| Autor: |
Capobianco AML; Multidisciplinary Oncology Unit, IRCCS CROB, Rionero in Vulture, Italy., Gallucci G; Cardio-oncology Unit, IRCCS CROB, Rionero in Vulture, Italy., Lapadula L; Radiotherapy Unit, IRCCS CROB, Rionero in Vulture, Italy., Dinardo G; Breast Radiology Unit, IRCCS CROB, Rionero in Vulture, Italy., La Torre G; Breast Surgery Unit, IRCCS CROB, Rionero in Vulture, Italy., Sisti N; Pharmacist and Pharmacovigilance Expert, Rome, Italy., Sisti LG; Center for Global Health Research and Studies, Università Cattolica del Sacro Cuore, Rome, Italy.; International Relations, Relation with Regions and Project Cycle Management Unit - National Institute for Health, Migration and Poverty (INMP), Rome, Italy. |
| Abstrakt: |
Literature on the role of multidisciplinary team (MDT) in cancer is still controversial. We aimed to investigate MDT impact on a panel of indicators in breast cancer care in a single-center retrospective study performed in a Cancer Reference Center in Italy. We analysed the diagnostic and therapeutic care pathway (DTCP) of 266 early breast cancer patients managed by our MDT during 2019-2020. Process indicators reflecting the change of the diagnostic and therapeutic care pathways occurred after the MDT discussion were computed. Further, the performance of some quality care indicators in breast cancer care since the establishment of the MDT activity and the breast cancer MDT members' perceptions were also investigated. According to our study, the MDT approach improves breast cancer management by increasing the completion of staging and by encouraging neo-adjuvant treatment and an appropriate and faster surgery. In MDT members' perspective it also improves decision-making and training and creates a positive work environment. Globally, our study encourages MDT rollout in breast cancer care. However, to enhance the reliability and comparability of the results of studies investigating MDT effectiveness in clinical practice, shared guidelines on its operationalisation are strongly desirable. |
