Equipo multidisciplinar de cirugía radioguiada: Alternativa de cambio al paradigma actual

IF 1.6 4区医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Revista Espanola De Medicina Nuclear E Imagen Molecular Pub Date : 2024-03-01 DOI:10.1016/j.remn.2023.12.001

J. Ribera-Perianes , M. Vega , X. Cases Moreno , J. Cordón , J. Cortés Gracia , P. Paredes , N. Sánchez-Izquierdo , A. Perissinotti , D. Fuster Pelfort , S. Vidal-Sicart

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Abstract

Introduction

Given the constant increase in the healthcare demand for examinations related to radio-guided surgery (RGS), our hospital adopted new professional profiles in the RGS team, in order to partially reduce the time spent by nuclear medicine physicians on this task.

Aim

To analyze the process of incorporating the profiles of Superior Diagnostic Imaging Technician (TSID) and Sentinel Node Referent Nurse (ERGC), evaluating their deployment in the procedures linked to the technique.

Material and methods

Analysis of RGS activity during the period 2018-2022, focusing on pre-surgical and surgical procedures related to breast cancer (BC) and malignant melanoma (MM), as they are those pathologies on which the transfer of care competencies was concentrated. Chronological evolution of the competencies assumed by the different profiles during their integration into the RGS team.

Results

RGS's healthcare activity during the analyzed period experienced an increase of 109%. BC and MM were the pathologies that accounted for by far the greatest demand for care. The transfer of competencies in these two pathologies occurred in a progressive and staggered manner, with 74% (460/622) of the administration phase being carried out by the ERGC and 64% (333/519) of the surgeries by the TSID in 2022.

Conclusions

The creation of a multidisciplinary RGS team that includes different professional profiles (NM, ERGC and TSID) is an effective strategy to respond to the increase in the complexity and number of all procedures related to RGS.

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多学科放射引导手术团队：改变现有模式的替代方案

导言鉴于放射引导手术（RGS）相关检查的医疗需求不断增加，我院在 RGS 团队中采用了新的专业人员配置，以部分减少核医学医生在这项任务上花费的时间。材料和方法分析 2018-2022 年期间的放射引导手术活动，重点关注与乳腺癌（BC）和恶性黑色素瘤（MM）相关的术前和手术程序，因为这两种病症是护理能力转移的重点。结果在分析期间，RGS 的医疗活动增加了 109%。迄今为止，BC 和 MM 是医疗需求量最大的病症。2022 年，74%（460/622）的管理阶段由 ERGC 负责，64%（333/519）的手术由 TSID 负责。结论建立一个包含不同专业人员（NM、ERGC 和 TSID）的多学科 RGS 团队是应对 RGS 相关手术的复杂性和数量增加的有效策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Espanola De Medicina Nuclear E Imagen Molecular RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

1.10

自引率

16.70%

发文量

审稿时长

24 days

期刊介绍： The Revista Española de Medicina Nuclear e Imagen Molecular (Spanish Journal of Nuclear Medicine and Molecular Imaging), was founded in 1982, and is the official journal of the Spanish Society of Nuclear Medicine and Molecular Imaging, which has more than 700 members. The Journal, which publishes 6 regular issues per year, has the promotion of research and continuing education in all fields of Nuclear Medicine as its main aim. For this, its principal sections are Originals, Clinical Notes, Images of Interest, and Special Collaboration articles.