Impact of the Multidisciplinary Cancer Team on the Diagnostic and Therapeutic Care Pathway of Early Breast Cancer Patients and Perception of Team Members: The Experience of a Cancer Centre in Italy.

IF 1.8 4区医学 Q3 ONCOLOGY

Cancer Investigation Pub Date : 2024-01-01 Epub Date: 2024-01-22 DOI:10.1080/07357907.2023.2300442

A M L Capobianco, G Gallucci, L Lapadula, G Dinardo, G La Torre, N Sisti, L G Sisti

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引用次数: 0

Abstract

Literature on the role of multidisciplinary team (MDT) in cancer is still controversial. We aimed to investigate MDT impact on a panel of indicators in breast cancer care in a single-center retrospective study performed in a Cancer Reference Center in Italy. We analysed the diagnostic and therapeutic care pathway (DTCP) of 266 early breast cancer patients managed by our MDT during 2019-2020. Process indicators reflecting the change of the diagnostic and therapeutic care pathways occurred after the MDT discussion were computed. Further, the performance of some quality care indicators in breast cancer care since the establishment of the MDT activity and the breast cancer MDT members' perceptions were also investigated. According to our study, the MDT approach improves breast cancer management by increasing the completion of staging and by encouraging neo-adjuvant treatment and an appropriate and faster surgery. In MDT members' perspective it also improves decision-making and training and creates a positive work environment. Globally, our study encourages MDT rollout in breast cancer care. However, to enhance the reliability and comparability of the results of studies investigating MDT effectiveness in clinical practice, shared guidelines on its operationalisation are strongly desirable.

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多学科癌症小组对早期乳腺癌患者诊断和治疗路径的影响以及小组成员的看法：意大利一家癌症中心的经验。

有关多学科团队（MDT）在癌症中的作用的文献仍存在争议。我们在意大利的一家癌症参考资料中心开展了一项单中心回顾性研究，旨在调查多学科团队对乳腺癌护理一系列指标的影响。我们分析了2019-2020年期间由MDT管理的266名早期乳腺癌患者的诊断和治疗护理路径（DTCP），计算了反映MDT讨论后诊断和治疗护理路径变化的过程指标。此外，还调查了MDT活动建立以来乳腺癌护理中一些优质护理指标的表现以及乳腺癌MDT成员的看法。根据我们的研究，MDT 方法通过提高分期的完成度、鼓励新辅助治疗和不太保守但适当且快速的手术，改善了乳腺癌的治疗。从 MDT 成员的角度来看，它还能改善决策和培训，创造积极的工作环境。在全球范围内，我们的研究鼓励在乳腺癌治疗中推广 MDT。然而，为了提高MDT在临床实践中的有效性研究结果的可靠性和可比性，我们需要制定共同的操作指南。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cancer Investigation 医学-肿瘤学

CiteScore

3.80

自引率

4.20%

发文量

审稿时长

8.5 months

期刊介绍： Cancer Investigation is one of the most highly regarded and recognized journals in the field of basic and clinical oncology. It is designed to give physicians a comprehensive resource on the current state of progress in the cancer field as well as a broad background of reliable information necessary for effective decision making. In addition to presenting original papers of fundamental significance, it also publishes reviews, essays, specialized presentations of controversies, considerations of new technologies and their applications to specific laboratory problems, discussions of public issues, miniseries on major topics, new and experimental drugs and therapies, and an innovative letters to the editor section. One of the unique features of the journal is its departmentalized editorial sections reporting on more than 30 subject categories covering the broad spectrum of specialized areas that together comprise the field of oncology. Edited by leading physicians and research scientists, these sections make Cancer Investigation the prime resource for clinicians seeking to make sense of the sometimes-overwhelming amount of information available throughout the field. In addition to its peer-reviewed clinical research, the journal also features translational studies that bridge the gap between the laboratory and the clinic.