关键词: cancer multidisciplinary team meeting patient assessment patient management patient outcomes

来  源:   DOI:10.2147/JMDH.S362550   PDF(Pubmed)

Abstract:
UNASSIGNED: MultiDisciplinary Team (MDT) are held to undertake decisions regarding the whole aspect of oncological diseases. Over the years, they acquired a collaborative approach where clinical decisions are shared by all members. Different guidelines recommend the implementation of MDT, in order to improve the outcomes of these patients. Our aim is to evaluate how the implementation of MDT affects the patients\' satisfaction and adherence to treatment.
UNASSIGNED: A survey was submitted to every patient affected by colorectal cancer treated by the MDT of Sant\'Andrea Hospital (Rome, IT). The investigation period was January 2017-March 2020. Data from patients inside the MDT were compared with patients outside the MDT to evaluate a reduction in waiting times.
UNASSIGNED: A total of 591 patients were collected. A total of 355 patients with colorectal neoplasia were included in our analysis. Cumulative overall survival was 79%. The average waiting time for computed tomography or colonoscopy was 14.9 days for patients in the MDT versus 24.5. A total of 201 patients were eligible for our satisfaction survey. An 89.5% of patients felt followed in their treatment. A 93.5% of patients expressed a high grade of satisfaction for the MDT design.
UNASSIGNED: Our study confirms the importance of a well-structured MDT. Dedicated slots shorten the waiting time, leading to better satisfaction and faster diagnosis. Patients\' satisfaction should be considered as an index of good practice when it comes to oncological patients\' treatment.
摘要:
多学科小组(MDT)负责就肿瘤疾病的整个方面做出决定。多年来,他们获得了一种协作方法,即临床决策由所有成员共享。不同的准则建议实施MDT,以改善这些患者的预后。我们的目的是评估MDT的实施如何影响患者的满意度和对治疗的依从性。
向Sant\'Andrea医院(罗马,IT)。调查期为2017年1月至2020年3月。将MDT内患者的数据与MDT外患者的数据进行比较,以评估等待时间的减少。
共收集591例患者。共有355例结直肠肿瘤患者被纳入我们的分析。累积总生存率为79%。MDT患者的计算机断层扫描或结肠镜检查的平均等待时间为14.9天,而不是24.5天。共有201名患者符合我们的满意度调查。89.5%的患者认为他们的治疗得到了随访。93.5%的患者对MDT设计表示高度满意。
我们的研究证实了结构良好的MDT的重要性。专用时隙缩短了等待时间,导致更好的满意度和更快的诊断。当涉及到肿瘤患者治疗时,患者满意度应被视为良好实践的指标。
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