Summary
Summary cases 2 mdo, case 3 microbiome, case 4 dna repair
- Course
- Institution
Cases 2,3 and 4. As complete as possible. Also with lecture and practical information.
[Show more]
1 review
By: mgutta1225 • 1 year ago
Seller
Follow
lisetten
Reviews received
Content preview
Casus 2 MDO:- Patient satisfaction
Patients prefer a one-stop diagnostic clinic rather than a multiple-visit approach.
Improvement in satisfaction has been associated with the increased psychosocial
support and involvement of patient and family in treatment decisions as found in a
multidisciplinary clinic.
- Increased accuracy of care
A study found that the radiographic review by the multidisciplinary radiologist found
additional abnormalities in 23% of cases. Alterations in het treatment plan are seen
with regularity in multidisciplinary clinics. An analysis of the reasons for treatment
decision change found that comorbidity, patient choice, new information and doctor
discretion all caused changes in treatment plans in a multidisciplinary setting.
- Improved survival
A brain tumor multidisciplinary clinic found that patients enrolled in the clinic had a
survival time of 18,7 months compared with 11,9 months for patients in traditional
treatment. A breast cancer study found that multidisciplinary care reduced the time
from diagnosis to treatment from 42,2 to 29,6 days.
- Quality of life
Quality of life can be well addressed by a multidisciplinary approach to palliative
care. A randomized study of multidisciplinary versus standard intervention showed
that patients who received multidisciplinary care maintained their quality of life
during treatment while those with standard treatment had their quality of life worsen
(especially prevalent in geriatric population). In lung cancer, patients who received
interdisciplinary care had better improvements in pain and fatigue.
- Graduate medical education and research
Multidisciplinary tumor boards have been shown to enhance graduate medical
education by providing a unique experience not seen in the typical residency and
fellowship. One study found that they enrolled 29% more patients with the use of a
multidisciplinary clinic.
- Decreased variability
One study demonstrated that the multidisciplinary lung cancer group strongly
adhered to national guidelines. Another study found that patients treated by a non-
lung cancer specialist received less lung-specific therapy.
Oncologists:
- Cisplatin = prevents the cell from repairing from radiation damage
side effects: kidney failure meer invloed op neurologische systeem +
cardiovasculaire complicaties
- Cetuximab = antibody binds to EGF receptor. Is overexpressed by head and neck
cancer. Less signaling into the cell.
Bij mensen met cardiovasculaire complicaties wordt cetuximab geadviseerd
Radiation is given 5 days a week. 3 cycles of cisplatin (once every 3 weeks because
of the side effects, hele hoge dosis. Nu doen ze elke week om een lagere dosis te
geven om zo de bijwerkingen zo laag mogelijk te houden.). Cetuximab is given one
time every week, also combined with radiation. Cetuximab and cisplatin are not
combined because it’s too toxic.
Palliative treatment
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller lisetten. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.32. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67232 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now