Published in:
01-12-2018 | Cancer Anesthesia (B Riedel and V Gottumukkala, Section
Editors)
Organization of Multidisciplinary Cancer Care for the Surgical
Patient: Role of Anesthesiologists
Authors:
Elizabeth F. Rieth, Gregory W. Fischer, Anoushka M. Afonso
Published in:
Current Anesthesiology Reports
|
Issue 4/2018
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Abstract
Purpose of Review
The purpose of this review is to describe significant recent trends
or developments regarding the role of anesthesiologists in a multidisciplinary
team approach to cancer care for the surgical patient. We also discuss our own
institutional multidisciplinary approach as a comprehensive cancer center with
high surgical volume.
Recent Findings
Beyond the multidisciplinary team meeting concept, and local,
institution-specific, or national programs, more formalized concepts and models
of perioperative care have evolved. These provide a framework for robust
involvement of anesthesiologists in cancer care for the surgical patient, with
the goal of allowing for optimal individualized cancer outcomes.
Summary
Because of the wide-ranging nature of their perioperative expertise,
anesthesiologists play an important role in multidisciplinary team cancer care
for surgical patients. This role has been seen in the recent trends toward
clinical models, such as the perioperative surgical home and enhanced recovery
programs. Areas for future research include multidisciplinary assessment of the
impact of such models on perioperative cancer outcomes through integration of
data from national outcomes groups.