Effectiveness of the Multidisciplinary Team Model in Treating Colorectal Cancer

2018 ◽  
Vol 41 (6) ◽  
pp. 491-496 ◽  
Author(s):  
Wen-Li Lin ◽  
Jia-Ling Sun ◽  
Shu-Chan Chang ◽  
Tsung-Chih Tsai ◽  
Pei-Hua Wu ◽  
...  
2007 ◽  
Vol 9 (2) ◽  
pp. 146-150 ◽  
Author(s):  
M. Soukop ◽  
A. Robinson ◽  
D. Soukop ◽  
C. L. Ingham-Clark ◽  
M. J. Kelly

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Dong Peng ◽  
Yu-Xi Cheng ◽  
Yong Cheng

Purpose. The purpose of the current meta-analysis was to evaluate whether multidisciplinary team improved overall survival of colorectal cancer. Methods. PubMed, EMBASE, and Cochrane Library database were searched from inception to October 25, 2020. The hazard ratio (HR) and 95% confidence (CI) of overall survival (OS) were calculated. Results. A total of 11 studies with 30814 patients were included in this meta-analysis. After pooling the HRs, the MDT group was associated with better OS compared with the non-MDT group ( HR = 0.81 , 95% CI 0.69-0.94, p = 0.005 ). In subgroup analysis of stage IV colorectal cancer, the MDT group was associated with better OS as well ( HR = 0.73 , 95% CI 0.59-0.90, p = 0.004 ). However, in terms of postoperative mortality, no significant difference was found between MDT and non-MDT groups ( OR = 0.84 , 95% CI 0.44-1.61, p = 0.60 ). Conclusion. MDT could improve OS of colorectal cancer patients.


2020 ◽  
Vol 23 (6) ◽  
pp. 363-366
Author(s):  
Xing-Ming Zhong ◽  
Xiao-Hong Wen ◽  
Chao-Hui Ji ◽  
Xing-Zhen Fei ◽  
Xiao-Gang Zhao

2016 ◽  
Vol 24 (2) ◽  
pp. 69-74 ◽  
Author(s):  
D Saraste ◽  
A Martling ◽  
PJ Nilsson ◽  
J Blom ◽  
S Törnberg ◽  
...  

Objectives To compare preoperative staging, multidisciplinary team-assessment, and treatment in patients with screening detected and non-screening detected colorectal cancer. Methods Data on patient and tumour characteristics, staging, multidisciplinary team-assessment and treatment in patients with screening and non-screening detected colorectal cancer from 2008 to 2012 were collected from the Stockholm–Gotland screening register and the Swedish Colorectal Cancer Registry. Results The screening group had a higher proportion of stage I disease (41 vs. 15%; p < 0.001), a more complete staging of primary tumour and metastases and were more frequently multidisciplinary team-assessed than the non-screening group ( p < 0.001). In both groups, patients with endoscopically resected cancers were less completely staged and multidisciplinary team-assessed than patients with surgically resected cancers ( p < 0.001). No statistically significant differences were observed between the screening and non-screening groups in the use of neoadjuvant treatment in rectal cancer (68 vs.76%), surgical treatment with local excision techniques in stage I rectal cancer (6 vs. 9%) or adjuvant chemotherapy in stages II and III disease (46 vs. 52%). Emergency interventions for colorectal cancer occurred in 4% of screening participants vs. 11% of non-compliers. Conclusions Screening detected cancer patients were staged and multidisciplinary team assessed more extensively than patients with non-screening detected cancers. Staging and multidisciplinary team assessment prior to endoscopic resection was less complete compared with surgical resection. Extensive surgical and (neo)adjuvant treatment was given in stage I disease. Participation in screening reduced the risk of emergency surgery for colorectal cancer.


2015 ◽  
Vol 48 (5) ◽  
pp. 145-150
Author(s):  
Yuan-Tzu Lan ◽  
Jen-Kou Lin ◽  
Jeng-Kai Jiang

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