Published in:
01-06-2017 | Hepatic Cancer (A Singal and A Mufti, Section Editors)
Multidisciplinary Team Management of Patients with Hepatocellular Carcinoma
Authors:
Caitlin A. Hester, Ali A. Mokdad, Adam C. Yopp
Published in:
Current Hepatology Reports
|
Issue 2/2017
Login to get access
Abstract
Purpose of Review
The purposes of the current review are to (1) define multidisciplinary care and a proposed composition for a multidisciplinary team and (2) summarize process and outcome measures associated with multidisciplinary care for patients with hepatocellular carcinoma (HCC).
Recent Findings
There has been a shift from multidisciplinary tumor boards to multidisciplinary clinics, which facilitates greater provider discussion and interaction over patients’ treatment course. Although most studies examining the effect of multidisciplinary care for the management of a newly diagnosed patient with HCC rely on surrogate measures of quality cancer care, recent studies have demonstrated significant improvement of stage-stratified survival.
Summary
HCC is a complex and heterogeneous disease due to the concomitant presence of underlying liver disease and cancer. Given the variety of available treatment options and data showing improved outcomes, it should be considered best practice for HCC patients to be managed by a multidisciplinary team.