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    Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/23351


    Title: Effect of multidisciplinary team care on survival of oesophageal cancer patients: a retrospective nationwide cohort study
    Authors: Huang, YC;Kung, PT;Ho, SY;Tyan, YS;Chiu, LT;Tsai, WC
    Date: 2021
    Issue Date: 2022-08-05T09:35:52Z (UTC)
    Publisher: NATURE PORTFOLIO
    ISSN: 2045-2322
    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% CI0.67-0.79). 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% CI0.67-0.79). The risk of death was lower for oesophageal cancer patients who enrolled in MDT care.
    URI: http://dx.doi.org/10.1038/s41598-021-92618-w
    https://www.webofscience.com/wos/woscc/full-record/WOS:000670729700020
    https://ir.csmu.edu.tw:8080/handle/310902500/23351
    Relation: SCIENTIFIC REPORTS ,2021,v11,issue 1
    Appears in Collections:[中山醫學大學研究成果] 期刊論文

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