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Setting Up an Oncology Multidisciplinary Team in Northeast India: Challenges and Initial Experience
Caleb Harris1, Purnima Devi Laishram2, Baphiralyne Wankhar3
1Department of Surgical Oncology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, India.
Establishing an oncology multidisciplinary team (MDT) improves cancer care. This study details the setup and initial outcomes of an MDT in Northeast India, demonstrating its role in diagnosis, staging, and treatment planning for better patient survival.
Area of Science:
- Oncology
- Healthcare Management
- Clinical Practice
Background:
- Oncology multidisciplinary teams (MDTs) are associated with improved patient survival.
- Implementing MDTs can present significant logistical and operational challenges.
Purpose of the Study:
- To review the establishment process of a new oncology MDT in Northeast India.
- To evaluate the initial outcomes and functioning of this MDT after one year.
Main Methods:
- Retrospective review of a prospectively maintained database.
- Analysis of cases discussed by the oncology MDT from June 2016 to October 2020.
- Descriptive statistical analysis of patient demographics and treatment intent.
Main Results:
- 4701 cases were discussed, with 51.2% males and a median age of 50 years.
- Curative intent treatment was planned for 55.9% of patients; palliative intent for 28.8%.
- The MDT facilitated diagnosis and staging, enabling treatment decisions.
Conclusions:
- Oncology MDTs are crucial for accurate diagnosis and staging in cancer patients.
- The establishment of an MDT in Northeast India was successful in guiding treatment strategies.
- Facilitating curative intent treatment through MDT discussions holds potential for improved patient survival.
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