Building the multidisciplinary team for management of patients with hepatocellular carcinoma

Willscott E. Naugler, Angel E. Alsina, Catherine T. Frenette, Lorenzo Rossaro, Marty T. Sellers

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Optimal care of the patient with hepatocellular carcinoma (HCC) necessitates the involvement of multiple providers. Because the patient with HCC often carries 2 conditions with competing mortality risks (cancer and underlying cirrhosis), no single provider is equipped to deal with all of these patients' needs adequately. Multidisciplinary teams (MDTs) have evolved to facilitate care coordination, reassessments of clinical course, and nimble changes in treatment plans required for this complex group of patients. Providers or sites that elect to manage patients with HCC thus are increasingly aware of the need to build their own MDT or communicate with an established one. The availability of new communication technologies, such as teleconferencing or teleconsultation, offers the possibility of MDT expansion into underserved or rural areas, as well as areas such as correctional facilities. Although the availability of resources for HCC patient care varies from site to site, construction of an MDT is possible in a wide spectrum of clinical practices, and this article suggests a blueprint for assembly of such collaboration. Research strategies are needed to explain how MDTs improve clinical outcomes so that MDTs themselves can be improved.

Original languageEnglish (US)
Pages (from-to)827-835
Number of pages9
JournalClinical Gastroenterology and Hepatology
Volume13
Issue number5
DOIs
StatePublished - May 1 2015

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Keywords

  • HCC
  • Hepatocellular carcinoma
  • Liver cancer
  • Multidisciplinary team

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

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