[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-358815-105":59,"doc-detail-358815-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","multidisciplinary-approach-to-bone-metastases-a-single-center-experience-in-a-tertiary-cancer-center","Multidisciplinary approach to bone metastases - A single center experience in a tertiary cancer center","","Increasing incidence of bone metastases often results in skeletal-related events (SREs) and pain, yet a standardized multidisciplinary care model is not clearly defined. The Osteoncology multidisciplinary outpatient clinic (OMC) of the Veneto Oncology Institute was established to guide patient support. Since 2013, bone metastasis patients are evaluated by a multidisciplinary team using an internal protocol and referral-scored access system; outcomes of OMC visits from Jan 2018 to Jun 2023 were analyzed.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/multidisciplinary-approach-to-bone-metastases-a-single-center-experience-in-a-tertiary-cancer-center/358815/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/multidisciplinary-approach-to-bone-metastases-a-single-center-experience-in-a-tertiary-cancer-center/358815.png","ImageObject",300,407,{"name":92,"@type":93},"Levi","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-27","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What problem does the study address for patients with bone metastases?","Question",{"text":113,"@type":114},"Bone metastases commonly lead to skeletal-related events (SREs) and pain, but multidisciplinary management lacks a standardized model.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How is access to the Osteoncology multidisciplinary outpatient clinic (OMC) organized?",{"text":118,"@type":114},"Access is regulated by an internal protocol and a referral form that sets priority of access and the multidisciplinary team’s specific question.",{"name":120,"@type":111,"acceptedAnswer":121},"What key outcomes were reported after OMC visits?",{"text":122,"@type":114},"In this large series, most patients accessed according to referral priority with a median waiting time of 6 days, and many received two or more distinct therapeutic indications.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},358815,1790573249,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},7971461740909,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Supportive Care in Cancer (2026) 34:256  \n[https://doi.org/10.1007/s00520-026-10476-6](https://doi.org/10.1007/s00520-026-10476-6)  \nMultidisciplinary approach to bone metastases: a single center experience in a tertiary cancer center  \nChiara Pittarello1,2 · Antonella Brunello1 · Evelina Lamberti3 · Stefania Zovato4 · Fabio Formaglio5 · Sara Galuppo6 · Marco Krengli2,6 · Ugo Nena7 · Andrea Angelini7,8 · Piero Ruggieri8 · Virginia Pozza3 · Giovanna Pintacuda9 · Alice Pittaro9 · Vittoria Aldegheri9 · Melissa Ballestrin10 · Anna Roma10 · Sara Lonardi1 · Valentina Guarneri2,11 · Cristina Falci11 · Marco Maruzzo10  \nReceived: 21 August 2025 / Accepted: 16 February 2026 / Published online: 27 February 2026 © The Author(s) 2026  \nAbstract  \nPurpose The increasing incidence of bone metastases frequently leads to skeletal-related events (SREs) and pain. While multidisciplinary management is recommended by scientific societies, a standardized model remains undefined. An example can be provided by the Osteoncology multidisciplinary outpatient clinic (OMC) of the Veneto Oncology Institute, created to offer support to patients with bone metastases.  \nPatients and methods Patients with bone metastases are evaluated by a multidisciplinary team since 2013. Access to the OMC is regulated by an internal protocol and a form filled out by the referring physicians, which establishes the priority of access and the specific query for the multidisciplinary team. We analyzed the characteristics and outcome of OMC visits of all patients who accessed between January 2018 and June 2023. All data were retrieved from a prospectively managed database. Results 2,200 patients were evaluated at OMC, with a median age of 66 years. Breast (33.3%) and lung cancer (19.2%) were the most frequent primary sites. Most patients (85.1%) accessed the OMC in line with the priority indicated by their referral score, with a median waiting time of 6 days. Physicians most frequently asked the multidisciplinary team about the best treatment for bone metastases; 35% sent multiple requests. Following OMC visit, 31.5% of patients received two or more distinct indications. The most frequent were orthopedic corsets (28.3%) and radiotherapy (27.5%) .  \nConclusion This large series confirms the efficacy of a multidisciplinary approach for bone metastases. This method reduces patients' psychophysical stress through rapid and effective assessment and provide precise and tailored therapeutic indications.  \nKeywords Bone metastasis · Skeletal disease · Multidisciplinary · Osteoncology  \n* Marco Maruzzo [marco.maruzzo@iov.veneto.it](marco.maruzzo@iov.veneto.it)  \n1 Oncology 1 Unit, Istituto Oncologico Veneto, IOV – IRCCS, Padua, Italy  \n2 Department of Surgery, Oncology and Gastroenterology (DISCOG), University of Padova, Padua, Italy  \n3 Hospital Health Professions Unit, Istituto Oncologico Veneto, IOV – IRCCS, Padua, Italy  \n4 Hereditary Tumour Unit, Istituto Oncologico Veneto, IOV – IRCCS, Padua, Italy  \n5 Pain Therapy and Palliative Care Unit, Istituto Oncologico Veneto, IOV – IRCCS, Padua, Italy  \n6 Radiotherapy Unit, Istituto Oncologico Veneto, IOV – IRCCS, Padua, Italy  \n7 Departmental Unit of Spinal Orthopedics, Azienda Ospedale Università di Padova, Padua, Italy  \n8 Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy  \n9 Radiology Unit, Istituto Oncologico Veneto, IOV – IRCCS, Padua, Italy  \n10 Oncology 3 Unit, Istituto Oncologico Veneto, IOV – IRCCS, Padua, Italy  \n11 Oncology 2 Unit, Istituto Oncologico Veneto, IOV – IRCCS, Padua, Italy  \nIntroduction  \nBones are one of the most common sites for metastasis, after lungs and liver [1] . Bone metastases are common with several cancers, but some malignancies have greater affinity for bones than others [2]; for instance, breast and prostate cancer have the highest incidence of bone metastases (around 70% of cases), whereas bone lesions are less common in thyroid (60%), lung (30–40%), bladder (40%)","cbCaigJIbIblta4o","https://ap.wps.com/l/cbCaigJIbIblta4o","pdf",769362,"English","# Abstract\n## Purpose\n## Patients and methods\n## Results\n## Conclusion\n# Introduction","[{\"question\":\"What problem does the study address for patients with bone metastases?\",\"answer\":\"Bone metastases commonly lead to skeletal-related events (SREs) and pain, but multidisciplinary management lacks a standardized model.\"},{\"question\":\"How is access to the Osteoncology multidisciplinary outpatient clinic (OMC) organized?\",\"answer\":\"Access is regulated by an internal protocol and a referral form that sets priority of access and the multidisciplinary team’s specific question.\"},{\"question\":\"What key outcomes were reported after OMC visits?\",\"answer\":\"In this large series, most patients accessed according to referral priority with a median waiting time of 6 days, and many received two or more distinct therapeutic indications.\"}]","Multidisciplinary approach to bone metastases - A single center experience in a tertiary cancer center | PDF",1790135373,18]