imaging equipment via the natural respiratory tract contributes to a more accurate diagnosis.

read more

Radboud Science Award for RIHS researchers

24 June 2020

Maroeska Rovers, Machteld van Egmond and Niels van Heerbeek have been awarded the Radboud Science Award 2020. The awardees receive the prize for their research of the necessity of correcting the nasal septum.

read more

Strain elastography predicts lung cancer metastases

9 June 2020

The first multicenter study by researchers Roel Verhoeven and Erik van der Heijden, in which the added predictive value of elastography by means of endobronchial ultrasound of mediastinal lymph nodes in patients with lung cancer was systematically investigated.

read more