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中国肺癌多学科协作诊疗模式运行现状及分析

马子骁 王志杰 王洁

肿瘤防治研究2025,Vol.52Issue(12):966-972,7.
肿瘤防治研究2025,Vol.52Issue(12):966-972,7.DOI:10.3971/j.issn.1000-8578.2025.25.0492

中国肺癌多学科协作诊疗模式运行现状及分析

Current Status and Analysis of Multidisciplinary Team Model for Lung Cancer in China

马子骁 1王志杰 1王洁1

作者信息

  • 1. 100021 北京,国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院肿瘤内科
  • 折叠

摘要

Abstract

Objective To investigate the current status of multidisciplinary team(MDT)approaches in lung cancer management in China to provide a basis for the further promotion and enhancement of the MDT model.Methods From April 2023 to November 2023,physicians engaged in the clinical diagnosis and treatment of lung cancer were selected as the research objects.Questionnaires were distributed online and offline to investigate the cognition of MDT mode,MDT operating mode of their hospital,challenges faced,and direction of improvement.Descriptive analysis was conducted on the survey results.Results A total of 1137 questionnaires were collected,covering 816 general and cancer hospitals in 31 provinces and cities across the country.A total of 88.1%of doctors believe that the current MDT model is feasible,effective,and is of great value in benefiting patients'survival,improving diagnosis and treatment efficiency,promoting diagnosis and treatment level and standardization,and increasing clinical research enrollment.Meanwhile,83.5%of doctors state that their hospital has established an MDT team,including a chair and a coordinator,to ensure the smooth operation of the MDT and follow-up.The frequency of MDT is low and the time is long,usually 1-2 times a month and more than 30 minutes discussion time for each case.In addition,50.1%of doctors indicate MDT cases account for less than 25%of annual diagnosis and treatment cases.Time coordination challenges and lack of administrative support and incentives are the difficulties affecting the operation of MDT.Having well-defined patient criteria is frequently cited as a key area for optimization that could remarkably enhance MDT efficiency.Conclusion After more than a decade of exploration and practice,the MDT model for lung can-cer in China has been widely promoted and applied.Optimizing the selection,diagnosis,and treatment of MDT cases and providing administrative support and incentives are the key to enhancing the efficiency of MDT and expanding their benefits to a great number of patients with cancer.

关键词

肺癌/多学科协作诊疗/运行模式/现状分析

Key words

Lung cancer/Multidisciplinary team/Operation mode/Current status

分类

医药卫生

引用本文复制引用

马子骁,王志杰,王洁..中国肺癌多学科协作诊疗模式运行现状及分析[J].肿瘤防治研究,2025,52(12):966-972,7.

基金项目

北京医创肿瘤防治研究基金会(2025F0001-R01) Beijing Cancer Foundation(No.2025F0001R01) (2025F0001-R01)

肿瘤防治研究

1000-8578

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