caa a22 4500 606187677 CHVBK 20210128100841.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s00405-014-3375-x doi (NATIONALLICENCE)springer-10.1007/s00405-014-3375-x Experience of multidisciplinary team meetings in vestibular schwannoma: a preliminary report [Elektronische Daten] [Clémentine Daveau, Sandra Zaouche, Emmanuel Jouanneau, Véronique Favrel, Séverine Artru, Christian Dubreuil, Stéphane Tringali] To assess the contribution of multidisciplinary team meetings (MTM) on vestibular schwannoma management as well as to (1) compare professional compliance to national guidelines and (2) study the percentage of loss to follow-up in cases of conservative management by radiologic observation. A retrospective descriptive study of MTMs held between January 2011 and May 2013 in a tertiary referral center. Patients were classified in three groups according to the MTM decision (observation, surgery or radiotherapy). A total of 363 cases were discussed during the study period (29months). One hundred and ninety-four decisions (53.4%) were for conservative management with radiologic observation, 130 (35.8%) for surgery, and 39 (10.7%) for radiation therapy. The sex ratio was 0.94, and the patients had a median age of 59years (range 18-86years). Most of the vestibular schwannomas (74.2%) were small (stages I and II). Global concordance between the MTM decision and International Radiosurgery Association guidelines was 88.7%. Twenty-three percent of the 104 files that were discussed in MTMs between January 2011 and July 2012, for which conservative management was decided, were lost to follow-up by 18months. Management of vestibular schwannoma remains controversial, but it usually depends on the evolutive status. MTMs improve practice and facilitate the creation and maintenance of local registries. Future studies in MTMs are warranted to evaluate the benefit and evaluated if MTM could optimize long-term follow-up, limiting loss to follow-up in the observation of vestibular schwannomas that may be evolutive. Springer-Verlag Berlin Heidelberg, 2014 Multidisciplinary team meeting nationallicence Vestibular schwannoma nationallicence Acoustic neuroma nationallicence Treatment nationallicence Correlation nationallicence Loss to follow-up nationallicence Daveau Clémentine Department of Otology and Otoneurotology, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Université de Lyon, Université Claude Bernard Lyon 1, 69495, Pierre-Bénite, France aut Zaouche Sandra Department of Otology and Otoneurotology, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Université de Lyon, Université Claude Bernard Lyon 1, 69495, Pierre-Bénite, France aut Jouanneau Emmanuel Department of Neurosurgery, Hospices Civils de Lyon, Hôpital Wertheimer, 69677, Bron, France aut Favrel Véronique Department of Radiotherapy, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, 69495, Pierre-Bénite, France aut Artru Séverine Department of Radiology, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, 69495, Pierre-Bénite, France aut Dubreuil Christian Department of Otology and Otoneurotology, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Université de Lyon, Université Claude Bernard Lyon 1, 69495, Pierre-Bénite, France aut Tringali Stéphane Department of Otology and Otoneurotology, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Université de Lyon, Université Claude Bernard Lyon 1, 69495, Pierre-Bénite, France aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/11(2015-11-01), 3187-3192 0937-4477 272:11<3187 2015 272 405 https://doi.org/10.1007/s00405-014-3375-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3375-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Daveau Clémentine Department of Otology and Otoneurotology, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Université de Lyon, Université Claude Bernard Lyon 1, 69495, Pierre-Bénite, France aut NATIONALLICENCE 700 1- Zaouche Sandra Department of Otology and Otoneurotology, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Université de Lyon, Université Claude Bernard Lyon 1, 69495, Pierre-Bénite, France aut NATIONALLICENCE 700 1- Jouanneau Emmanuel Department of Neurosurgery, Hospices Civils de Lyon, Hôpital Wertheimer, 69677, Bron, France aut NATIONALLICENCE 700 1- Favrel Véronique Department of Radiotherapy, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, 69495, Pierre-Bénite, France aut NATIONALLICENCE 700 1- Artru Séverine Department of Radiology, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, 69495, Pierre-Bénite, France aut NATIONALLICENCE 700 1- Dubreuil Christian Department of Otology and Otoneurotology, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Université de Lyon, Université Claude Bernard Lyon 1, 69495, Pierre-Bénite, France aut NATIONALLICENCE 700 1- Tringali Stéphane Department of Otology and Otoneurotology, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Université de Lyon, Université Claude Bernard Lyon 1, 69495, Pierre-Bénite, France aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/11(2015-11-01), 3187-3192 0937-4477 272:11<3187 2015 272 405