Role of a multidisciplinary team (MDT) in the diagnosis, treatment, and outcomes of inflammatory bowel disease: a single Chinese center's experience

Abstract

Inflammatory bowel disease (IBD) is a group of chronic nonspecific inflammatory diseases, including Crohn's disease (CD) and ulcerative colitis (UC), whose etiology and pathogenesis have not been elucidated. Its onset may be related to dietary habits, environment, genes, infection, intestinal flora, and immune disorders. IBD is developing into a global epidemic. The highest annual incidence of UC is 24.3 cases per 100,000 population-years in Europe, with 6.3 cases per 100,000 population-years in Asia. The highest annual incidence of CD is 12.7 per 100,000 population-years in Europe, with 5.0 cases per 100,000 population years in Asia (1). As the incidence increases, so does the chance of complications and poor outcomes (2).As the level of China's economic development, diet, and lifestyle have changed and the average life expectancy of the population has increased, the number of cases of IBD has increased yearly and is approaching numbers in Europe and North America (3). The incidence of IBD in China is increasing yearly, and an indeterminate or incomplete diagnosis is often common. Although the incidence of postoperative complications and in-hospital mortality of patients with IBD has significantly decreased in recent years, a retrospective analysis of the epidemiology and surgical management of IBD in China conducted in 2016 indicated that the frequency with which patients with CD were misdiagnosed with conditions such as appendicitis before surgery was as high as 50.8%. The rate of postoperative complications in both CD and UC

Application Analysis of Multidisciplinary Diagnosis and Treatment Nursing Mode Based on Doctor-Nurse-Integration for Stroke Patients Undergoing Emergency Intervention Surgery

“…Te reason for this is that in the care model for patients in the MDT group, the medical staf of various specialties have a reasonable division of labor, clear responsibilities, skillfull cooperation, powerful handling, and clear treatment procedures, which has promoted the improvement of teamwork among medical staf of various departments, and patients feel that there is no waiting for emergency treatment, examination, consultation, and treatment, and that various treatment measures are in place in a timely manner, which has improved patients' sense of safety and trust in the consultation, resulting in high compliance with treatment and high satisfaction with the consultation. Tis result is also consistent with that of He et al [20,21]. In addition, the MDT group's nursing measures include the implementation of perioperative health education, intraoperative optimal care, and postoperative rehabilitation guidance for patients under the integration of medical and nursing care.…”

[Retracted] Investigation on the Effect of Hemodialysis Combined with MDT Multimode Intervention on Renal Fibrosis Degree and Renal Function Improvement in Uremia Patients

“…At present, hemodialysis (HD) is mainly used as a common method for uremia treatment [ 1 ]. The data show that there are more than 1.5 million patients with kidney disease in the world receiving treatment for related diseases through hemodialysis, and the trend is increasing year by year [ 2 ].…”

Patients’ perspectives on, experience with and concerns about crohn's disease: insights from Chinese social media

“…In recent years, the Chinese Crohn's and Colitis Foundation (CCCF) [ 24 ], a large nongovernmental public welfare organization that is committed to improving the quality of life of IBD patients in China by providing social resources, has made great contributions through patient education, public awareness, helping to train IBD specialists, etc. In addition, an increasing number of hospitals are actively training IBD specialists and establishing multidisciplinary teams (MDTs) [ 25 ].…”