Facilitating anaplastic thyroid cancer specialized treatment: A model for improving access to multidisciplinary care for patients with anaplastic thyroid cancer

Head Neck. 2017 Jul;39(7):1291-1295. doi: 10.1002/hed.24784. Epub 2017 Apr 28.

Abstract

Background: Anaplastic thyroid cancer (ATC) is a highly aggressive thyroid cancer. Several treatment trials are available, but the number of eligible patients to participate is very low because of the rarity and aggressiveness of the disease.

Methods: Facilitating Anaplastic Thyroid Cancer Specialized Treatment (FAST) is a quality improvement project aimed at decreasing time from referral to disposition (scheduling of first appointment) to our institution. After identifying reasons for delays, we created a new process flow specifically for patients with ATC allowing patients to be scheduled immediately.

Results: Historical data revealed a mean referral to disposition time for patients with ATC of 8.7 days before our intervention. After the intervention, the mean referral to disposition time was reduced to 0.5 days. Participation in treatment trials for all patients with ATC was 34%.

Conclusion: Since the implementation of FAST, the access time has decreased and the number of successful referrals for ATC has increased significantly.

Keywords: anaplastic thyroid carcinoma; clinical trials; multidisciplinary care; quality improvement; thyroid cancer.

Publication types

  • Review

MeSH terms

  • Academic Medical Centers
  • Biopsy, Needle
  • Combined Modality Therapy
  • Critical Pathways
  • Disease-Free Survival
  • Female
  • Humans
  • Immunohistochemistry
  • Interdisciplinary Communication
  • Male
  • Patient Care Planning / organization & administration*
  • Quality Improvement
  • Radiotherapy, Adjuvant
  • Risk Assessment
  • Survival Analysis
  • Thyroid Carcinoma, Anaplastic / mortality
  • Thyroid Carcinoma, Anaplastic / pathology*
  • Thyroid Carcinoma, Anaplastic / therapy*
  • Thyroid Neoplasms / mortality
  • Thyroid Neoplasms / pathology*
  • Thyroid Neoplasms / therapy*
  • Thyroidectomy / methods
  • Thyroidectomy / mortality
  • Treatment Outcome
  • United States