Optimizing Outcomes through a Multidisciplinary Team Approach in Endometrial Cancer

Abstract

This study aimed to assess the impact of a multidisciplinary team (MDT) approach on outcomes with endometrial cancer (EC) patients, utilizing 2013–2020 data from the Reggio Emilia Cancer Registry. Recurrence rate, treatments, and outcome indicators were compared between the MDT (319 cases) and non-MDT (324 cases) groups. Among 643 cases, 52.4% were over 65 years old, 98% had microscopic confirmation, and 73% were in stage I. Surgery was performed in 89%, with 41% receiving adjuvant therapies. Recurrence rates (10%) were similar between the two groups, but MDT patients who were older and predominantly in stage I exhibited 79% recurrence within one year (21% in the non-MDT group). Disease-free survival (DFS) showed no significant difference [HR 1.1; 95% CI 0.7–1.6], while differences in overall survival (OS) were notable [HR 1.5; 95% CI 1.0–2.4]. The 5-year OS rates were 87% and 79% in the MDT and non-MDT groups. Comparing the 2013–2015 to 2016–2020 study periods, a shift towards caring for older women, more advanced-stage patients, and those residing outside the metropolitan area, along with a greater number of relapsed cases (from 16% to 76%), were accounted for. These findings underscore the impact of an MDT on EC outcomes, highlighting the evolving patient demographics over time.

Exploring the Impact of Online Medical Team Engagement on Patient Satisfaction: A Semantic Features Perspective

“…Moreover, this collaborative approach fosters a more holistic and precise diagnosis and treatment strategy by promoting the synthesis of diverse expertise [ 23 , 48 , 49 ]. This integration paves the way for innovative solutions to medical challenges and amplifies problem-solving capabilities [ 45 , 46 , 47 ]. Acknowledging the benefits of multidisciplinary engagement can elevate the effectiveness of OTCs and the value of OMT services, particularly when addressing intricate health issues [ 54 ].…”

“…A multidisciplinary approach provides diverse professional knowledge, fostering creativity and innovation by encouraging the exchange of ideas from different fields. This approach can lead to novel solutions to medical problems, improve treatment, and enhance problem-solving [ 45 , 46 , 47 ]. Moreover, specialization can facilitate knowledge integration and enrich task-related knowledge to deal with medical challenges [ 48 , 49 ].…”