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    Shared decision-making for patients with advanced urological malignancies: evaluation of a joint urological-oncological clinic model

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    Authors
    Betschart, P
    Babst, C
    Schmid, S
    Rothermundt, C
    Abt, D
    Schwab, C
    Gillessen, Silke
    Engeler, DS
    Klingbiel, D
    Schmid, HP
    Omlin, A
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    Affiliation
    Department of Urology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland
    Issue Date
    2019
    
    Metadata
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    Abstract
    BACKGROUND: To provide rapid evaluation of patients with advanced urological malignancies, a joint urological-oncological clinic was initiated at our institution in January 2015. We present the first 3-year evaluation of this joint urological-oncological clinic in Switzerland. METHOD: We performed a retrospective analysis of the characteristics and treatment of all patients reviewed at the joint clinic between January 2015 and December 2017. Statistical analysis was performed by survival analysis. A patient satisfaction questionnaire was handed out to new patients (from April to September 2017). RESULTS: A total of 135 new patients were counseled in the joint clinic and 563 consultations were performed in the period from January 2015 to December 2017. The majority were men with prostate cancer (85%), followed by bladder cancer (9%), and renal cell carcinoma (4%). Men with newly diagnosed metastatic prostate cancer (n = 69) received ADT alone (57%), ADT with docetaxel or abiraterone (33%), and metastasis-directed therapy (10%). High rates of patient satisfaction were reported based on the questionnaire. CONCLUSIONS: The joint clinic model has been successfully implemented at our institution and continues on a weekly basis. The clinic is increasingly used, not only for newly diagnosed metastatic prostate cancer, but also for other complex uro-oncological cases. The clinic allows optimized oncological treatment without delay and with a reduced effort for patients.
    Citation
    Betschart P, Babst C, Schmid S, Rothermundt C, Abt D, Schwab C, et al. Shared decision-making for patients with advanced urological malignancies: evaluation of a joint urological-oncological clinic model. Oncol Res Treat. 2019 Jun 6:1-8.
    Journal
    Oncology Research and Treatment
    URI
    http://hdl.handle.net/10541/621945
    DOI
    10.1159/000499721
    PubMed ID
    31170721
    Additional Links
    https://dx.doi.org/10.1159/000499721
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1159/000499721
    Scopus Count
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