Effect of multidisciplinary team care on the risk of recurrence in breast cancer patients: A national matched cohort study
| العنوان: | Effect of multidisciplinary team care on the risk of recurrence in breast cancer patients: A national matched cohort study |
|---|---|
| المؤلفون: | Ting-Wei Lai, Pei-Tseng Kung, Chang-Hung Tsai, Huan-Fa Hsieh, Wen-Chen Tsai, Wei-Yin Kuo |
| المصدر: | The Breast : official journal of the European Society of Mastology Breast, Vol 53, Iss, Pp 68-76 (2020) |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | NHI, National Health Insurance, 0302 clinical medicine, Breast cancer, Risk Factors, Recurrence, 030212 general & internal medicine, Cause of death, General Medicine, Multidisciplinary team care, Middle Aged, lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens, TCR, Taiwan Cancer Registry, Hospitalization, Survival Rate, Treatment Outcome, 030220 oncology & carcinogenesis, KM, Kaplan-Meier, Female, Original Article, NHIRD, National Health Insurance Research Database, TCRD, Taiwan Cancer Registry Database, Adult, MDT, Multidisciplinary Team, medicine.medical_specialty, Taiwan, Breast Neoplasms, Multidisciplinary team, lcsh:RC254-282, 03 medical and health sciences, Internal medicine, medicine, Humans, Cancer staging, Aged, Neoplasm Staging, Proportional Hazards Models, Retrospective Studies, Patient Care Team, CCI, Charlson Comorbidity Index, Proportional hazards model, business.industry, Cancer, Retrospective cohort study, medicine.disease, HR, hazard ratio, CI, confidence interval, Relative risk, ICD, International Classification of Disease, Surgery, Neoplasm Recurrence, Local, business |
| الوصف: | Background Cancer has been the leading cause of death in the past decade in Taiwan, with breast cancer being the most common type of cancer in females. Very few studies looked at the risk of recurrence in patients who received multidisciplinary team (MDT) care. We analyzed the influence of MDT on the risk of recurrence and death in breast cancer patients. Method In this retrospective study, we included newly diagnosed patients from 2004 to 2010. The study included 9,266 breast cancer patients who were enrolled in MDT care and 9,266 patients who were not. The study used log-rank test to analyze patients’ characteristics, hospital characteristics, cancer staging, and treatment methods to compare the recurrence rates in MDT care and non-MDT care participants. We used Cox proportional hazards model to examine the effect of MDT and associated factors on the risk of recurrence and mortality of breast cancer patients. Results Relative risk of recurrence was lower for patients who received MDT care than for patients who did not (HR, 0.84; 95%CI: 0.70–0.99) after matching. The mortality risk for breast cancer patients with relapse was 8.48 times (95%CI: 7.53–9.54) than that for patients without relapse. Conclusions The relative risk of recurrence and death was significantly lower for breast cancer patients who received MDT care than for those who did not. We suggest that MDT care be implanted in the National Health Policy settings of breast cancer patients. Highlights • MDT care was associated with a reduced mortality of patients with breast cancer. • MDT care was associated with a reduced recurrence of breast cancer. • MDT care should be implemented in treating breast cancer patients. |
| تدمد: | 1532-3080 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b5d7a9b8ea308860bf35aa526cdd96a2 https://pubmed.ncbi.nlm.nih.gov/32652461 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....b5d7a9b8ea308860bf35aa526cdd96a2 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15323080 |
|---|