结直肠癌MDT模式的建立与实践探讨
Establishment and practice of MDT model for colorectal cancer
杜晓辉 1胡时栋1
作者信息
- 1. 100853 北京,解放军总医院普通外科
- 折叠
摘要
目的 通过分析解放军总医院结直肠癌多学科协作组(MDT)的诊治病例资料,探讨MDT模式的建立及推广开展的相关问题.方法 回顾性分析解放军总医院结直肠癌多学科协作组自2015年2月到2017年3月诊治的结直肠癌患者的MDT决策及决策执行情况.结果 共对288例结直肠癌患者确定了305份MDT决策,其中MDT目的主要以治疗为主(73.8%),MDT决策主要以化疗为主(57.4%).随访结果显示,245例(85.1%)执行了MDT决策,其中达到预期的患者数量(219例)远高于未执行预期的患者(23例)及不详患者(3例)总和,差异有统计学意义(χ2=61.88,P<0.05).结论 MDT模式在结直肠癌诊治中具有重要意义,值得深入研究并广泛推广.
Abstract
Objective To explore the establishment and promotion of Multidisciplinary team (MDT) model related issues by analyze the colorectal cancer patients data from PLA General Hospital. Methods The results of MDT treatment and patients compliance in PLA General Hospital from January 2015 to March 2017 were analyzed retrospectively. Results There are 288 cases and 305 MDT treatment were enrolled in this study, The main purpose of MDT was treatment (73.8%), and MDT was mainly based on chemotherapy (57.4%). Follow up results showed that 245 patients (85.1%) performed MDT decisions, with the expected number of patients (219 cases) significantly higher than the other patients (26patients). Conclusions MDT model is of great significance in the diagnosis and treatment of colorectal cancer, and is worthy of further study and extensive promotion in China.
关键词
结直肠肿瘤/多学科协作/综合治疗Key words
Colorectal neoplasms/Multidisciplinary team/Comprehensive treatment引用本文复制引用
出版年
2018
NETL
NSTL
维普
万方数据