Presentation Authors: Xiaojian Qin*, Hongkai Wang, Fangning Wan, Weijie Gu, Xiaolin Lu, Cuizhu Zhang, Weiyi Yang, Ying Shen, Dingwei Ye, Shanghai, China, People's Republic of
Introduction: Comprehensive management of multidisciplinary team (MDT) is the most effective mode in genitourinary(GU) cancers. Due to the uneven level in the management of GU cancers in China, top GU MDT services do not meet the medical needs of people. Based on successful running of the internet platform of MDT management for GU cancers across China: "China GU MDT consultation platform (CUMP)", a nationwide system bearing local and remote MDT services is in urgent need.
Methods: We developed a mobile internet based application running on WeChat platform, which is the most widely used communication service in China. Experts singed up on CUMP are all allowed to log into the mobile App and use the consultation features within the unit. Some reputed medical center sophisticated in GU MDT services are titled regional centers, while other medical institutions that routinely provide MDT services are titled city centers. The secretary of each registered unit is designated to collect medical records and submit an in-unit consultation application via the App or PC website. A WeChat notification will be delivered to each expert in unit once a new consultation application is submitted. Experts are free to comment on the case from anywhere anytime until a summary is concluded by the secretary with instruction from the chief expert. The summary will be pushed to the chief expert for a final confirmation after all the positive votes are received from those experts who published comments. Across-unitsâ€™ consultation application is also encouraged and processed on the platform.
Results: Since July 2018, our smart system has successfully carried out more than 200 local and remote MDT consultations; more than 2000 GU experts from 56 medical centers with GU MDT services across China are registered in the system. A preliminary hierarchical medical network has been built and connected by the system, consisting of four regional centers and 52 city centers, covering 26 of 34 provincial-level administrative regions in China.
Conclusions: CUMP with the new smart system has made the most out of experts' fragmented time to contribute to MDT consultations, and further enhanced the accessibility of local and remote GU MDT service. CUMP is looking forward to cooperation with international counterparts.