The Multidisciplinary Management of Cancer in Daily Clinical Practice: Towards a Community Hospital Comprehensive Cancer Center.

摘要: Dear Editor, Recently, GalanM et al. [1] have conducted a retrospective study concerning all patients treated for esophageal and esophagogastric junction cancer at their center (586 patients); multivariate analysis showed that variables associated with improved survival were age, tumor stage, radical intent of treatment (surgery combined chemoradiotherapy), therapeutic strategy. Authors concluded better selection therapy together staging resulted in significant improvement 1and 3-year cases undergoing surgery curative intent. So, the adoption multidisciplinary approach to clinical decision-making should always be adopted. Other Authors, such as Holliday [2] evaluated distribution characteristics oncology studies by primary intervention (local therapies, systemic targeted agents) 10 high-impact journals over 20-year period, based on assumption quality care is best delivered through requiring awareness current evidence oncologic specialties. A total 960 included; 240 (25 %) investigated local 551 (57.4 169 (17.6 therapies. They found fewer evaluating radiation, are published medicine literature. Popescu [3] presented position paper summarizes multivarious vital contributions medical oncologists today’s tomorrow’s professional care; particular, authors emphasized provided team highly qualified healthcare professionals, which core member this team. In another paper, El Saghir [4] state boards allow implementation practice guidelines may help capture trials; suboptimal settings also, small community hospitals, rural areas, areas limited resources, boundaries diagnosis management can overcome, or least improved, boards. oncology, introduction team-work different managements has part evolved due increasing complexity diagnostic decision-making, consensus generally favorable benefits effective specialist approach, including survival, breast [5]. The limit there no data whole hospital. letter, we report our experience admitted unit (included hospital) consisting specialists oncologists, radiotherapists, radiologists, general surgeons, pneumologists, gastroenterologists, pathologists, who meet once week (for about 2 hours) discuss more complex oncological cases. From August 2013 (date establishment group) July 2015 (2 years activity), 400 evaluated, corresponding 33.6 % new cancers during same period (1191 patients). * Jacopo Giuliani giuliani.jacopo@alice.it