To Explore The Clinical Application Of Multidisciplinary Team(MDT)in The Treatment Of Advanced Colorectal Cancer

Objectives: At present,MDT model has been used in the treatment of Colorectal Cancer(CRC).However,compared with developed countries,MDT in China starts late and is still in its infancy.In this study,the clinical data of patients diagnosed with CRC at the first visit in Inner Mongolia Forestry General Hospital Hospital were retrospectively collected,and their clinical data were analyzed to explore the clinical benefits of MDT model for patients with middle and advanced CRC.Methods: From September 2021 to June 2022,patients who were first diagnosed with CRC in Inner Mongolia Forestry General Hospital Hospital were collected.According to the inclusion and exclusion criteria,the cases were screened out and a total of 101 cases were counted.According to whether they received multidisciplinary discussion intervention or not,they were divided into MDT group and non-MDT group.The general information,hospitalization time and cost,R0 resection rate,incidence of early postoperative complications,and quality of life were analyzed.SPSS26.0 software was used to analyze the collected data,and to explore the clinical application value of MDT model in patients with middle and advanced CRC.Results: A total of 101 cases met the inclusion and exclusion criteria,including 53 cases in the MDT group and 48 cases in the non-MDT group.1.General information: the baseline data of the two groups of patients,gender,age,BMI,etc.were not significantly different,P > 0.05,the two groups of patients were comparable;(2)The length of hospital stay and the cost of hospitalization: the length of hospital stay and the cost of hospitalization in the MDT group were less than those in the non-MDT group,and the difference was statistically significant(P < 0.05).(3)R0 resection rate: the R0 resection rate of the MDT group was 90.6%,and that of the non-MDT group was 75%.The R0 resection rate of the two groups was statistically significant,P < 0.05.(4)Incidence of postoperative complications: there was no significant difference in the incidence of postoperative complications between the MDT group and the non-MDT group,P > 0.05;(5)Quality of life: the MDT group and the non-MDT group had significant differences in the improvement of physical function,emotional function,general health,pain,fatigue,and general health(P < 0.05).Conclusions: 1.MDT model can shorten the length of hospital stay and reduce the hospitalization cost of patients with advanced CRC.MDT mode can improve the R0 resection rate of patients with advanced CRC.3.MDT model has no effect on the incidence of early postoperative complications in patients with advanced CRC.4.MDT model can improve the quality of life of patients with advanced CRC.