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多学科护理在肝细胞癌管理中的作用。

Role of Multidisciplinary Care in the Management of Hepatocellular Carcinoma.

机构信息

Department of Internal Medicine, UT Southwestern Medical Center, Dallas, Texas.

Liver Transplantation Unit, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

出版信息

Semin Liver Dis. 2021 Jan;41(1):1-8. doi: 10.1055/s-0040-1719178. Epub 2021 Jan 14.

Abstract

Despite advances in treatment options for hepatocellular carcinoma (HCC), 5-year survival for HCC remains below 20%. This poor survival is multifactorial but is partly related to underuse of curative treatment in clinical practice. In light of growing treatment options, delivered by different types of providers, optimal management requires input from multiple specialties. A multidisciplinary approach has been evolving over the past couple of decades, bringing different specialists together to develop a therapeutic plan to treat and manage HCC, which significantly increases timely guideline-concordant treatment and improves overall survival. The present review attempts to highlight the need for such a multimodal approach by providing insights on its potential structure and impact on the various aspects of HCC management.

摘要

尽管肝细胞癌 (HCC) 的治疗选择有所进展,但 HCC 的 5 年生存率仍低于 20%。这种较差的生存率是多因素的,但部分原因是临床实践中对根治性治疗的应用不足。鉴于治疗选择的增加,由不同类型的提供者提供,最佳管理需要来自多个专业的投入。多学科方法在过去几十年中不断发展,将不同的专家聚集在一起制定治疗和管理 HCC 的治疗计划,这显著增加了及时遵循指南的治疗并提高了总体生存率。本综述试图通过提供对其潜在结构及其对 HCC 管理各个方面的影响的见解,强调这种多模式方法的必要性。

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