Article
Multidisciplinary tumor boards and head and neck cancer database management: killing two birds with one stone
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Published: | March 30, 2016 |
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Introduction: Multidisciplinary tumour boards (MTB) are essential in cancer management. Likewise, database management is necessary for retrospective studies and hospital audits.
Preparing a patient’s case summary for MTB is tedious and is only second to that of data entry into a cancer database registry.
We believe that the two entities have innately similar requirements and deal with the same data parameters and endeavoured to merge the two into a combined Head and Neck electronic tumour board portal (ETB) and cancer database registry.
This had to be in a streamlined data entry portal to minimise the burden on doctors and yet remain visually pleasing for meeting presentations.
Method: We used REDCap (Research Electronic Data Capture) a web-based application for data capture for research studies, providing an intuitive interface for validated data entry; audit trails and automated export to common statistic packages.
We designed an interface that could capture all possible head and neck malignancies and sub-divided it according to subsite.
We faced the problem of compartmentalising complex oncological histories such as synchronous tumors, recurrences, and chemoradiotherapy regimes.
This we overcame with the use of branching logic and a presentation template that pulled relevant data fields into a patient summary sheet to be projected during MTB.
Result: ETB was implemented after three months. It is the default mode of case discussion and captures up to 25 unique cases in the head and neck tumor database each week.
Conclusions: It is efficient to merge the two systems into one platform, provided that it designed elegantly while being able to capture the permutations in the management of an oncological patient.
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