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[肺癌多学科诊断与治疗的现状及未来方向]

[Current Situation and Future Direction of Multidisciplinary Diagnosis 
and Treatment of Lung Cancer].

作者信息

Che Guowei, Zhou Qinghua

机构信息

Lung Cancer Center/Lung Cancer Institute, West China Hospital, Sichuan University, 
Chengdu 610041, China.

Department of Thoracic Surgery, West China Hospital, Sichuan University, 
Chengdu 610041, China.

出版信息

Zhongguo Fei Ai Za Zhi. 2024 May 20;27(5):325-329. doi: 10.3779/j.issn.1009-3419.2024.102.15.

DOI:10.3779/j.issn.1009-3419.2024.102.15
PMID:38880919
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11183311/
Abstract

Although multidisciplinary team (MDT) diagnosis and treatment model can improve the quality of life and survival prognosis of the patients, why does it not reach the expected goal of the MDT diagnosis and treatment model? The main reason is that the diagnosis and treatment mode of MDT in lung cancer lags behind the progress of various treatment methods. By analyzing the latest research results of MDT diagnosis and treatment of lung cancer at home and abroad, combined with the experience of MDT diagnosis and treatment of lung cancer in the Lung Cancer Center of West China Hospital of Sichuan University, this article will discuss and summarize the progress and future direction of MDT in lung cancer from the following aspects: (1) The connotation and extension of MDT diagnosis and treatment mode of lung cancer need to be changed and adapted to new methods of diagnosis and treatment; (2) The clinical decision making in the diagnosis and treatment of MDT in lung cancer should be transformed from "multidisciplinary consultation (MDC)" to "MDT"; (3) The diagnosis and treatment process of MDT in lung cancer should shift from "fire brigade mode" to "firewall mode", and finally implement "individualized whole-process management mode"; (4) The path of MDT diagnosis and treatment of lung cancer should be changed from "temporary convening mode" to "single disease center system mode of lung cancer".
.

摘要

虽然多学科团队(MDT)诊疗模式能够提高患者的生活质量和生存预后,但为何未达到MDT诊疗模式的预期目标呢?主要原因在于肺癌MDT的诊疗模式滞后于各种治疗方法的进展。通过分析国内外肺癌MDT诊疗的最新研究成果,并结合四川大学华西医院肺癌中心肺癌MDT诊疗的经验,本文将从以下几个方面探讨和总结肺癌MDT的进展及未来方向:(1)肺癌MDT诊疗模式的内涵与外延需加以改变,以适应新的诊疗方法;(2)肺癌MDT诊疗中的临床决策应从“多学科会诊(MDC)”转变为“MDT”;(3)肺癌MDT的诊疗过程应从“消防队模式”转变为“防火墙模式”,最终实施“个体化全程管理模式”;(4)肺癌MDT诊疗路径应从“临时召集模式”转变为“肺癌单病种中心体系模式”。

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本文引用的文献

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Investigating the efficiency of lung multi-disciplinary team meetings-A mixed methods study of eight lung multi-disciplinary teams.调查肺多学科团队会议的效率-对 8 个肺多学科团队的混合方法研究。
Cancer Med. 2023 Apr;12(8):9999-10007. doi: 10.1002/cam4.5730. Epub 2023 Mar 19.
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Risk Management Activities in a Lung Cancer Multidisciplinary Team at a Comprehensive Cancer Center: Results of a Prospective Analysis.综合癌症中心肺癌多学科团队中的风险管理活动:一项前瞻性分析的结果
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[Chinses expert consensus on the multidisciplinary team diagnosis and treatment of lung cancer].[中国肺癌多学科团队诊疗专家共识]
Zhonghua Zhong Liu Za Zhi. 2020 Oct 23;42(10):817-828. doi: 10.3760/cma.j.cn112152-20200812-00731.
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BMC Cancer. 2017 Nov 17;17(1):772. doi: 10.1186/s12885-017-3768-5.
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