Chaillou D, Mortuaire G, Deken-Delannoy V, Rysman B, Chevalier D, Mouawad F
Service d'ORL et de chirurgie cervicofaciale, hôpital Huriez, université de Lille, CHRU de Lille, rue Michel-Polonovski, 59000 Lille, France.
Unité de méthodologie, biostatistique et data management, Maison régionale de la recherche clinique, CHRU de Lille, rue du Professeur Laguesse, 59037 Lille, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2019 Apr;136(2):75-82. doi: 10.1016/j.anorl.2018.10.003. Epub 2018 Nov 28.
In oncology, multi-disciplinary team meetings improve overall survival and reduce time to treatment in head and neck cancer. Interestingly, no study has examined the experience of patients attending an MTM. The present study addressed two questions: Does the MTM cause anxiety/depression for patients who are present? Are patients satisfied at the end of the meeting?
The study included all patients attending an MTM, who agreed to participate in the study and who fully completed two questionnaires. The Hospital Anxiety and Depression Scale (HADS) and a satisfaction questionnaire were filled out at three time-points: T0 before MTM, T1 at end of MTM, and T2 1 month after MTM for the HADS; and T1 and T2 for the satisfaction questionnaire.
There were no significant differences in the number of patients experiencing anxiety between T0 and T1 (P=0.6085), T0 and T2 (P=1) or T1 and T2 (P=1). Likewise, there were no significant differences in the number of patients in depression between T0 and T1 (P=0.9397), T0 and T2 (P=1) or T1 and T2 (P=1). Mean satisfaction was good (question 14 on the satisfaction questionnaire: 8.7/10 at T1 and 7.7/10 at T2), but with a significant decrease between T1 and T2 (P=0.0009: i.e.,<0.05). Percentage information remembered (question 12) significantly decreased between T1 (mean 86%, standard deviation 0.2, median 94%) and T2 (78%±0.2, median 81%) (P=0.03). Presence in the MTM did not appear to induce or increase anxiety or pre-existing depressive syndrome.
在肿瘤学领域，多学科团队会议可提高头颈部癌患者的总生存率并缩短治疗时间。有趣的是，尚无研究探讨参加多学科团队会议（MTM）的患者的体验。本研究解决了两个问题：MTM是否会给在场患者带来焦虑/抑郁？患者在会议结束时是否满意？
本研究纳入了所有参加MTM且同意参与研究并完整填写两份问卷的患者。在三个时间点填写医院焦虑抑郁量表（HADS）和满意度问卷：MTM前的T0、MTM结束时的T1以及MTM后1个月的T2用于HADS量表；满意度问卷则在T1和T2填写。
在T0与T1（P = 0.6085）、T0与T2（P = 1）或T1与T2（P = 1）之间，出现焦虑的患者数量无显著差异。同样，在T0与T1（P = 0.9397）、T0与T2（P = 1）或T1与T2（P = 1）之间，出现抑郁的患者数量也无显著差异。平均满意度良好（满意度问卷第14题：T1时为8.7/10，T2时为7.7/10），但T1与T2之间有显著下降（P = 0.0009，即<0.05）。记忆的信息百分比（第12题）在T1（平均86%，标准差0.2，中位数94%）和T2（78%±0.2，中位数81%）之间显著下降（P = 0.03）。参加MTM似乎并未诱发或增加焦虑或原有的抑郁综合征。
