PDF(Pubmed)
Abstract：
UNASSIGNED: Multidisciplinary team (MDT) meetings are the gold standard of cancer treatment. However, the limited participation of multiple medical experts and the low frequency of MDT meetings reduce the efficiency and coverage rate of MDTs. Herein, we retrospectively report the results of an asynchronous MDT based on a cloud platform (cMDT) to improve the efficiency and coverage rate of MDT meetings for digestive tract cancer.
UNASSIGNED: The participants and cMDT processes associated with digestive tract cancer were discussed using a cloud platform. Software programming and cMDT test runs were subsequently conducted to further improve the software and processing. cMDT for digestive tract cancer was officially launched in June 2019. The doctor response duration, cMDT time, MDT coverage rate, National Comprehensive Cancer Network guidelines compliance rate for patients with stage III rectal cancer, and uniformity rate of medical experts\' opinions were collected.
UNASSIGNED: The final cMDT software and processes used were determined. Among the 7462 digestive tract cancer patients, 3143 (control group) were diagnosed between March 2016 and February 2019, and 4319 (cMDT group) were diagnosed between June 2019 and May 2022. The average number of doctors participating in each cMDT was 3.26 ± 0.88. The average doctor response time was 27.21 ± 20.40 hours, and the average duration of cMDT was 7.68 ± 1.47 min. The coverage rates were 47.85% (1504/3143) and 79.99% (3455/4319) in the control and cMDT groups, respectively. The National Comprehensive Cancer Network guidelines compliance rates for stage III rectal cancer patients were 68.42% and 90.55% in the control and cMDT groups, respectively. The uniformity rate of medical experts\' opinions was 89.75% (3101/3455), and 8.97% (310/3455) of patients needed online discussion through WeChat; only 1.28% (44/3455) of patients needed face-to-face discussion with the cMDT group members.
UNASSIGNED: A cMDT can increase the coverage rate of MDTs and the compliance rate with National Comprehensive Cancer Network guidelines for stage III rectal cancer. The uniformity rate of the medical experts\' opinions was high in the cMDT group, and it reduced contact between medical experts during the COVID-19 pandemic.
UNASSIGNED: The participants and cMDT processes associated with digestive tract cancer were discussed using a cloud platform. Software programming and cMDT test runs were subsequently conducted to further improve the software and processing. cMDT for digestive tract cancer was officially launched in June 2019. The doctor response duration, cMDT time, MDT coverage rate, National Comprehensive Cancer Network guidelines compliance rate for patients with stage III rectal cancer, and uniformity rate of medical experts\' opinions were collected.
UNASSIGNED: The final cMDT software and processes used were determined. Among the 7462 digestive tract cancer patients, 3143 (control group) were diagnosed between March 2016 and February 2019, and 4319 (cMDT group) were diagnosed between June 2019 and May 2022. The average number of doctors participating in each cMDT was 3.26 ± 0.88. The average doctor response time was 27.21 ± 20.40 hours, and the average duration of cMDT was 7.68 ± 1.47 min. The coverage rates were 47.85% (1504/3143) and 79.99% (3455/4319) in the control and cMDT groups, respectively. The National Comprehensive Cancer Network guidelines compliance rates for stage III rectal cancer patients were 68.42% and 90.55% in the control and cMDT groups, respectively. The uniformity rate of medical experts\' opinions was 89.75% (3101/3455), and 8.97% (310/3455) of patients needed online discussion through WeChat; only 1.28% (44/3455) of patients needed face-to-face discussion with the cMDT group members.
UNASSIGNED: A cMDT can increase the coverage rate of MDTs and the compliance rate with National Comprehensive Cancer Network guidelines for stage III rectal cancer. The uniformity rate of the medical experts\' opinions was high in the cMDT group, and it reduced contact between medical experts during the COVID-19 pandemic.
摘要：
■多学科团队（MDT）会议是癌症治疗的黄金标准。然而,多医学专家参与有限，MDT会议频率低，降低了MDT的效率和覆盖率。在这里，我们回顾性报告了基于云平台(cMDT)的异步MDT的结果,以提高消化道癌症MDT会议的效率和覆盖率.
■使用云平台讨论了与消化道癌症相关的参与者和cMDT过程。随后进行软件编程和cMDT测试运行以进一步改进软件和处理。用于消化道癌症的cMDT于2019年6月正式推出。医生的反应持续时间，cMDT时间,MDT覆盖率,国家综合癌症网络指南对III期直肠癌患者的依从率，收集医学专家意见的均匀率。
■确定最终使用的cMDT软件和过程。在7462例消化道癌症患者中，在2016年3月至2019年2月之间诊断出3143（对照组），在2019年6月至2022年5月之间诊断出4319（cMDT组）。参加每个cMDT的医生平均人数为3.26±0.88。医生平均反应时间为27.21±20.40小时，cMDT的平均持续时间为7.68±1.47min。对照组和cMDT组的覆盖率分别为47.85%(1504/3143)和79.99%(3455/4319),分别。在对照组和cMDT组中，III期直肠癌患者的国家综合癌症网络指南依从率分别为68.42%和90.55%，分别。医学专家意见的统一率为89.75%（3101/3455），8.97%(310/3455)的患者需要通过微信进行在线讨论；只有1.28%(44/3455)的患者需要与cMDT小组成员进行面对面讨论。
■一种cMDT可以提高MDT的覆盖率以及对III期直肠癌的国家综合癌症网络指南的遵守率。cMDT组医学专家意见的均匀率很高，在COVID-19大流行期间，它减少了医学专家之间的接触。
■使用云平台讨论了与消化道癌症相关的参与者和cMDT过程。随后进行软件编程和cMDT测试运行以进一步改进软件和处理。用于消化道癌症的cMDT于2019年6月正式推出。医生的反应持续时间，cMDT时间,MDT覆盖率,国家综合癌症网络指南对III期直肠癌患者的依从率，收集医学专家意见的均匀率。
■确定最终使用的cMDT软件和过程。在7462例消化道癌症患者中，在2016年3月至2019年2月之间诊断出3143（对照组），在2019年6月至2022年5月之间诊断出4319（cMDT组）。参加每个cMDT的医生平均人数为3.26±0.88。医生平均反应时间为27.21±20.40小时，cMDT的平均持续时间为7.68±1.47min。对照组和cMDT组的覆盖率分别为47.85%(1504/3143)和79.99%(3455/4319),分别。在对照组和cMDT组中，III期直肠癌患者的国家综合癌症网络指南依从率分别为68.42%和90.55%，分别。医学专家意见的统一率为89.75%（3101/3455），8.97%(310/3455)的患者需要通过微信进行在线讨论；只有1.28%(44/3455)的患者需要与cMDT小组成员进行面对面讨论。
■一种cMDT可以提高MDT的覆盖率以及对III期直肠癌的国家综合癌症网络指南的遵守率。cMDT组医学专家意见的均匀率很高，在COVID-19大流行期间，它减少了医学专家之间的接触。
