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

Background: 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. Methodology: Of all reques... Mehr ...

Verfasser: Heimovaara, Joosje H.
Boere, Ingrid A.
de Haan, Jorine
van Calsteren, Kristel
Amant, Frédéric
van Zuylen, L.
Lok, Christine A.R.
Lok, C. A.R.
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, Ph W.
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.
Dokumenttyp: Artikel
Erscheinungsdatum: 2022
Reihe/Periodikum: the Dutch Advisory Board for Cancer during Pregnancy , Heimovaara , J H , Boere , I A , de Haan , J , van Calsteren , K , Amant , F , van Zuylen , L , Lok , C 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 , P W , 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 2022 , ' Ten-year experience of a national multidisciplinary tumour board for cancer and pregnancy in the Netherlands ' , European Journal of Cancer , vol. 171 , pp. 13-21 . https://doi.org/10.1016/j.ejca.2022.04.040
Schlagwörter: /dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being / SDG 3 - Good Health and Well-being
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27618238
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://pure.eur.nl/en/publications/e057f2ff-1abd-4f0d-9bfe-f30e909416dd

Background: 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. Methodology: 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. Results: 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. Discussion: 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.