Key result
Integrated multidisciplinary care enhances safety and efficiency vs fragmented models in abdominal cancer emergencies.
Why the study?
Conventional fragmented care models for abdominal oncologic emergencies often lead to delays, inconsistent decisions, and poor care transitions.
Proposes a structured, multidisciplinary care model for abdominal cancer emergencies to enhance safety, timely goal-concordant care, and resource efficiency.
May support coordinated care for abdominal cancer emergencies; leaves open benefits pending prospective validation.
Abdominal oncologic emergencies demand urgent surgical decisions that may conflict with ongoing cancer therapies and patient preferences. Conventional fragmented care models often lead to delays, inconsistent decisions, and poor care transitions. To address this gap, this perspective article proposes an integrated, patient-centered care model structured in three stages: rapid initial assessment, a structured emergency multidisciplinary team meeting, and coordinated care with seamless transitions. Central to this framework is a structured decision-making guide for emergency surgery that comprehensively integrates patient factors (health status, prognosis), tumor-related factors (emergency severity, technical feasibility), and patient preferences and context. Based on this triad, clinicians can pursue one of three clear pathways: immediate stabilization, definitive emergency oncologic surgery for suitable candidates, or prioritized non-operative or palliative-first approach when surgery offers limited benefit. Supported by innovations like standardized pathways and emergency-specific performance metrics, this framework aims to enhance safety, timely goal-concordant care, and resource efficiency in abdominal cancer emergency surgery.
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Li et al. (2026) studied Abdominal oncologic emergencies. Integrated multidisciplinary care system vs. Conventional fragmented care models was evaluated. An integrated, patient-centered multidisciplinary care model for abdominal cancer emergencies provides a structured decision-making framework to enhance safety, timely care, and resource efficiency.
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