Multidisciplinary clinics for colorectal cancer may not provide more efficient coordination of care.
Multidisciplinary clinics for colorectal cancer may not provide more efficient coordination of care.
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DOI：
10.1016/j.amjsurg.2021.11.027
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发表时间：
2022-06
影响因子：
3
通讯作者：
Morris, Melanie S.
中科院分区：
文献类型：
--
作者：
Bajpai, Swara;Wood, Lauren;Cannon, Jamie A.;Chu, Daniel I.;Hollis, Robert H.;Gunnells, Drew J.;Hardiman, Karin M.;Kennedy, Gregory D.;Morris, Melanie S.
这项回顾性研究比较了多学科诊所(MDC)和标准护理对结直肠癌治疗时间的影响。我们查询了2017-2020年间接受结直肠癌手术的患者的机构ACS-NSQIP数据库。根据首次就诊(MDC和对照组)对患者进行分层。主要终点是从结肠镜确诊之日起开始治疗的时间(TST)，无论是新辅助治疗还是手术。总共评估了405名患者(115名MDC，290名对照)。即使按新辅助治疗(MDC 30天，对照34天；p=0.28)或手术(MDC 32.5天，对照38天；p=0.35)的初始治疗类型分层，MDC队列的诊断TST(MDC 30天，对照37天；p=0.07)也没有显著缩短。与标准护理结直肠外科诊所相比，MDC的实施并不能显著减少结直肠癌患者开始治疗的延迟。
This retrospective study compares a multidisciplinary clinic (MDC) to standard care for time to treatment of colorectal cancer. We queried our institutional ACS-NSQIP database for patients undergoing surgery for colorectal cancer from 2017–2020. Patients were stratified by initial clinic visit (MDC vs control). Primary endpoint was the time to start treatment (TST), either neoadjuvant therapy or surgery, from the date of diagnosis by colonoscopy. A total of 405 patients were evaluated (115 MDC, 290 Control). TST from diagnosis was not significantly shorter for the MDC cohort (MDC 30 days, Control 37 days; p=0.07) even when stratified by type of initial treatment of neoadjuvant therapy (MDC 30, Control 34 days; p=0.28) or surgery (MDC 32.5 days, Control 38 days; p=0.35). Implementation of an MDC provides insignificant reduction in delay to start treatment for colorectal cancer patients as compared to standard care colorectal surgery clinics.
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影响因子：
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作者：
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