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- Title
Ten-year experience of the multidisciplinary Osteoncology Center.
- Authors
Bongiovanni, Alberto; Recine, Federica; Fausti, Valentina; Foca, Flavia; Casadei, Roberto; Falasconi, Maria Cristina; Oboldi, Devil; Sansoni, Elisabetta; Fabbri, Laura; Micheletti, Simona; Severi, Stefano; Matteucci, Federica; Zavoiu, Venetia; Mercatali, Laura; Amadori, Dino; Ibrahim, Toni
- Abstract
<bold>Purpose: </bold>Bone metastases (BMs) are responsible for high morbidity in patients. A multidisciplinary approach involving a team of specialists offers an effective therapeutic strategy based on disease characteristics, medical history, and performance status. We evaluated the impact of our 10-year multidisciplinary experience on the management of patients with BM.<bold>Methods: </bold>We retrospectively analyzed 2194 medical reports of 1628 patients referred to our Osteoncology Center from 2005 to 2015. Cases were discussed weekly by a multidisciplinary team.<bold>Results: </bold>Eight hundred thirty-eight (38.2%) of the 2194 visits were requested because of a risk of complications from BM. Antiblastic treatment and bone-targeted therapy were modified in 709 (66.3%) and 309 (31%) of cases, respectively. Radiotherapy was scheduled in 220 (20%) of the 1099 patients for whom information was recorded. Patients completed the Brief Pain Inventory (BPI) during their first visit, 1296 (59.1%) reporting pain (median intensity 4), and 537 (41.4%) experiencing a level that interfered substantially with daily activities. New ortheses and/or antalgic therapy was prescribed accordingly. After 7 days, 208 (16%) patients were re-evaluated and a new BPI administered. A significant improvement in the worst (p < 0.0001) and current pain (p = 0.03) was seen, together with a favorable impact on daily activities (p = 0.02). Two thousand fifty-one patients completed an anonymous questionnaire on the quality of the service, the majority (69.4%) expressing high satisfaction.<bold>Conclusions: </bold>Our 10-year osteoncology experience confirms the importance of a multidisciplinary approach to optimize BM management. Further evaluations are needed in relation to quality of life, outcome, and costs.
- Subjects
BONE metastasis; CANCER treatment; HEALTH care teams; CANCER pain; QUALITY of life
- Publication
Supportive Care in Cancer, 2019, Vol 27, Issue 9, p3395
- ISSN
0941-4355
- Publication type
journal article
- DOI
10.1007/s00520-019-4635-5