中国实用外科杂志

中国实用外科杂志

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北京肿瘤医院消化系统肿瘤多学科专家组治疗模式的探索

陆    明1，李佳艺2，季加孚1，邢宝才1，顾    晋1，朱    旭1，崔    湧1，蔡    勇1，薛卫成1，于江媛1，沈    琳1   

  1. 1北京大学临床肿瘤学院 北京大学肿瘤医院暨北京市肿瘤防治研究所消化道肿瘤多学科协作组 恶性肿瘤发病机制及转化研究教育部重点实验室，北京 100142；2厦门市第一医院，福建厦门 361001
  • 发布日期:2011-12-29

  • Published:2011-12-29

摘要：

目的    通过分析北京肿瘤医院消化系统肿瘤多学科专家组（multidisciplinary team，MDT）治疗模式的开展情况，了解国内MDT模式的发展现状。方法    回顾性分析2009-09-07至2010-11-29北京肿瘤医院消化道肿瘤MDT会议讨论的决策、决策执行情况和执行结果。统计学分析采用SPSS 13.0。结果    共407例病人进入MDT讨论。资料完整纳入研究304例（74.7%），胃癌、结直肠癌占74.5%， 77例（25.3%）为初治病人。全部病例进行321人次讨论，决策中需要两种或两种以上治疗方法参与的有109个（34%），完全执行MDT决策199个（62%），其中达到MDT预期的191例（96%），部分执行者40例，达到预期15例（37.5%）。结论    国内MDT治疗模式尚在起步阶段，多学科治疗理念的仍需进一步普及。

关键词: 消化系统肿瘤, 多学科协作诊治模式

Abstract:

The exploration of multidisciplinay team (MDT) for digestive system cancer in Beijing Cancer Hospital                        LU Ming* , LI Jia-yi, JI Jia-fu, et al. *Multidisciplinary Team for Digstive System Cancer, Peking University School of Oncology, Beijing Cancer Hospital & Institute, Beijing100142，China
Corresponding author:SHEN Lin,E-mail: lin100@medmail.com.cn
Abstract    Objective    The purpose of this study was to investigate the current status of clinical management by Multidisciplinary Team (MDT) in China through analyzing the implementation of this modality in Beijing cancer hospital. Methods    We retrospectively reviewed the results of MDT treatment decisions, patient compliance and clinical outcomes in Beijing cancer hospital between September 2009 and November 2010. Results    A total of 304 cases with complete clinical information were enrolled in our study. Gastric cancer and colorectal cancer accounts for 74.5% of all cases. Among them, 77 (25.3% ) patients had not recieved anti-cancer treatment before. A total of 321 MDT decisions were recorded, 109(34%) of them required multimodal treatment and 199 (62%) were concordant (implemented). Expected outcomes were achieved in 191(96%) of concordant group and 15/40 (37.5%) in partial concordant group. Conclusions    Currently, MDT treatment modality is at prime stage in China, the concept of a multidisciplinary treatment is still needed to advocated.

Key words: digestive system cancer, multidisciplinary approach