Clinical analysis of 40 patients with multiple primary carcinomas using multidisci-plinary consultation for palliative treatment
10.3969/j.issn.1000-8179.2016.15.595
- VernacularTitle:40例多原发癌姑息治疗多学科会诊临床分析
- Author:
Haiyan SUN
;
Zhanyu PAN
;
Xinwei ZHANG
;
Lujun ZHAO
;
Jianyu XIAO
;
Yehui SHI
;
Fang LIU
;
Wenge XING
;
Jie ZHANG
- Publication Type:Journal Article
- Keywords:
multidisciplinary consultation team;
multidisciplinary team;
multiple primary carcinomas;
clinical analysis;
expected out-come;
assessment;
treatment
- From:
Chinese Journal of Clinical Oncology
2016;43(15):674-678
- CountryChina
- Language:Chinese
-
Abstract:
Objective:The implementation of a multidisciplinary team (MDT) approach for palliative treatment of patients with multi-ple primary carcinomas (MPCs) was evaluated in Tianjin Medical University Cancer Institute and Hospital. Methods:A total of 40 pa-tients with MPCs who attended the consultation by MDT in our hospital from January 1, 2014 to April 21, 2016 were analyzed retro-spectively. Clinical data of the 40 cancer patients were reviewed. The essential characteristics and results of MDT treatment decisions were summarized and expected outcomes were evaluated. Results:A total of 40 cases with MPCs were included in MDT assessment, accounting for 6.4%of the 629 patients who were handled by the MDT. A total of 39 MDT decisions were followed up successfully. Among these MDT decisions, 26 (65%) were fully implemented, 7 (17.5%) were partially implemented, and 6 (15.0%) were unimple-mented. Expected outcomes were achieved in 25 (96.2%) patients of the fully implemented concordant group, 4 (57.1%) patients of the partially concordant group, and 1 (16.7%) patient from the unimplemented group. Conclusion:MDT specializing on palliative treat-ment can provide recommendations for standardized individualized comprehensive treatment of patients with MPCs. MDT modality should be further improved and widely used for palliative treatment.
