Abstract：
Colorectal cancer (RC) is the third most common cancer, with an increasing incidence in recent years. Digital health solutions supporting multidisciplinary tumor boards (MTBs) could improve positive outcomes for RC patients. This paper describes the implementation process of a digital solution within the RC-MTB and its impact analysis in the context of the Fondazione Policlinico \'A. Gemelli\' in Italy. Adopting a two-phase methodological approach, the first phase qualitatively describes each phase of the implementation of the IT platform, while the second phase quantitatively describes the analysis of the impact of the IT platform. Descriptive and inferential analyses were performed for all variables, with a p-value < 0.05 being considered statistically significant. The implementation of the platform allowed more healthcare professionals to attend meetings and resulted in a decrease in patients sent to the RC-MTB for re-staging and further diagnostic investigations and an increase in patients sent to the RC-MTB for treatment strategies. The results could be attributed to the facilitated access to the platform remotely for specialists, partly compensating for the restrictions imposed by the COVID-19 pandemic, as well as to the integration of the platform into the hospital\'s IT system. Furthermore, the early involvement of healthcare professionals in the process of customizing the platform to the specific needs of the RC-MTB may have facilitated its use and contributed to the encouraging quantitative results.
摘要：
大肠癌（RC）是第三大最常见的癌症，近年来发病率不断上升。支持多学科肿瘤委员会（MTB）的数字健康解决方案可以改善RC患者的积极结果。本文介绍了RC-MTB内部数字解决方案的实施过程及其在FondazionePoliclinico\'A的背景下的影响分析。Gemelli\'在意大利。采用两阶段方法，第一阶段定性地描述了IT平台实施的每个阶段，而第二阶段定量描述了IT平台的影响分析。对所有变量进行描述性和推断性分析，p值<0.05被认为具有统计学意义。该平台的实施允许更多的医疗保健专业人员参加会议，并导致送往RC-MTB进行重新分期和进一步诊断调查的患者减少，送往RC-MTB进行治疗策略的患者增加。结果可能归因于专家远程访问平台的便利，部分补偿了COVID-19大流行带来的限制，以及将该平台整合到医院的IT系统中。此外，医疗保健专业人员的早期参与为RC-MTB的特定需求定制平台的过程可能促进了其使用，并为令人鼓舞的定量结果做出了贡献。
