Does a multidisciplinary team approach in a tertiary referral centre impact on the initial management of head and neck cancer?

Cristiana Bergamini, Laura Locati, Paolo Bossi, Roberta Granata, Salvatore Alfieri, Carlo Resteghini, Martina Imbimbo, Carlo Fallai, Ester Orlandi, Silvia Tana, Nicola Alessandro Iacovelli, Marco Guzzo, Tullio Ibba, Sarah Colombo, Roberto Bianchi, Natalia Pizzi, Walter Fontanella, Lisa Licitra

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives A multi-disciplinary team (MDT) is essential in the management of cancer. Head and neck cancer (HNC) is a rare, complex and heterogeneous group of malignancies for which different treatment options are available. However, the potential impact of MDT on the management of HNC has been only poorly evaluated to date. This study evaluates the impact of MDT on the management of HNC in a tertiary centre. Methods We retrospectively analysed records of HNC patients referred to a MDT evaluation at the Istituto Nazionale Tumori of Milan, Italy, from May 2007 to January 2012. All cases were reviewed by a MDT consisting of a head and neck surgeon, a radiation oncologist, and a medical oncologist. Results Data from 781 HNC patients were analysed. Approximately 70% of patients were referred to our Institution for a second opinion consultation. Following MDT evaluation, new staging examinations were requested in 49% of patients, and treatment plan was modified in 10%. Conclusions A MDT approach in a tertiary referral hospital leads to staging refinement of disease or changes in treatment plan in about 60% of patients.

Original languageEnglish
Pages (from-to)54-57
Number of pages4
JournalOral Oncology
Volume54
DOIs
Publication statusPublished - Mar 1 2016

Keywords

  • Guidelines
  • Head and neck cancer
  • Multidisciplinary team
  • Second opinion
  • Treatment plan

ASJC Scopus subject areas

  • Oncology
  • Oral Surgery
  • Cancer Research

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