医学
口腔
内科学
基底细胞
佐剂
多学科团队
辅助治疗
头颈部
头颈部鳞状细胞癌
总体生存率
胃肠病学
肿瘤科
外科
头颈部癌
化疗
牙科
癌症
护理部
作者
Chun‐Ta Liao,Chung‐Jan Kang,Li‐Yu Lee,Chuen Hsueh,Chien‐Yu Lin,Kang‐Hsing Fan,Hung‐Ming Wang,Shu‐Hang Ng,Chih‐Hung Lin,Chung‐Kan Tsao,Tuan‐Jen Fang,Shiang‐Fu Huang,Kai‐Ping Chang,Ya‐Lan Chang,Lan‐Yan Yang,Tzu‐Chen Yen
出处
期刊:Head & neck
[Wiley]
日期:2016-02-18
卷期号:38 (S1)
被引量:46
摘要
Abstract Background The purpose of this study was to investigate whether multidisciplinary team care (MDTC) is associated with outcomes in oral cavity squamous cell carcinoma (SCC). Methods We retrospectively examined 1616 patients with oral cavity SCC who underwent radical surgery between 1996 and 2011. The study participants were classified into 2 subgroups according to the use of MDTC. Results Five‐year outcomes were significantly better in the MDTC group than in the no‐MDTC group (neck control, 88% vs 84%, p = .0397; disease‐specific survival [DSS], 83% vs 78%, p = .0114; and overall survival [OS], 70% vs 64%, p = .0002, respectively). Among patients who were scheduled to undergo adjuvant therapy, the number who completed their adjuvant treatment was significantly higher in the MDTC group than in the no‐MDTC group (90% vs 60% to 70%, p < .001). Conclusion The association of MDTC with improved outcomes may be potentially explained by a better therapeutic alliance between the patient and the tumor board, and/or a greater thoroughness in clinical management. © 2016 Wiley Periodicals, Inc. Head Neck 38 : E1544–E1553, 2016
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