Abstract Details

Title Broadening the Scope of Care in a Multidisciplinary Brain Tumor Clinic

Topic Neuro-oncology

Presentation(s) S29 - Neuro-oncology (4:30 PM-4:42 PM)

Poster/Presentation
Number 006

Background Multidisciplinary care clinics are a well-established approach to comprehensively provide complex care. However, most existing clinics focus on coordinating subspecialty consultations (eg, Neuro-oncology, Neurosurgery, Radiation Oncology) while neglecting broader needs.

Objective Expand multidisciplinary brain tumor clinics to include palliative care, rehabilitation medicine, and extensive supportive resources to improve quality of life (QoL) and function.

Design/Methods Patients were evaluated by neuro-oncology, palliative care, PM&R, social work, dietetics, and spiritual care. Symptoms (Edmonton Symptom Severity Scale (ESAS)) and functional metrics (KPS, PROMIS Cancer Function Brief 3D Profile, grip strength) were evaluated. Patients also completed general satisfaction surveys.

Results

58 unique patients completed 79 multidisciplinary clinic visits from October 2022 through September 2024. Median age 50 (range 20-82); 29 males. 8 patients had multiple multidisciplinary clinic visits (range 2-8). 36 patients had grade 4 glioma, 17 had non-grade 4 primary brain tumors, and 4 had CNS metastases. On initial visits, ESAS (n=33, median 26, range 4.5-66, SD 14.5), KPS (n=56, median 80, range 60-100), PROMIS score (Physical: median 27, range 6-30, SD 6.01; Social: median 11, range 3-15, SD 3.56; Fatigue: median 9, min 3, max 15, SD 3.28), and grip strength (median 27.24 kg, range 9.33 - 65.50, SD 11.46) were assessed. R² correlation between KPS and PROMIS 3D Physical Function scores was low (0.15). Mean patient satisfaction score was 9.87 out of 10. 87% of patients preferred multidisciplinary clinic visits to traditional clinic visits.

Conclusions Our multidisciplinary clinic provides a comprehensive functional and psychosocial assessment of patient needs, with a high degree of patient satisfaction. Traditional KPS scores show low correlation to more in-depth functional assessments. Future steps include examining the relationship between intra-patient longitudinal trends and outcomes.

Authors/Disclosures
Adam Uppendahl, MD (Cedars-Sinai) PRESENTER	Dr. Uppendahl has nothing to disclose.
Philip Chang, DO	Dr. Chang has nothing to disclose.
Jessica M. Besbris, MD (Cedars-Sinai Medical Center)	Dr. Besbris has nothing to disclose.
Andrea Cocjin (Cedars-Sinai Medical Center)	No disclosure on file
LJ Amaral, MS, RD	Ms. Amaral has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Functional Formularies .
Elissa K. Rosenberg	Ms. Rosenberg has nothing to disclose.
Rebecca Naor	Rebecca Naor has nothing to disclose.
Emily Downing-Mahli, NP (Cedars-Sinai)	Mrs. Downing-Mahli has nothing to disclose.
Desiree Williams-Trinidad (Cedars-Sinai Medical Center)	No disclosure on file
Carrie Kohler, Chaplain	Ms. Kohler has nothing to disclose.
Madison Stern, RD	Miss Stern has nothing to disclose.
Almar Guevarra, RN	Mr. Guevarra has nothing to disclose.
joanna wilson, RN	Ms. wilson has nothing to disclose.
Huda Alalami, MD (Cedar Sinai Medical Center)	Dr. Alalami has nothing to disclose.
Rosario Pulido (Cedars-Sinai Medical Center)	No disclosure on file
Samira Kadri, NP	Mrs. Kadri has nothing to disclose.
Karina Suarez Perez (Cedars-Sinai Medical Center)	No disclosure on file
Elaine Wittert, LCSW	Ms. Wittert has nothing to disclose.
Tomas M. Wagmister, LCSW	Mr. Wagmister has nothing to disclose.
Sashana Macatangay (Cedars-Sinai Medical Center)	No disclosure on file
Alisha Cabrera, RN	Miss Cabrera has nothing to disclose.
Jeremy Rudnick, MD	Dr. Rudnick has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for Novocure.
Scott A. Irwin, MD, PhD	Dr. Irwin has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Prosoma. Dr. Irwin has received personal compensation in the range of $50,000-$99,999 for serving as a Consultant for Renewed Mental Health Group. Dr. Irwin has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for UptoDate. The institution of Dr. Irwin has received research support from NCI. Dr. Irwin has received publishing royalties from a publication relating to health care.
Jethro Hu, MD (Cedars-Sinai Medical Center)	Dr. Hu has nothing to disclose.

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