Embedded Files
cancer patients. Here, nearly half of our colorectal cancer patients are 50 or younger. “We can connect them to services that are paramount to young cancer patients, like oncofertiliy specialists or social work,” You says. Since its launch in 2011, the clinic has grown. In fiscal year 2018, the clinic treated its 500th patient. “These patients are born into this,” You says. “The Familial High-risk Gastrointestinal Cancer Clinic is uniquely equipped to provide them with the best possible care thanks to our multidisciplinary approach.” 12 MD Anderson Cancer Center Since 2013, our Enhanced Recovery After Surgery Program has improved outcomes and overall quality of life for thousands of patients. This initiative has relied on evidence-based practice and innovative research to transform the patient experience. Whereas before, patients often associated surgery during cancer treatment with long hospital stays and difficult recoveries, thanks to the ERAS program, patients are now experiencing less pain, shorter hospital stays and shorter recovering periods. In short, they’re able to get back to their everyday lives more quickly than ever before. The initiative is a joint and ongoing effort between Surgery and Anesthesiology and Critical Care that leans on implementing protocols based on evidence for four principles of care: avoiding long periods of fasting, reducing patient anxiety through education and expectation setting, minimizing narcotic use and using goal-directed fluid therapy. “There is no other dynamic innovation in medicine that has achieved such positive outcomes with zero toxicity,” says Thomas Aloia, M.D., associate professor of Surgical Oncology and head of MD Anderson’s Institute for Cancer Care Innovation. In FY18, the ERAS program allowed for a more than a 60% opioid use reduction among six surgical teams: gynecology, thoracic, liver, spine, pancreas and bladder. It also led to a decrease in length of stay within the inpatient setting by 2.5 days. Since its inception, ERAS has been rolled out through 11 surgical service lines with plans to launch seven more in FY19 in both our Texas Medical Center campus and our Houston area locations. And our surgeons continue to conduct more research in this area to bring further improvements to our patients. In the past five years, more than 45 publications regarding ERAS have come from MD Anderson’s surgery teams. BUILDING ON SUCCESS: A LOOK AT UPDATES TO OUR ERAS PROGRAM “Enhanced Recovery Programs and the resulting multidisciplinary patient-centric, recovery-focused initiatives at MD Anderson have demonstrated the value of team-science and team-based care,” says Carin A. Hagberg, chief academic officer and head of Anesthesiology, Critical Care and Pain Medicine. “While initially started in surgical service lines, these principles are now being successfully implemented in non-surgical patients as well. I am proud of our team leaders in Anesthesiology and Surgery and all the team members who are collectively working for our patients.” Division of Surgery | Surgical Outcomes FY18 13 For years, Cheryl Ratliff had her yearly mammogram at MD Anderson Cancer Center in the Texas Medical Center. Then, her family moved to the Houston suburbs. But in 2017, when her mammogram showed a solid spot, a sign of breast cancer, she knew exactly where she wanted to go. She scheduled an appointment at MD Anderson in Sugar Land, where she knew she could get the same expertise, but this time it was closer to home. Cheryl underwent chemotherapy and surgery to have the tumor removed and her breast reconstructed – all in Sugar Land. “Everything just came together,” she says. Over the past five years, our presence has grown in each of our Houston-area locations. Our mission is to provide world-class cancer care by providing the right treatment to the right patient at the right time. And we can do that by seeing our patients in the right location. For many, that means a location closer to home in the Houston suburbs. All nine of our specialty areas within Surgery have a presence in our Houston-area locations. While many of our surgeries are performed at our Texas Medical Center location, our faculty do see and screen patients in our suburban locations. In FY 2018, we performed 1,373 surgeries in our Houston-area locations, and each year our presence in the Houston-area locations grows to better serve our patients. SURGERY IN OUR HOUSTON-AREA LOCATIONS 14 MD Anderson Cancer Center BREAST SURGICAL ONCOLOGY Kelly Hunt, M.D. F. Carter Smith Department chair Division of Surgery | Surgical Outcomes FY18 15 F aculty and staff in Breast Surgical Oncology collaborate closely with colleagues in Breast Medical Oncology, Breast Pathology, Breast Radiation Oncology, Diagnostic Radiology, Genetics, Cancer Prevention and Screening, and Plastic and Reconstructive Surgery. “We have a unique, multi-team clinic in the Breast Center. Instead of seeing a medical oncologist one day, radiation oncologist the next day and surgeon the day after that, a patient meets the entire care team on the same day to develop a personalized treatment plan,” says Kelly Hunt, M.D., chair of Breast Surgical Oncology. “This approach shortens the time it takes to get a patient’s care plan in place and started by almost 30%,” Hunt says. “It also helps identify patients for clinical trials
Google Sites
Report abuse