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.
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
Dutch Cancer Society Grant received by Annemiek van Spriel and Laia Querol-Cano23 September 2020
Annemiek van Spriel and Laia Querol-Cano received a Dutch Cancer Society Grant of 700K euros to study the cancer cell surface in immunotherapy.read more
Tumor cells stimulate lipid biosynthesis in macrophages23 September 2020
RIMLS researchers wrote in the Journal for ImmunoTherapy of Cancer that improved lipid biosynthesis in human tumor-induced macrophages contributes to their protumoral characteristics.read more
Frank Walboomers 25-years work anniversary at Radboudumc17 September 2020
Frank Walboomers, associate professor at the research group Regenerative Biomaterials at the Dept. of Dentistry (theme Reconstructive & Regenerative Medicine), celebrated his 25th work anniversary at Radboudumc.read more
Tjitske Kleefstra appointed endowed professor of Clinical genetics and psychopathology of rare syndromes17 September 2020
Tjitske Kleefstra has been appointed endowed professor of Clinical genetics and psychopathology of rare syndromes at the department of Neurodevelopmental disorders, with effect from 1 September.read more
Annette Schenck appointed professor of Translational Genomics of Neurodevelopmental Disorders17 September 2020
Annette Schenck has been appointed professor of Translational Genomics of Neurodevelopmental Disorders. with effect from 1 August. The chair will bring together fundamental and translational research in the field of brain developmental disorders.read more
Centuries-old medicine reduces the risk of new cardiovascular disease in heart patients17 September 2020
Colchicine, an anti-inflammatory drug that has been used for gout for centuries, has been shown to prevent cardiovascular disease in patients who have had a heart attack or are suffering from narrowed coronary arteries. Results of the study are published in the New England Journal of Medicine.read more