title: [Multidisciplinary Tumor Boards: Facts and Satisfaction Analysis of an Indispensable Comprehensive Cancer Center Instrument].
abstract: BackgroundThe established standard to ensure State-of-the-art cancer treatment - as a prerequisite in the national cancer plan and for comprehensive cancer centers (CCCs) today - is through interdisciplinary tumor boards (TBs).MethodsThis analysis assessed a newly founded CCC-TB for multiple myeloma (MM) patients, namely a) questions solved therein, b) level of compliance and c) evidence, d) frequency of clinical trial (CT) inclusion, d) progression free (PFS) and overall survival (OS) and e) satisfaction of TB-participants, referring physicians and MM patients.ResultsWith initiation of the MM-TB, patients discussed therein substantially increased. TB-questions mostly involved symptomatic patients and recommendations on best treatment. The level of compliance and evidence were 94 % and 96.5 %, respectively; all noncompliance being coherently justified. CT inclusion was improved through the TB, leading to 18.8 % of patients being treated therein. Median PFS and OS were 2.9 and 4.7 years, respectively; also those of substantially pretreated, relapsed/refractory patients were favorable. The satisfaction of 58 participants, 33 referring physicians and 100 MM patients with the MM-TB was rewarding.ConclusionThe detailed assessment of this CCC-TB on TB-questions, compliance and evidence levels, survival and satisfaction responses could serve as a valuable example for other TBs and CCCs and excite subsequent analyses on TBs.
authors.affiliation: Klinik für Innere Medizin I, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg.
authors.forename: Monika
authors.initials: M
authors.lastname: Engelhardt
authors.affiliation: Klinik für Innere Medizin I, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg.
authors.forename: Ricarda
authors.initials: R
authors.lastname: Selder
authors.affiliation: Klinik für Innere Medizin I, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg.
authors.forename: Masa
authors.initials: M
authors.lastname: Pandurevic
authors.affiliation: Klinik für Innere Medizin I, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg.
authors.forename: Mandy
authors.initials: M
authors.lastname: Möller
authors.affiliation: Studienzentrum + Department für Medizinische Biometrie und Medizinische Informatik, Universitätsklinikum Freiburg.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Ihorst
authors.affiliation: Klinik für Innere Medizin I, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg.
authors.forename: Johannes
authors.initials: J
authors.lastname: Waldschmidt
authors.affiliation: Tumorzentrum Freiburg, Comprehensive Cancer Center Freiburg (CCCF).
authors.forename: Georg
authors.initials: G
authors.lastname: Herget
authors.affiliation: Klinik für Innere Medizin I, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg.
authors.forename: Ralph
authors.initials: R
authors.lastname: Wäsch
mesh_terms: D006801:Humans; D033183:Interdisciplinary Communication; D009101:Multiple Myeloma / Q000628:therapy*; D016522:Oncology Service, Hospital