医生对多学科肿瘤委员会管理妇科癌症建议的遵从性。

Physician compliance with multidisciplinary tumor board recommendations for managing gynecological cancers.

机构信息

Radiation Therapy Department, Limoges University Hospital, Limoges, 87000, France.

Reconstructive Surgery Department, Limoges University Hospital, Limoges, 87000, France.

出版信息

Future Oncol. 2023 Apr;19(13):897-908. doi: 10.2217/fon-2022-1183. Epub 2023 May 26.

DOI:10.2217/fon-2022-1183

PMID:37232140

Abstract

Evaluation of compliance with gynecological multidisciplinary tumor board (MTB) recommendations and its impact. All patient records discussed in our MTB from 2018 to 2020 were analyzed. We analyzed 437 MTB recommendations concerning 166 patients. Each patient was discussed an average of 2.6 (1.0-4.2) times. Of the 789 decisions, the decision was not followed 102 times (12.9%), corresponding to 85 MTB meetings (19.5%). Of these, 72 recommendations concerned therapeutic changes (70.5%), and 30 concerned non-therapeutic changes (29.5%). Of these 85 MTB decisions, 60 (71%) led to a new MTB submission. Noncompliance with MTB decisions decreased the overall survival (46 vs 138 months; p = 0.003). Improving compliance with MTB decisions is crucial to enhance patient outcomes.

摘要

评价妇科多学科肿瘤委员会（MTB）建议的依从性及其影响。分析了 2018 年至 2020 年在我们的 MTB 中讨论的所有患者记录。我们分析了 437 项涉及 166 名患者的 MTB 建议。每位患者平均讨论 2.6（1.0-4.2）次。在 789 项决策中，有 102 次（12.9%）未遵循决策，对应 85 次 MTB 会议（19.5%）。其中，72 项建议涉及治疗方案的改变（70.5%），30 项建议涉及非治疗方案的改变（29.5%）。在这 85 项 MTB 决策中，有 60 项（71%）导致了新的 MTB 提交。不遵守 MTB 决策会降低总体生存率（46 个月与 138 个月；p=0.003）。提高 MTB 决策的依从性对于改善患者预后至关重要。