结直肠癌多学科会诊可能无法提供更有效的护理协调。
Multidisciplinary clinics for colorectal cancer may not provide more efficient coordination of care.
机构信息
Department of Surgery, University of Alabama at Birmingham, AL, USA.
Department of Surgery, University of Alabama at Birmingham, AL, USA.
出版信息
Am J Surg. 2022 Jun;223(6):1167-1171. doi: 10.1016/j.amjsurg.2021.11.027. Epub 2021 Dec 4.
BACKGROUND
This retrospective study compares a multidisciplinary clinic (MDC) to standard care for time to treatment of colorectal cancer.
METHODS
We queried our institutional ACS-NSQIP database for patients undergoing surgery for colorectal cancer from 2017 to 2020. Patients were stratified by initial clinic visit (MDC vs control). Primary endpoint was the time to start treatment (TST), either neoadjuvant therapy or surgery, from the date of diagnosis by colonoscopy.
RESULTS
A total of 405 patients were evaluated (115 MDC, 290 Control). TST from diagnosis was not significantly shorter for the MDC cohort (MDC 30 days, Control 37 days; p = 0.07) even when stratified by type of initial treatment of neoadjuvant therapy (MDC 30, Control 34 days; p = 0.28) or surgery (MDC 32.5 days, Control 38 days; p = 0.35).
CONCLUSION
Implementation of an MDC provides insignificant reduction in delay to start treatment for colorectal cancer patients as compared to standard care colorectal surgery clinics.
CLASSIFICATION
Colorectal.
背景
本回顾性研究比较了多学科诊疗（MDC）与标准护理在结直肠癌治疗时间上的差异。
方法
我们检索了机构 ACS-NSQIP 数据库中 2017 年至 2020 年接受结直肠癌手术的患者数据。患者按初始就诊科室（MDC 或对照组）分层。主要终点是从结肠镜检查确诊之日起开始治疗（新辅助治疗或手术）的时间。
结果
共评估了 405 例患者（MDC 组 115 例，对照组 290 例）。MDC 组的 TST 时间从诊断开始并没有明显缩短（MDC 组 30 天，对照组 37 天；p=0.07），即使按新辅助治疗的初始治疗类型分层（MDC 组 30 天，对照组 34 天；p=0.28）或手术（MDC 组 32.5 天，对照组 38 天；p=0.35）。
结论
与标准护理的结直肠外科诊所相比，MDC 的实施对结直肠癌患者的治疗起始延迟并没有明显的减少。
分类
结直肠。
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