Abstract:
Objective: The effect of multidisciplinary team (MDT) of palliative treatment on cancer patients was evaluated through analyzing the implementation of this model in Tianjin Medical University Cancer Institute and Hospital. Methods:Clinical da-ta of 371 cancer patients, who attended the consultation by MDT in our hospital from January 1, 2014to March 31, 2015, were retro -spectively reviewed. The essential characteristics and results of MDT treatment decisions were summarized, and the efficacy of pallia -tive treatment regimens on several patients was evaluated. Results:A total of 401 cases were included in MDT assessment; 318 (79%) treatment recommendations were obtained, 293 of which were palliative. MDT provided reasonable analgesia schedules for 119 pa -tients with pain, nutritional care advices for 95patients, and anti-anxiety and anti-depressant drugs for 36patients. A total of 374 MDT decisions were followed up successfully. Among these MDT decisions, 273 (73%) were fully implemented, and 49(13%) were partially mplemented; the rate of executions was 86%. The patients who underwent MDT discussions showed that the improvement of pain con -trol, nutritional status, and physical symptoms associated with anxiety and depression were superior to those patients not discussed ( P<0.001, P<0.001, and P<0.01). Conclusion:The MDT of palliative treatment can provide recommendations of standardized individual -ized comprehensive treatment for cancer patients. Implementation of MDT decision is helpful for relieving pain, nutritional disorders, anxiety and depression, and other clinical symptoms. Therefore, MDT should be further improved and widely used.