The Division of Neuro-Oncology, led by Dr. Andrew Lassman, recently implemented a Multidisciplinary Central Nervous System Metastases (CNSMets) Clinic. Housed on the 9th floor of The Neurological Institute of New York, patients with brain, leptomeningeal, skull base, spinal cord, or spine metastases are seen by our Neuro-Oncology specialists on Wednesday afternoons, beginning at 1:00 pm. Then, cases seen that day are discussed at a multidisciplinary tumor board led by Neuro-Oncologist Dr. Teri Kreisl, with representatives from other specialties, to generate a comprehensive treatment plan. Depending on the consensus plan of care, patients may then meet with consultative specialists from Neurosurgery, Radiation Oncology, Medical Oncology, Palliative Care, Social Work, and Complementary and Alternative Medicine that same afternoon. This improves care coordination, enhances the patient experience, and presents opportunities for research through clinical trials and other projects. The Multidisciplinary CNSMets Clinic also represents an educational experience for residents, fellows, and students, as well as faculty who learn from their colleagues in other disciplines.
The program has been extraordinarily well received. Lindsey Wright a nurse from the Palliative Care service wrote, “Thanks so much for inviting me/our service to participate in this clinic. I learn so much each time and I hope I'm able to serve your patients well.” Similarly, Dr. Adrian G. Sacher, thoracic oncology (lung cancer) specialist wrote:
the brain metastatis clinic and tumor board utilizes a unique multi-disciplinary and multi-tumor site approach...It allows for high level discussion of unique cases and rapid planning of individualized, cutting-edge therapy for each patient. I am confident that this initiative will both improve patient care and provide a platform for the development of innovative clinical trials and collaborations.
To schedule patients in the CNSMets Clinic, providers or patients should call the Division of Neuro-Oncology at 212-342-0571 or email CNSmets_program@cumc.columbia.edu.