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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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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. |
format | Online Article Text |
id | pubmed-6982185 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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