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Beitragstitel Interdisciplinary “fast track” evaluation: impact of optimizing diagnostic workup and reducing time to treatment in head and neck cancer
Beitragscode P07
Autor:innen
  1. Cosima Riemenschnitter Kantonsspital Chur Präsentierende:r
  2. Martina Broglie-Däppen University Hospital Zurich
  3. Thomas Gander UniversitätsSpital Zürich (USZ)
  4. Panagiotis Balermpas UniversitätsSpital Zürich (USZ)
  5. Jan Schulze UniversitätsSpital Zürich (USZ)
Präsentationsform Poster
Themengebiete
  • Innovation und Zukunftsentwicklung in der ORL
Abstract-Text Background:
The rapid start of therapy is crucial for the prognosis of head and neck tumor patients. Studies have shown that by shortening the time between diagnosis and therapy initiation, survival and functional outcome can be significantly improved. In February 2020 a new concept of multidisciplinary work up of head and neck cancer patients was implemented in the University Hospital Zurich, Head and Neck Tumor Centre. The aim of the concept was to optimize the diagnostic work up and staging process in order to include all the necessary steps within three subsequent days. Furthermore we aimed to reduce professional bias in therapy decisions by interdisciplinary evaluation of patients at first consultation.

Methods:
We included all primary tumor cases of the Head and Neck registered in the University Hospital Zurich, from 2019 and 2020 in our study. The patient cohort from 2019 (before introduction of the new clarification approach) was compared with the cohort after the start of the intake consultation in 02/2020.

Results:
289 Patients with HNSCC treated in curative intent either surgically or radiotherapeutically were included in the study. The time‐to‐treatment intervall was significantly lower in the fast track work up cohort than the conventional work up cohort.

Discussion:
By increasing the efficiency of diagnostic workup, we save time. Furthermore we see the potential to avoid redundancies, save costs (infrastructure, consultations), detect potential risk factors early on (delirium, malnutrition, social situation) and, last but not least, increase patient satisfaction.