Evidence map›Paper›PMID 29289519›Full record

ArticleClinical genitourinary cancer2018

Contemporary Patterns of Multidisciplinary Care in Patients With Muscle-invasive Bladder Cancer.

Lauren C Harshman, Abhishek Tripathi, Matthew Kaag, Jason A Efstathiou, Andrea B Apolo, Jean H Hoffman-Censits, Walter M Stadler, Evan Y Yu, Bernard H Bochner, Eila C Skinner and 8 more

Abstract read
In one paragraph

Article in Clinical genitourinary cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Lauren C HarshmanLank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA. Electronic address: LaurenC_Harshman@dfci.harvard.edu.
Abhishek TripathiLank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Matthew KaagPenn State Milton S. Hershey Medical Center, Hershey, PA.
Jason A EfstathiouMassachusetts General Hospital, Harvard Medical School, Boston, MA.
Andrea B ApoloNational Cancer Institute, National Institutes of Health, Bethesda, MD.
Jean H Hoffman-CensitsSidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA.
Walter M StadlerThe University of Chicago, Chicago, IL.
Evan Y YuFred Hutchinson Cancer Research Center, Seattle, WA.
Bernard H BochnerMemorial Sloan Kettering Cancer Center, New York, NY.
Eila C SkinnerStanford University School of Medicine, Stanford, CA.
Tracy DownsUniversity of Wisconsin, Madison, WI.
Anne E KiltieCancer Research UK/Medical Research Council, Oxford Institute for Radiation Oncology, Oxford, United Kingdom.
Dean F BajorinMemorial Sloan Kettering Cancer Center, New York, NY.
Khurshid GuruRoswell Park Cancer Institute, Buffalo, NY.
William U ShipleyMassachusetts General Hospital, Harvard Medical School, Boston, MA.
Gary D SteinbergThe University of Chicago, Chicago, IL.
Noah M HahnJohns Hopkins University School of Medicine, Baltimore, MD.
Srikala S SridharPrincess Margaret Cancer Centre, Toronto, ON, Canada.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Bladder Cancer ProgramZIABC011351 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI APOLO, ANDREA · 2010 to 2025
$9.4M
Cancer Research UK 23279NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundMultidisciplinary clinics integrate the expertise of several specialties to provide effective treatment to patients. This exposure is especially relevant in the management of muscle-invasive bladder cancer (MIBC), which requires critical input from urology, radiation oncology, and medical oncology, among other supportive specialties. MATERIALS AND

methodsIn the present study, we sought to catalog the different styles of multidisciplinary care models used in the management of MIBC and to identify barriers to their implementation. We surveyed providers from academic and community practices regarding their currently implemented multidisciplinary care models, available resources, and perceived barriers using the Bladder Cancer Advocacy Network and the Genitourinary Medical Oncologists of Canada e-mail databases.

resultsOf the 101 responding providers, most practiced at academic institutions in the United States (61%) or Canada (29%), and only 7% were from community practices. The most frequently used model was sequential visits on different days (57%), followed by sequential same-day (39%) and concurrent (1 visit with all providers; 22%) models. However, most practitioners preferred a multidisciplinary clinic involving sequential same-day (41%) or concurrent (26%) visits. The lack of clinic space (58%), funding (41%), staff (40%), and time (32%) were the most common barriers to implementing a multidisciplinary clinic.

conclusionMost surveyed practitioners at academic centers use some form of a multidisciplinary care model for patients with MIBC. The major barriers to more integrated multidisciplinary clinics were limited time and resources rather than a lack of provider enthusiasm. Future studies should incorporate patient preferences, further evaluate practice patterns in community settings, and assess their effects on patient outcomes.

Indexed as

Databases, FactualDelivery of Health Care, IntegratedDisease ManagementHumansPatient PreferenceProspective StudiesSurveys and QuestionnairesUrinary Bladder NeoplasmsBladder cancerChemotherapyCystectomyMultidisciplinary clinicRadiation

Identifiers

PMID29289519
PMCPMC6731031

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.