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

Head Neck. 2016 Apr:38 Suppl 1:E1544-53. doi: 10.1002/hed.24276. Epub 2016 Feb 18.

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. © 2016 Wiley Periodicals, Inc. Head Neck 38: E1544-E1553, 2016.

Keywords: adjuvant therapy; multidisciplinary team care; oral cavity cancer; outcomes; squamous cell carcinoma.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Carcinoma, Squamous Cell / therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Mouth Neoplasms / therapy*
  • Neoplasm Recurrence, Local / therapy
  • Neoplasm Staging
  • Patient Care Team / organization & administration*
  • Retrospective Studies
  • Salvage Therapy
  • Survival Rate
  • Treatment Outcome