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Multidisciplinary team meetings and their impact on survival in rectal cancer. Population-based analysis in Catalonia (Spain).
Rivera, Darinka; Prades, Joan; Borràs, Josep M; Aliste, Luisa; Manchon-Walsh, Paula.
Afiliação
  • Rivera D; Biomedical Research Institute of Bellvitge (IDIBELL), Avinguda de la Granvia de l'Hospitalet, 199, 08908, L'Hospitalet de Llobregat, Barcelona, Spain; Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona, Barcelona, Spain. Electronic address: darinka.rivera.v@gmail.com.
  • Prades J; Catalonian Cancer Strategy, Department of Health. Av. Gran Via de l'Hospitalet, 199-203- 1(a) planta, 08908, L'Hospitalet de Llobregat, Barcelona, Spain; Biomedical Research Institute of Bellvitge (IDIBELL), Avinguda de la Granvia de l'Hospitalet, 199, 08908, L'Hospitalet de Llobregat, Barcelona, Sp
  • Borràs JM; Catalonian Cancer Strategy, Department of Health. Av. Gran Via de l'Hospitalet, 199-203- 1(a) planta, 08908, L'Hospitalet de Llobregat, Barcelona, Spain; Biomedical Research Institute of Bellvitge (IDIBELL), Avinguda de la Granvia de l'Hospitalet, 199, 08908, L'Hospitalet de Llobregat, Barcelona, Sp
  • Aliste L; Catalonian Cancer Strategy, Department of Health. Av. Gran Via de l'Hospitalet, 199-203- 1(a) planta, 08908, L'Hospitalet de Llobregat, Barcelona, Spain; Biomedical Research Institute of Bellvitge (IDIBELL), Avinguda de la Granvia de l'Hospitalet, 199, 08908, L'Hospitalet de Llobregat, Barcelona, Sp
  • Manchon-Walsh P; Catalonian Cancer Strategy, Department of Health. Av. Gran Via de l'Hospitalet, 199-203- 1(a) planta, 08908, L'Hospitalet de Llobregat, Barcelona, Spain; Biomedical Research Institute of Bellvitge (IDIBELL), Avinguda de la Granvia de l'Hospitalet, 199, 08908, L'Hospitalet de Llobregat, Barcelona, Sp
Eur J Surg Oncol ; 50(12): 108675, 2024 Sep 12.
Article em En | MEDLINE | ID: mdl-39288561
ABSTRACT

BACKGROUND:

Multidisciplinary team meetings (MTMs) are considered a pillar of cancer care; however, evidence of the independent benefit of MTMs on survival in rectal cancer is controversial.

METHODS:

This population-based cohort analysis included patients undergoing surgery for primary rectal cancer with curative intent. We drew data derived from three clinical audits conducted in Catalonia from 2011 to 2020. The primary outcome was 2-year survival. Multivariable Cox regression analysis was used to assess the hazard ratio for death in patients whose cases were versus were not discussed in a preoperative MTM.

RESULTS:

A total of 5249 patients were included (66.1 % male, 58.3 % aged 60-79 years, 63.2 % receiving anterior resection) 4096 cases were discussed in a preoperative MTM, and 1153 were not. Multivariable Cox proportional hazards regression analysis showed that the MTM group had better survival than those with no preoperative MTM (hazard ratio 1.22, 95 % confidence interval 1.02-1.48), after adjusting for potential confounders.

CONCLUSIONS:

Preoperative MTM may be associated with improved survival in patients with rectal cancer in Catalonia. Efforts to ensure universal access to MTMs for all newly diagnosed patients should be supported.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Eur J Surg Oncol Assunto da revista: NEOPLASIAS Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Eur J Surg Oncol Assunto da revista: NEOPLASIAS Ano de publicação: 2024 Tipo de documento: Article