A multidisciplinary cancer center maximizes surgeons' impact

J Surg Res. 2011 Nov;171(1):15-22. doi: 10.1016/j.jss.2010.12.007. Epub 2011 Jan 6.


Background: Colorectal cancer patients require care across different disciplines. Integration of multidisciplinary care is critical to accomplish excellent oncologic results. We hypothesized that the establishment of a dedicated colorectal cancer center (CRCC) around specialty-trained surgeons will lead to increased multidisciplinary management and improved outcomes in colorectal cancer patients.

Methods: We analyzed data from three periods: a baseline group, a period after the recruitment of specialty-trained surgeons, and a period after the creation of a dedicated multidisciplinary cancer center. Data analyzed included surrogate markers of surgical oncologic care, multidisciplinary integration, and oncologic outcomes.

Results: Recruitment of specialized surgeons led to improvements in surgical oncologic care; the establishment of the CRCC resulted in further improvements in surgical oncologic care and multidisciplinary integration.

Conclusion: Our study suggests that although the recruitment of specialty-trained surgeons in a high volume center leads to improvement in surgical oncologic care, it is the establishment of a multidisciplinary center around the surgeons that leads to integrated care and improvements in oncologic outcomes.

MeSH terms

  • Aged
  • Cancer Care Facilities / organization & administration*
  • Colorectal Neoplasms / mortality*
  • Colorectal Neoplasms / surgery*
  • Disease-Free Survival
  • Female
  • General Surgery / organization & administration*
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local / mortality
  • Outcome and Process Assessment, Health Care*
  • Patient Care Team / organization & administration*
  • Personnel Selection
  • Prognosis
  • Risk Factors
  • Workforce