title: [Evaluation of the management of soft tissue sarcomas in Franche-Comté since the establishment of a multidisciplinary meeting at University Hospital. About 47 cases].
abstract: A multidisciplinary meeting (RCP) dedicated to the treatment of sarcoma was established in Franche-Comte in 2010. The goals of the study are: (a) To evaluate the treatment of sarcomas by confrontation with the existing literature; (b) To evaluate the influence of the multidisciplinary meeting on the management of sarcomas by hospitals at the regional level.
  
  
  METHODS
  This is a retrospective single center study from 2010 to 2015 on patients with sarcoma and peripheral soft tissue drawn from a Netsarc database (National Network of sarcomas) and communicating cancer record. A database Cleanweb especially dedicated is created.
  
  
  RESULTS
  Forty-seven patients were included: ten sarcomas at the upper member 26 to the lower limbs, 11 on the trunk. Forty patients were operated on: ten out of the university hospital, 28 at the university hospital and two in a coordinating center. Ninety percent of patients treated at the university hospital were in accordance with the recommandations. None of the patients operated out of the university hospital benefited from medical care in accordance to the recommendations. There is an increase in the number of files sent by the hospitals out of the university hospital discussed in multidisciplinary meeting, before treatment.
  
  
  CONCLUSIONS
  The creation of a dedicated multidisciplinary meeting sarcoma improves the medical management of these tumors and decreases inappropriate medical managements thanks to a better education of the regional physicians.
authors: Service de chirurgie orthopédique, traumatologique et plastique, chirurgie de la main, CHU Jean-Minjoz, 1, boulevard Flemming, 25030 Besançon, France.
authors: J
authors: J
authors: Haddad
authors: Service d'oncologie médicale, CHU Jean-Minjoz, 1, boulevard Flemming, 25030 Besançon, France.
authors: E
authors: E
authors: Kalbacher
authors: Service d'épidémiologie et d'hygiène hospitalière, CHU de Dijon, 21079 Dijon cedex, France.
authors: M
authors: M
authors: Piccard
authors: Service de radiologie A, CHU Jean-Minjoz, 1, boulevard Flemming, 25030 Besançon, France.
authors: S
authors: S
authors: Aubry
authors: Service d'oncologie médicale, CHU Jean-Minjoz, 1, boulevard Flemming, 25030 Besançon, France.
authors: L
authors: L
authors: Chaigneau
authors: Service de chirurgie orthopédique, traumatologique et plastique, chirurgie de la main, CHU Jean-Minjoz, 1, boulevard Flemming, 25030 Besançon, France. Electronic address: julienpauchot@gmail.com.
authors: J
authors: J
authors: Pauchot
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005121:Extremities / Q000473:pathology; D005260:Female; D005602:France; D006785:Hospitals, University; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012509:Sarcoma / Q000473:pathology / Q000601:surgery*; D012983:Soft Tissue Neoplasms / Q000473:pathology / Q000601:surgery*; D060726:Torso / Q000473:pathology; D016896:Treatment Outcome
keywords: Biopsie; Biopsy; CHRU; Center coordinator; Centre coordinateur; Exérèse carcinologique; Hôpitaux périphériques; Multidisciplinary meeting; Oncologic resection; Peripheral hospitals; RCP; Sarcomes tissus mous; Soft tissue sarcomas; University hospital