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

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  • Jianlong Lu

    (NHC Key Laboratory of Health Technology Assessment (Fudan University), School of Public Health, Fudan University, Dongan Road 130, Shanghai 200032, China
    Shanghai Cancer Center, Fudan University, Dongan Road 270, Shanghai 200032, China)

  • Yan Jiang

    (Shanghai Cancer Center, Fudan University, Dongan Road 270, Shanghai 200032, China)

  • Mengcen Qian

    (NHC Key Laboratory of Health Technology Assessment (Fudan University), School of Public Health, Fudan University, Dongan Road 130, Shanghai 200032, China)

  • Lilang Lv

    (Shanghai Cancer Center, Fudan University, Dongan Road 270, Shanghai 200032, China)

  • Xiaohua Ying

    (NHC Key Laboratory of Health Technology Assessment (Fudan University), School of Public Health, Fudan University, Dongan Road 130, Shanghai 200032, China)

Abstract

This study aimed to explore whether different multidisciplinary team (MDT) organizations have different effects on the survival of breast cancer patients. A total of 16354 patients undergoing breast cancer surgery during the period 2006–2016 at the Fudan University Shanghai Cancer Center were retrospectively extracted. Patients treated by MDT were divided into a well-organized group and a disorganized group based on their organized MDT, professional attendance, style of data and information delivery, and the length of discussion time for each patient. Other patients, who were not treated by MDT, were placed in a non-MDT group as a comparator group. Each MDT patient was matched with a non-MDT patient, using propensity score matching to reduce selection bias. The Cox regression model was used to examine the difference in effects between groups. We found that the five-year survival rate of the well-organized MDT group was 15.6% higher than the non-MDT group. However, five-year survival rate of the disorganized MDT group was 19.9% lower than that of the non-MDT group. Patients in the well-organized MDT group had a longer survival time than patients in the non-MDT group (HR = 0.4), while the disorganized MDT group had a worse survival rate than the non-MDT group (HR = 2.8) based on the Cox model result. However, our findings indicate that a well-organized MDT may improve the survival rate of patients with breast cancer in China.

Suggested Citation

  • Jianlong Lu & Yan Jiang & Mengcen Qian & Lilang Lv & Xiaohua Ying, 2019. "The Improved Effects of a Multidisciplinary Team on the Survival of Breast Cancer Patients: Experiences from China," IJERPH, MDPI, vol. 17(1), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2019:i:1:p:277-:d:303526
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    References listed on IDEAS

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    1. Prades, Joan & Remue, Eline & van Hoof, Elke & Borras, Josep M., 2015. "Is it worth reorganising cancer services on the basis of multidisciplinary teams (MDTs)? A systematic review of the objectives and organisation of MDTs and their impact on patient outcomes," Health Policy, Elsevier, vol. 119(4), pages 464-474.
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    Cited by:

    1. Andrea Di Pilla & Maria Rosaria Cozzolino & Alice Mannocci & Elettra Carini & Federica Spina & Francesco Castrini & Albino Grieco & Rosaria Messina & Gianfranco Damiani & Maria Lucia Specchia, 2022. "The Impact of Tumor Boards on Breast Cancer Care: Evidence from a Systematic Literature Review and Meta-Analysis," IJERPH, MDPI, vol. 19(22), pages 1-14, November.

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