Effects of multidisciplinary team on emergency care for colorectal cancer patients

Abstract

The literature describing the effectiveness of multidisciplinary team (MDT) for the care of colorectal cancer remains unclear. We investigated the effects of MDT care on the quality of colorectal cancer treatment, and the emergency department visit number was used as an indicator. In total, 45,418 patients newly diagnosed with colorectal cancer from the Taiwan National Health Insurance Research Database (2005–2009) were included. Propensity score matching with a ratio of 1:3 was adopted to reduce differences in characteristics between MDT care participants and non-MDT care participants. After matching, 3039 participation MDT care groups and 9117 nonparticipation groups were included and analyzed with χ2 and t tests, determine the distribution was similar. Without the control of variables, the percentage difference between participation and nonparticipation MDT care groups in utilization of emergency care was 0.03% (P > .05). The logistic regression model involving controlled variables demonstrated that odds ratio (OR) by probability of emergency care used for participation MDT care groups within a year of cancer diagnosis was less than that for nonparticipation (OR = 0.87, 95% confidence interval: 0.78–0.96). Large amount data were used and confirmed significant benefits of MDT in colorectal cancer care.

The Improved Effects of a Multidisciplinary Team on the Survival of Breast Cancer Patients: Experiences from China

“…The control group (non-MDT) included patients who did not receive MDT treatment during the period 2006-2016. Many studies have assessed the effect of MDT meetings [18][19][20][21] and have suggested that patients treated by MDT had A longer survival time than other patients. The effectiveness of an MDT is associated with its organization, process, and the disease being treated.…”

Emergency surgical consultation for cancer patients: identifying the prognostic determinants of health

“…Early advanced practice nursing involvement in the care of elderly patients with cancer who received surgical intervention improved survival in this group by an average of seven months. As well, the need for emergency care was lower in patients receiving MDT treatment within a year of cancer diagnosis (OR=0.87) [ 23 24 ]. In our study, 65% of the patients had MDT assessment during their stay comprised largely by gastroenterology and interventional radiology.…”

Multidisciplinary team (MDT) meeting and Radiologist workload, a prospective review in a tertiary care hospital

“…The need for review of pathology and radiology findings during discussion speaks for the success and importance of these meetings. 2 , 6 , 10 These meetings also serve as a platform for learning. Due to extensive advancement in the field of radiology over the past years, the decisions for making the choice of radiological procedure has become complex now.…”