Association between multidisciplinary team care approach and survival rates in patients with oral cavity squamous cell carcinoma

Chun Ta Liao; Chung Jan Kang; Li Yu Lee; Chuen Hsueh; Chien Yu Lin; Kang Hsing Fan; Hung Ming Wang; Shu Hang Ng; Chih Hung Lin; Chung Kan Tsao; Tuan Jen Fang; Shiang Fu Huang; Kai Ping Chang; Ya Lan Chang; Lan Yan Yang; Tzu Chen Yen

doi:10.1002/hed.24276

Association between multidisciplinary team care approach and survival rates in patients with oral cavity squamous cell carcinoma

Chun Ta Liao, Chung Jan Kang, Li Yu Lee, Chuen Hsueh, Chien Yu Lin, Kang Hsing Fan, Hung Ming Wang, Shu Hang Ng, Chih Hung Lin, Chung Kan Tsao, Tuan Jen Fang, Shiang Fu Huang, Kai Ping Chang, Ya Lan Chang, Lan Yan Yang, Tzu Chen Yen^*

^*Corresponding author for this work

Chang Gung University

Research output: Contribution to journal › Journal Article › peer-review

44 Scopus citations

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.

Original language	English
Pages (from-to)	E1544-E1553
Journal	Head and Neck
Volume	38
DOIs	https://doi.org/10.1002/hed.24276
State	Published - 01 04 2016

Bibliographical note

Publisher Copyright:
© 2015 Wiley Periodicals, Inc..

Keywords

adjuvant therapy
multidisciplinary team care
oral cavity cancer
outcomes
squamous cell carcinoma

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1002/hed.24276

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Liao, C. T., Kang, C. J., Lee, L. Y., Hsueh, C., Lin, C. Y., Fan, K. H., Wang, H. M., Ng, S. H., Lin, C. H., Tsao, C. K., Fang, T. J., Huang, S. F., Chang, K. P., Chang, Y. L., Yang, L. Y., & Yen, T. C. (2016). Association between multidisciplinary team care approach and survival rates in patients with oral cavity squamous cell carcinoma. Head and Neck, 38, E1544-E1553. https://doi.org/10.1002/hed.24276

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title = "Association between multidisciplinary team care approach and survival rates in patients with oral cavity squamous cell carcinoma",

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.",

keywords = "adjuvant therapy, multidisciplinary team care, oral cavity cancer, outcomes, squamous cell carcinoma",

author = "Liao, {Chun Ta} and Kang, {Chung Jan} and Lee, {Li Yu} and Chuen Hsueh and Lin, {Chien Yu} and Fan, {Kang Hsing} and Wang, {Hung Ming} and Ng, {Shu Hang} and Lin, {Chih Hung} and Tsao, {Chung Kan} and Fang, {Tuan Jen} and Huang, {Shiang Fu} and Chang, {Kai Ping} and Chang, {Ya Lan} and Yang, {Lan Yan} and Yen, {Tzu Chen}",

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year = "2016",

month = apr,

day = "1",

doi = "10.1002/hed.24276",

language = "英语",

volume = "38",

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T1 - Association between multidisciplinary team care approach and survival rates in patients with oral cavity squamous cell carcinoma

AU - Liao, Chun Ta

AU - Kang, Chung Jan

AU - Lee, Li Yu

AU - Hsueh, Chuen

AU - Lin, Chien Yu

AU - Fan, Kang Hsing

AU - Wang, Hung Ming

AU - Ng, Shu Hang

AU - Lin, Chih Hung

AU - Tsao, Chung Kan

AU - Fang, Tuan Jen

AU - Huang, Shiang Fu

AU - Chang, Kai Ping

AU - Chang, Ya Lan

AU - Yang, Lan Yan

AU - Yen, Tzu Chen

PY - 2016/4/1

Y1 - 2016/4/1

N2 - 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.

AB - 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.

KW - adjuvant therapy

KW - multidisciplinary team care

KW - oral cavity cancer

KW - outcomes

KW - squamous cell carcinoma

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DO - 10.1002/hed.24276

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SN - 1043-3074

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SP - E1544-E1553

JO - Head and Neck

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ER -

Association between multidisciplinary team care approach and survival rates in patients with oral cavity squamous cell carcinoma

Abstract

Bibliographical note

Keywords

UN SDGs

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