Association between multidisciplinary team care approach and survival rates in patients with oral cavity squamous cell carcinoma. (18th February 2016)

• Record Type: Journal Article
• Authors: Liao, Chun‐Ta; Kang, Chung‐Jan; Lee, Li‐Yu; Hsueh, Chuen; Lin, Chien‐Yu; Fan, Kang‐Hsing; Wang, Hung‐Ming; Ng, Shu‐Hang; Lin, Chih‐Hung; Tsao, Chung‐Kan; Fang, Tuan‐Jen; Huang, Shiang‐Fu; Chang, Kai‐Ping; Chang, Ya‐Lan; Yang, Lan Yan; Yen, Tzu‐Chen
• Is Part Of: Head & neck. Volume 38(2016)Supplement 1
• Page Start: E1544
• Page End: E1553
• Publication Date: 2016-02-18
• Subjects: oral cavity cancer -- squamous cell carcinoma -- multidisciplinary team care -- adjuvant therapy -- outcomes; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.24276
• Languages: English
• ISSNs: 1043-3074

Abstract

Abstract: Background: The purpose of this study was to investigate whether multidisciplinary team care (MDTC) is associated with outcomes in oral cavity squamous cell carcinoma (SCC). Methods: We retrospectively examined 1616 patients with oral cavity SCC who underwent radical surgery between 1996 and 2011. The study participants were classified into 2 subgroups according to the use of MDTC. Results: Five‐year outcomes were significantly better in the MDTC group than in the no‐MDTC group (neck control, 88% vs 84%, p = .0397; disease‐specific survival [DSS], 83% vs 78%, p = .0114; and overall survival [OS], 70% vs 64%, p = .0002, respectively). Among patients who were scheduled to undergo adjuvant therapy, the number who completed their adjuvant treatment was significantly higher in the MDTC group than in the no‐MDTC group (90% vs 60% to 70%, p < .001). Conclusion: The association of MDTC with improved outcomes may be potentially explained by a better therapeutic alliance between the patient and the tumor board, and/or a greater thoroughness in clinical management. © 2016 Wiley Periodicals, Inc. Head Neck 38 : E1544–E1553, 2016