IMPACT OF A DEDICATED MULTIDISCIPLINARY MEETING ON THE MANAGEMENT OF SUPERFICIAL CANCERS OF THE DIGESTIVE TRACT

Aims:

A multidisciplinary meeting (MDM) should be incorporated into the management of all patients with cancer. However, conventional gastrointestinal oncology MDM might not be optimal to discuss these patients’ cases. We aim to assess the contribution to patient care of an MDM dedicated to superficial cancers of the digestive tract.

Methods:

Retrospective review of the patient's file, endoscopy and histology reports, and MDM conclusions for all patients referred to the Superficial tumors of the gastrointestinal tract MDM from March 2015 to March 2017. Baseline statistics were used for data analysis. Outcomes measured were the outcomes of endoscopic resection, the concordance rate between the European Society of Gastrointestinal Endoscopy (ESGE) guidelines and multidisciplinary decision, and the concordance rate between MDM recommendations and final patient management.

Results:

A total of 153 cases were discussed. The median age of patients was 68.6 years. 48.4% of patients had comorbidities that compromised potential surgical treatment. The mean endoscopic lesion size was 25 [4 – 150] mm. The R0 resection rate was 73.9%, and curative resection rate was 56.9%. 43 (28%) patients had an indication for a surgical treatment after endoscopic resection. The concordance rate between ESGE guidelines and multidisciplinary decision was 92.2%. The concordance rate between treatment decision and final patient management was 89.5%.

Conclusions:

A multidisciplinary meeting dedicated to superficial tumors of the digestive tract is justified to adapt the ESGE guidelines to each patient case and achieve optimal patient care.