Analysis of Management Decisions and Outcomes of a Weekly Multidisciplinary Pediatric Tumor Board Meeting in Uganda | Zendy

Paul E. George | Zendy; Geriga Fahdil | Zendy; Israel Luutu | Zendy; Alfred Bulamu | Zendy; John Sekabira | Zendy; Nasser Kakembo | Zendy; Susan Nabadda | Zendy; Sam Kalungi | Zendy; Joyce Kambugu | Zendy

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Analysis of Management Decisions and Outcomes of a Weekly Multidisciplinary Pediatric Tumor Board Meeting in Uganda

Author(s) -

Paul E. George,

Geriga Fahdil,

Israel Luutu,

Alfred Bulamu,

John Sekabira,

Nasser Kakembo,

Susan Nabadda,

Sam Kalungi,

Joyce Kambugu

Publication year - 2019

Publication title -

future science oa

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.825

H-Index - 23

ISSN - 2056-5623

DOI - 10.2144/fsoa-2019-0070

Subject(s) - multidisciplinary approach , medicine , documentation , institutional review board , radiation therapy , medical physics , surgery , computer science , programming language , social science , sociology

Aim: To evaluate the efficacy of a pediatric multidisciplinary tumor board (MTB) in Uganda. Patients & methods: We documented the discussion of cases presented at a pediatric MTB and subsequently, though retrospective chart review, determined the degree to which decision were implemented. Results: 95 patients were discussed. In total, 129 of 226 (57%) distinct management decisions reached during the MTBs were implemented. Of these, 15 resulted in changes in diagnosis and 53 were classified as major changes in management. Decisions on chemotherapy were the most likely to be successfully enacted (51/58), followed by radiotherapy (18/30) and surgery (12/21). Labs/consults were less likely to be implemented. Conclusion: Key improvements, specifically in the documentation and implementation of management decisions, are needed to improve the MTB's efficacy.

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