Enhancing XXXX care through the multidisciplinary clinic approach: a 15-year experience.

@entity5 @entity1 @entity5464 @entity263
PURPOSE: To report on the 15-year @entity263 experience of our @entity5464 clinic established in 1996 at the National @entity5 Institute (NCI) -designated Jefferson Kimmel @entity5 Center. @entity1 with @entity5464 were evaluated weekly by multiple specialists at a single site, and we focus on the 83% of @entity1 with @entity263 . To our knowledge, our @entity5464 clinic is the longest continuously operating center of its kind at an NCI @entity5 Center in the United States. METHODS: Data from Jefferson's Oncology Data Services were compared to SEER @entity263 outcomes. Data on treatment changes in localized disease, @entity1 satisfaction, and related parameters were also assessed. RESULTS: Ten-year survival data approach 100% in stage I and @entity263 . Ten-year data for stage III (T3 N0M0) and stage IV (T4 N0M0) disease show that our institutional survival rate exceeds SEER. There is a shift toward robotically assisted laparoscopic radical prostatectomy and a slight decrease in brachytherapy relative to external beam radiation therapy in localized disease. @entity1 satisfaction is high as measured by survey instruments. CONCLUSION: Our long-term experience suggests a benefit of the multidisciplinary clinic approach to @entity263 , most pronounced for high-risk, locally advanced disease. A high level of satisfaction with this @entity1 -centered model is seen. The multidisciplinary clinic approach to @entity263 may enhance outcomes and possibly reduce treatment regret through a coordinated presentation of all therapeutic options. This clinic model serves as an interdisciplinary educational tool for @entity1 , their families, and our trainees and supports clinical trial participation.
