title: A critical appraisal: providing care for patients with solid tumors metastases--challenges across academic and community practice.
abstract: Emerging therapies and the growing number of therapeutic options available for some of the solid cancers have led to a large number of patients eligible for metastasectomy and cytoreductive surgery. It is likely that within the current health care structure, academic tertiary referral centers alone are not going to be able to accommodate the growing number of patients that are potential beneficiaries. Community-based practices will have to develop strategies to meet the demand for appropriate multimodality treatment teams to address the needs of these patients.
authors.affiliation: The Permanente Medical Group, Kaiser Medical Center, 1425 South Main, Walnut Creek, CA 94596, USA. pascal.fuchshuber@kp.org
authors.forename: Pascal
authors.initials: P
authors.lastname: Fuchshuber
authors.forename: Nicholas
authors.initials: N
authors.lastname: Petrelli
mesh_terms: D015179:Colorectal Neoplasms / Q000473:pathology; D005260:Female; D005833:Genital Neoplasms, Female / Q000556:secondary / Q000601:surgery; D006801:Humans; D009362:Neoplasm Metastasis / Q000628:therapy*; D010534:Peritoneal Neoplasms / Q000556:secondary / Q000601:surgery