The Improved Effects of a Multidisciplinary Team on the Survival of Breast Cancer Patients : Experiences from China

This study aimed to explore whether different multidisciplinary team (MDT) organizations have different effects on the survival of breast cancer patients. A total of 16354 patients undergoing breast cancer surgery during the period 2006-2016 at the Fudan University Shanghai Cancer Center were retrospectively extracted. Patients treated by MDT were divided into a well-organized group and a disorganized group based on their organized MDT, professional attendance, style of data and information delivery, and the length of discussion time for each patient. Other patients, who were not treated by MDT, were placed in a non-MDT group as a comparator group. Each MDT patient was matched with a non-MDT patient, using propensity score matching to reduce selection bias. The Cox regression model was used to examine the difference in effects between groups. We found that the five-year survival rate of the well-organized MDT group was 15.6% higher than the non-MDT group. However, five-year survival rate of the disorganized MDT group was 19.9% lower than that of the non-MDT group. Patients in the well-organized MDT group had a longer survival time than patients in the non-MDT group (HR = 0.4), while the disorganized MDT group had a worse survival rate than the non-MDT group (HR = 2.8) based on the Cox model result. However, our findings indicate that a well-organized MDT may improve the survival rate of patients with breast cancer in China.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

International journal of environmental research and public health - 17(2019), 1 vom: 31. Dez.

Sprache:

Englisch

Beteiligte Personen:

Lu, Jianlong [VerfasserIn]
Jiang, Yan [VerfasserIn]
Qian, Mengcen [VerfasserIn]
Lv, Lilang [VerfasserIn]
Ying, Xiaohua [VerfasserIn]

Links:

Volltext

Themen:

Breast cancer
Journal Article
Multidisciplinary team meeting
Observational Study
Propensity score matching
Survival analysis

Anmerkungen:

Date Completed 14.05.2020

Date Revised 14.05.2020

published: Electronic

Citation Status MEDLINE

doi:

10.3390/ijerph17010277

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM305055658