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The Improved Effects of a Multidisciplinary Team on the Survival of Breast Cancer Patients: Experiences from China

This study aimed to explore whether different multidisciplinary team (MDT) organizations have different effects on the survival of breast cancer patients. A total of 16354 patients undergoing breast cancer surgery during the period 2006–2016 at the Fudan University Shanghai Cancer Center were retros...

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Detalles Bibliográficos
Autores principales: Lu, Jianlong, Jiang, Yan, Qian, Mengcen, Lv, Lilang, Ying, Xiaohua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6982185/
https://www.ncbi.nlm.nih.gov/pubmed/31906051
http://dx.doi.org/10.3390/ijerph17010277
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author Lu, Jianlong
Jiang, Yan
Qian, Mengcen
Lv, Lilang
Ying, Xiaohua
author_facet Lu, Jianlong
Jiang, Yan
Qian, Mengcen
Lv, Lilang
Ying, Xiaohua
author_sort Lu, Jianlong
collection PubMed
description This study aimed to explore whether different multidisciplinary team (MDT) organizations have different effects on the survival of breast cancer patients. A total of 16354 patients undergoing breast cancer surgery during the period 2006–2016 at the Fudan University Shanghai Cancer Center were retrospectively extracted. Patients treated by MDT were divided into a well-organized group and a disorganized group based on their organized MDT, professional attendance, style of data and information delivery, and the length of discussion time for each patient. Other patients, who were not treated by MDT, were placed in a non-MDT group as a comparator group. Each MDT patient was matched with a non-MDT patient, using propensity score matching to reduce selection bias. The Cox regression model was used to examine the difference in effects between groups. We found that the five-year survival rate of the well-organized MDT group was 15.6% higher than the non-MDT group. However, five-year survival rate of the disorganized MDT group was 19.9% lower than that of the non-MDT group. Patients in the well-organized MDT group had a longer survival time than patients in the non-MDT group (HR = 0.4), while the disorganized MDT group had a worse survival rate than the non-MDT group (HR = 2.8) based on the Cox model result. However, our findings indicate that a well-organized MDT may improve the survival rate of patients with breast cancer in China.
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spelling pubmed-69821852020-02-07 The Improved Effects of a Multidisciplinary Team on the Survival of Breast Cancer Patients: Experiences from China Lu, Jianlong Jiang, Yan Qian, Mengcen Lv, Lilang Ying, Xiaohua Int J Environ Res Public Health Article This study aimed to explore whether different multidisciplinary team (MDT) organizations have different effects on the survival of breast cancer patients. A total of 16354 patients undergoing breast cancer surgery during the period 2006–2016 at the Fudan University Shanghai Cancer Center were retrospectively extracted. Patients treated by MDT were divided into a well-organized group and a disorganized group based on their organized MDT, professional attendance, style of data and information delivery, and the length of discussion time for each patient. Other patients, who were not treated by MDT, were placed in a non-MDT group as a comparator group. Each MDT patient was matched with a non-MDT patient, using propensity score matching to reduce selection bias. The Cox regression model was used to examine the difference in effects between groups. We found that the five-year survival rate of the well-organized MDT group was 15.6% higher than the non-MDT group. However, five-year survival rate of the disorganized MDT group was 19.9% lower than that of the non-MDT group. Patients in the well-organized MDT group had a longer survival time than patients in the non-MDT group (HR = 0.4), while the disorganized MDT group had a worse survival rate than the non-MDT group (HR = 2.8) based on the Cox model result. However, our findings indicate that a well-organized MDT may improve the survival rate of patients with breast cancer in China. MDPI 2019-12-31 2020-01 /pmc/articles/PMC6982185/ /pubmed/31906051 http://dx.doi.org/10.3390/ijerph17010277 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lu, Jianlong
Jiang, Yan
Qian, Mengcen
Lv, Lilang
Ying, Xiaohua
The Improved Effects of a Multidisciplinary Team on the Survival of Breast Cancer Patients: Experiences from China
title The Improved Effects of a Multidisciplinary Team on the Survival of Breast Cancer Patients: Experiences from China
title_full The Improved Effects of a Multidisciplinary Team on the Survival of Breast Cancer Patients: Experiences from China
title_fullStr The Improved Effects of a Multidisciplinary Team on the Survival of Breast Cancer Patients: Experiences from China
title_full_unstemmed The Improved Effects of a Multidisciplinary Team on the Survival of Breast Cancer Patients: Experiences from China
title_short The Improved Effects of a Multidisciplinary Team on the Survival of Breast Cancer Patients: Experiences from China
title_sort improved effects of a multidisciplinary team on the survival of breast cancer patients: experiences from china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6982185/
https://www.ncbi.nlm.nih.gov/pubmed/31906051
http://dx.doi.org/10.3390/ijerph17010277
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