Effect of multidisciplinary team care on survival of oesophageal cancer patients: a retrospective nationwide cohort study

Abstract Oesophageal cancer is the sixth leading cause of cancer death worldwide. This nationwide study analyses the survival results of oesophageal cancer under multidisciplinary team (MDT) care. We enrolled oesophageal cancer patients diagnosed between 2010 and 2015 with follow-up for at least 1 y...

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Autores principales:	Yuan-Chun Huang, Pei-Tseng Kung, Shang-Yun Ho, Yeu-Sheng Tyan, Li-Ting Chiu, Wen-Chen Tsai
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/35f7679154434775ae126ac464bbf49c
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spelling	oai:doaj.org-article:35f7679154434775ae126ac464bbf49c2021-12-02T17:14:30ZEffect of multidisciplinary team care on survival of oesophageal cancer patients: a retrospective nationwide cohort study10.1038/s41598-021-92618-w2045-2322https://doaj.org/article/35f7679154434775ae126ac464bbf49c2021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92618-whttps://doaj.org/toc/2045-2322Abstract Oesophageal cancer is the sixth leading cause of cancer death worldwide. This nationwide study analyses the survival results of oesophageal cancer under multidisciplinary team (MDT) care. We enrolled oesophageal cancer patients diagnosed between 2010 and 2015 with follow-up for at least 1 year. This study performed propensity score matching with a ratio of 1:1 between MDT participants and non-MDT participants. We performed conditional Cox proportional hazards model to research relative risk of survival and associated factors of survival. The adjusted survival curves were plotted. 8184 newly diagnosed oesophageal cancer patients were included. The favourable survival factors include participant status of MDT, gender, monthly salary, urbanization level, other catastrophic illness, stage of cancer, treatment methods, and service volume of physicians (P < 0.05). MDT participants showed lower risk of death (HR = 0.73; 95% CI 0.67–0.79). Further stratification analysis revealed that the incorporation of an MDT reduced the death risk of patients with stages 2, 3, and 4 cancer, with the greatest reduction observed in patients with stage 3 cancer (HR = 0.72; 95% CI 0.67–0.79). The risk of death was lower for oesophageal cancer patients who enrolled in MDT care.Yuan-Chun HuangPei-Tseng KungShang-Yun HoYeu-Sheng TyanLi-Ting ChiuWen-Chen TsaiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-14 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yuan-Chun Huang Pei-Tseng Kung Shang-Yun Ho Yeu-Sheng Tyan Li-Ting Chiu Wen-Chen Tsai Effect of multidisciplinary team care on survival of oesophageal cancer patients: a retrospective nationwide cohort study
description	Abstract Oesophageal cancer is the sixth leading cause of cancer death worldwide. This nationwide study analyses the survival results of oesophageal cancer under multidisciplinary team (MDT) care. We enrolled oesophageal cancer patients diagnosed between 2010 and 2015 with follow-up for at least 1 year. This study performed propensity score matching with a ratio of 1:1 between MDT participants and non-MDT participants. We performed conditional Cox proportional hazards model to research relative risk of survival and associated factors of survival. The adjusted survival curves were plotted. 8184 newly diagnosed oesophageal cancer patients were included. The favourable survival factors include participant status of MDT, gender, monthly salary, urbanization level, other catastrophic illness, stage of cancer, treatment methods, and service volume of physicians (P < 0.05). MDT participants showed lower risk of death (HR = 0.73; 95% CI 0.67–0.79). Further stratification analysis revealed that the incorporation of an MDT reduced the death risk of patients with stages 2, 3, and 4 cancer, with the greatest reduction observed in patients with stage 3 cancer (HR = 0.72; 95% CI 0.67–0.79). The risk of death was lower for oesophageal cancer patients who enrolled in MDT care.
format	article
author	Yuan-Chun Huang Pei-Tseng Kung Shang-Yun Ho Yeu-Sheng Tyan Li-Ting Chiu Wen-Chen Tsai
author_facet	Yuan-Chun Huang Pei-Tseng Kung Shang-Yun Ho Yeu-Sheng Tyan Li-Ting Chiu Wen-Chen Tsai
author_sort	Yuan-Chun Huang
title	Effect of multidisciplinary team care on survival of oesophageal cancer patients: a retrospective nationwide cohort study
title_short	Effect of multidisciplinary team care on survival of oesophageal cancer patients: a retrospective nationwide cohort study
title_full	Effect of multidisciplinary team care on survival of oesophageal cancer patients: a retrospective nationwide cohort study
title_fullStr	Effect of multidisciplinary team care on survival of oesophageal cancer patients: a retrospective nationwide cohort study
title_full_unstemmed	Effect of multidisciplinary team care on survival of oesophageal cancer patients: a retrospective nationwide cohort study
title_sort	effect of multidisciplinary team care on survival of oesophageal cancer patients: a retrospective nationwide cohort study
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/35f7679154434775ae126ac464bbf49c
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Effect of multidisciplinary team care on survival of oesophageal cancer patients: a retrospective nationwide cohort study

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