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重视多学科团队在胃癌规范化治疗中的作用

Attaching importance to the effect of multidisciplinary team in the standardized treatment of gastric cancer

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【作者】 季加孚李子禹沈琳张小田孙应实唐磊曹登峰李忠武吴齐季鑫

【Author】 JI Jia-fu;LI Zi-yu;SHEN Lin;Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education);Department of Gastrointestinal Surgery, Peking University School of Oncology, Beijing Cancer Hospital & Institute;

【机构】 恶性肿瘤发病机制及转化研究教育部重点实验室 北京大学肿瘤医院北京市肿瘤防治研究所胃肠肿瘤外科北京市肿瘤防治研究所消化肿瘤内科北京市肿瘤防治研究所影像科北京市肿瘤防治研究所病理科北京市肿瘤防治研究所内镜中心

【摘要】 由于胃癌的新发病例不断上升和胃癌治疗的复杂性不断增加,多学科团队(multidisciplinary team,MDT)的诊疗模式越来越受到重视,MDT模式可以提高胃癌的诊疗质量,改善病人预后。首先,MDT讨论使临床诊断更加准确;其次,MDT会议能促进不同学科专家更好地进行沟通和信息共享,并监督胃癌病人治疗的连贯性,保证治疗方案如期实施;再次,MDT模式能够促进建立合理的治疗流程,有利于引入新技术、新方法,改进完善医院诊疗流程;提高医院效率及质量,降低医院费用及成本,减少浪费;最后,MDT讨论为年轻医生提供了学习的机会。随着MDT模式的不断推广,肿瘤外科、肿瘤内科、影像科、病理科等不同专业的专家都会参与到MDT模式中来。

【Abstract】 With the increasing incidence of gastric cancer and growing complexity of cancer care, multidisciplinary teams(MDT) have the potential of improving the quality of life and increasing survival of gastric cancer patients. Firstly,Decision from a MDT discussion is more accurate and effective than the sum of all individual opinions. Furthermore,through active discussion and retrospective cases review in MDT, specialists can gain valuable experience that how to treat can be combined to optimize patients’ outcome. MDT management ensures that the standard of patient care is consistent, which was a major problem before the inception of MDT in gastric cancer. MDT meetings could establish reasonable treatment processes, and bring in new technologies and new methods. With improving hospital efficiency and quality, MDT could reduce hospital costs and reduce waste. At last, MDT meetings also provide a valuable avenue of teaching for medical students and junior doctors, and also improve communication between different specialists. With increasing emphasis on MDT management of gastric cancer, future doctors in almost all specialties are likely to be involved in MDT. Not only surgeons and medical oncologists would be involved, but also pathologists, radiologists, palliative care specialists and psychiatrist.

  • 【文献出处】 中国实用外科杂志 ,Chinese Journal of Practical Surgery , 编辑部邮箱 ,2014年07期
  • 【分类号】R735.2
  • 【被引频次】26
  • 【下载频次】642
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