从外科医生的角度评价胃癌的充分性是否适合多学科治疗:一项回顾性队列研究。

IF 1.2 4区 医学 Q3 SURGERY
Ba Ool Seong, Seul-Gi Oh, Chang Seok Ko, Sa-Hong Min, Chung Sik Gong, In-Seob Lee, Beom Su Kim, Jeong Hwan Yook, Moon-Won Yoo
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引用次数: 0

摘要

目的:胃癌多学科综合治疗是制定治疗方案的有效途径。然而,在国内,将“MDT比率”作为评价胃癌治疗是否充分的项目是否合适,尚无相关研究。本研究的目的是从外科医生的角度验证“MDT的比例”是否适合作为胃癌充分性评价的项目。方法:本研究纳入2015年12月至2023年1月在我院接受MDT治疗的142例患者。根据实施胃癌充分性评价的时间将患者分为两组;评估前后分别有71例患者。以电子病历为基础,对比MDT门诊前制定的初始方案和门诊后制定的最终方案,确定方案是否有变更。结果:评估前后接受MDT的患者平均年龄分别为64.8岁和62.2岁。两组患者中男性50例(70.4%),女性21例(29.6%)。评估前接受MDT的患者有26例(36.6%)在就诊后改变了治疗方案,评估后接受MDT的患者有15例(21.1%)改变了治疗方案。接受MDT组与治疗方案改变有显著相关性(P = 0.042)。结论:我们的研究结果提示,将“MDT比例”作为胃癌充分性评价项目需要重新评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Appropriateness of multidisciplinary treatment related to the adequacy evaluation of gastric cancer from the surgeon's point of view: a retrospective cohort study.

Purpose: Multidisciplinary treatment (MDT) in gastric cancer is an effective approach for establishing treatment plans. However, the appropriateness of using "ratio of MDT" as an item for evaluating the adequacy of gastric cancer treatment in Korea has not been previously researched. The purpose of this study is to verify whether the "ratio of MDT" is appropriate as an item for gastric cancer adequacy evaluation from the surgeon's perspective.

Methods: This study involved 142 patients who received MDT at our hospital between December 2015 and January 2023. Patients were divided into 2 groups based on the date when gastric cancer adequacy evaluation was implemented; there were 71 patients before and after the evaluation was conducted, respectively. Based on electronic medical records, the initial plan prepared before the MDT clinic and the final plan prepared after the clinic were compared to determine whether the plan was changed.

Results: The average age of patients who received MDT before and after the evaluation was 64.8 and 62.2 years, respectively. Overall, 50 and 21 patients were male (70.4%) and female (29.6%), respectively, in both groups. Before the evaluation, 26 patients (36.6%) who received MDT changed their treatment plans after visiting the clinic, and 15 patients (21.1%) who received MDT after the evaluation had their treatment plans modified. Groups who received MDT and changes in treatment plans were significantly correlated (P = 0.042).

Conclusion: Our findings suggest that including the "ratio of MDT" as an item of gastric cancer adequacy evaluation needs reassessment.

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来源期刊
CiteScore
2.30
自引率
7.10%
发文量
75
期刊介绍: Manuscripts to the Annals of Surgical Treatment and Research (Ann Surg Treat Res) should be written in English according to the instructions for authors. If the details are not described below, the style should follow the Uniform Requirements for Manuscripts Submitted to Biomedical Journals: Writing and Editing for Biomedical Publications available at International Committee of Medical Journal Editors (ICMJE) website (http://www.icmje.org).
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