Kantonsspital St.Gallen
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Shared Decision-Making for Patients with Advanced Urological Malignancies: Evaluation of a Joint Urological-Oncological Clinic Model

Patrick Betschart, Christa Babst, Sabine Schmid, Christian Rothermundt, Dominik Abt, Christoph Schwab, Silke Gillessen Sommer, Daniel Stephan Engeler, Dirk Klingbiel, Hans-Peter Schmid & Aurelius Omlin

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, Gillessen Sommer S, Engeler D S, Klingbiel D, Schmid H P, Omlin A. Shared Decision-Making for Patients with Advanced Urological Malignancies: Evaluation of a Joint Urological-Oncological Clinic Model. Oncol Res Treat 2019; 42:366-374.
   
type journal paper/review (English)
date of publishing 06-06-2019
journal title Oncol Res Treat (42/7-8)
ISSN electronic 2296-5262
pages 366-374
PubMed 31170721
DOI 10.1159/000499721