Ten-year experience of a national multidisciplinary tumour board for cancer and pregnancy in the Netherlands

Ten-year experience of a national multidisciplinary tumour board for cancer and pregnancy in the Netherlands

Most physicians encounter pregnant women with cancer incidentally, leading to a lack of expertise or confidence to inform and treat these patients based on the most recent guidelines and expert opinions. In the Netherlands, a national multidisciplinary tumour board for cancer, infertility and pregna...

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Bibliographic Details
Published in:European journal of cancer (1990) Vol. 171; pp. 13 - 21
Main Authors: Heimovaara, Joosje H., Boere, Ingrid A., de Haan, Jorine, van Calsteren, Kristel, Amant, Frédéric, van Zuylen, Lia, Lok, Christine A.R., Lok, C.A.R., van Zuylen, L., Boere, I.A., Amant, F., Beerendonk, C.C.M., Bellido-Casado, M., Beltman, J.J., Bos, M.E.M.M., Duvekot, J.J., Gerestein, C.G., Gordijn, S., de Groot, C.J.M., van Grotel, M., Han, S.N., Heeres, B.C., van den Heuvel-Eibrink, M.M., Houwink, A., Huitema, D.R., Koken, PhW, Koppert, L.B., Lugtenburg, P.J., Ottevanger, P.B., Painter, R.C., Poortmans, P.M.P., Roes, E.M., van der Scheer, L., Schröder, C.P., Suelmann, B.B.M., Suijkerbuijk, K.P.M., van Tienhoven, G., van Trommel, N.E., Trum, J.W., van der Velden, J., Vriens, I.J.H., Witteveen, P.O.
Format: Journal Article
Language:English
Published: England Elsevier Ltd 01-08-2022
Elsevier Science Ltd
Subjects:
Breast cancer
Cancer
Cervical cancer
Cervix
Fertility
Gestational age
Infertility
Melanoma
Multidisciplinary tumour board
Patients
Physicians
Pregnancy
Questions
Tumors
Womens health
Netherlands
Pregnancy
Multidisciplinary tumour board
Cancer
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Summary:Most physicians encounter pregnant women with cancer incidentally, leading to a lack of expertise or confidence to inform and treat these patients based on the most recent guidelines and expert opinions. In the Netherlands, a national multidisciplinary tumour board for cancer, infertility and pregnancy (CIP-MDT) was founded in December 2012, including 35 specialists from a variety of disciplines. This study evaluates the frequency of consultation of the CIP-MDT, the types of questions asked and the satisfaction of consulting physicians with its existence. Of all requests to the CIP-MDT between December 2012 and June 2021, tumour type, stage, gestational age at diagnosis and recommendations were collected and analysed. For evaluating the methods of the CIP-MDT, a survey with questions regarding experiences with the CIP-MDT and its impact on treatment decisions was sent out to physicians that consulted the CIP-MDT. Recommendations (n = 213) concerned preferred and safest options for imaging, treatment options during pregnancy, possible effects on the child and fertility preserving options. Most frequently discussed malignancies were breast cancer (n = 66), cervical cancer (n = 34), haematological malignancies (n = 32) and melanoma (n = 21). The questionnaire was completed by 54% of the physicians (n = 50). Satisfaction with the recommendations of the CIP-MDT was high, and 94% of the physicians informed their patients about consulting the CIP-MDT and felt supported by the received recommendations. The national Dutch CIP-MDT contributes to a high level of satisfaction among physicians requesting advice. Further research should be executed to confirm that a CIP-MDT improves the outcomes for pregnant women and their children. •Describes a multidisciplinary tumour board for cancer, infertility and pregnancy (CIP-MDT).•CIP-MDT contributes to high-level satisfaction in physicians requesting expert advice.•This article shows the important steps necessary to establish a CIP-MDT.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0959-8049
1879-0852
DOI:10.1016/j.ejca.2022.04.040