Multidisciplinary-management-of-breast-and-cervical-cancers
City project

Multidisciplinary management of breast and cervical cancers

Tbilisi increases the quality and standardisation of cancer care for breast and cervical cancers.
Tbilisi
Completion as of Mar 31, 2023
100%
Project lead
Nana Mebonia & Nino (Nia) Sharikadze

The challenge

The Tbilisi situation analysis noted that most institutions have difficulties in delivering quality care for cancer patients due to a lack of multidisciplinary decision-making. No integration exists between diagnostics, treatment and care specialists, and as a result, adherence to the existing clinical guidelines is very poor and there are no standardised treatment protocols at the city’s cancer care centres allowing for assessment and/or improvement of treatment quality.

The goal

The city’s core goal is to increase both quality and standardisation of cancer care. Multidisciplinary teams will review each cancer case and plan the best treatment for breast and cervical cancer patients, ensuring that consistent, cost-effective treatment modules are delivered for every patient seen in Tbilisi. In parallel, resource-appropriate guidelines will give patients the best available treatment.

This approach is designed to ensure that patients receive standard treatment and management at every level of the care continuum in all institutions, while protocols developed specifically for the city will ensure that all cancer care health professionals follow the same processes when managing cancer patients. This will enhance continuity in the cancer care continuum and save both time and resources in the long run.

How

An inter-disciplinary and inter-institutional technical working group was created to develop a resolution for the creation of multidisciplinary teams (MDTs) in all institutions treating oncology patients within the city.The team also undertook scientific visits to reference centres in Europe and international consultation with experts.

Once the documents were ready, a three-day workshop with international experts on the management of breast and cervical cancers was held in Tbilisi, with the participation of technical working groups, medical societies and professionals from a range of institutions. The documents were submitted to the Ministry of Health and Scientific Societies for approval, endorsement and implementation.

Outputs

  • Resolution to set up and operationalise MDTs in centres treating breast and/or cervical cancer patients.
  • Guidelines for the management of invasive breast cancer.
  • Guidelines for the management of invasive cervical cancer.
  • Capacity development for MDT care practice for breast and cervical cancer patients.

Team

Project Lead
Nana Mebonia
Nino (Nia) Sharikadze
Project Lead
Irakli Sikharulidze
Dina Kurdiani
Ivane Kiladze
Natalia Jankarashvili
Armaz Mariamidze
Natalia Shengelia
Maka Kutateladze
Amiran Matitashvili
Ana Khmaladze
Ioseb Abesadze
Tamar Kakhniashvili
Tamar Rukhadze
Ketevan Bakanidze
Tamar Esakia
Pati Dzotsenidze
Nana Mebonia

Multidisciplinary teams will review each cancer case to plan the best treatment for breast and cervical cancer patients, ensuring that consistent, cost-effective treatment modules are delivered for every patient seen in the city of Tbilisi, while resource-appropriate guidelines will ensure that patients are given the best available treatment and management.

Nana Mebonia
Head of Division at National Center for Disease Control

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