Discussion on online and offline combined multidisciplinary team diagnosis-treatment mode for cancers
10.3760/cma.j.cn371439-20200612-00074
- VernacularTitle:线上和线下联合的癌症多学科综合治疗协作组诊疗模式探讨
- Author:
Guanghui YANG
1
;
Qian WANG
;
Zheqi LI
;
Chengxin LIU
;
Hongfu SUN
;
Zhe LI
;
Haibo ZHANG
;
Hongsheng LI
;
Baosheng LI
Author Information
1. 山东大学齐鲁医学部临床医学院，济南 250012；山东省肿瘤防治研究院（山东省肿瘤医院）放疗科，山东第一医科大学（山东省医学科学院），济南 250117
- From:
Journal of International Oncology
2020;47(9):542-545
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the feasibility of using online and offline combined multidisciplinary team (MDT) diagnosis-treatment mode in cancers diagnosis and treatment by comparing the comprehensive diagnosis and treatment plans formulated by online and offline MDT diagnosis-treatment mode.Methods:A total of 168 esophageal cancer patients collected from March 17, 2020 to May 17, 2020 were took as the research objects in Shandong Cancer Hospital and Institute, through whom the consistency of the comprehensive diagnosis and treatment plans formulated by online and offline MDT diagnosis-treatment mode was evaluated. The clinical characteristics of patients with changed comprehensive diagnosis and treatment plans, such as age, Karnofsky performance status (KPS) score, whether combined with basic diseases, whether received anti-tumor treatment before and tumor location were analyzed, so as to explore the mechanism to improve the efficiency on the basis of quality assurance.Results:The results showed that 86.3% (145/168) of the comprehensive diagnosis and treatment plans obtained by offline MDT diagnosis-treatment mode were consistent with online diagnosis-treatment MDT mode. Cases with inconsistent comprehensive diagnosis and treatment plans were characterized by elderly (> 69 years) ( χ2=4.250, P=0.039), KPS score≥80 ( χ2=15.520, P<0.001) and combined with underlying disease ( χ2=7.135, P=0.008). Through further analysis, the changed cases were also characterized as with inadequate auxiliary examination or complex in imaging. Conclusion:The online and offline combined MDT diagnosis-treatment mode is feasible. For the patients characterized of elderly (> 69 years old), KPS score ≥80, combined with underlying diseases, with incomplete auxiliary examination or complex in imaging, the offline MDT diagnosis-treatment mode should be adopted or supplemented.
