AimTo evaluate the effect of multidisciplinary treatment (MDT) on the survival outcomes of Chinese lung cancer patients. MethodsData from a Chinese tertiary cancer hospital of lung cancer patients were collected and divided into two groups (MDT+/-) according to whether the patients had received an MDT. The survival analysis was performed after propensity score matching (PSM). ResultsBefore PSM, more patients in the MDT+ group had documented information on clinical characteristics and showed more unfavorable clinical characteristics than patients in the MDT- group. After PSM, there was no imbalance in the first-line treatment strategies between the two groups. When the patients were analyzed separately, for patients in the MDT- group, age at diagnosis, Eastern Cooperative Oncology Group (ECOG) score, stage, smoking history, and epidermal growth factor receptor (EGFR) gene status were all significant factors for survival (p < 0.05). For patients in the MDT+ group, only age at diagnosis, stage, and comorbidities were significant factors for survival (p < 0.05). Moreover, age at diagnosis, ECOG score, stage, EGFR gene status, and MDT were all significant factors for survival for all patients (p < 0.001). The results indicate that MDT was a significant prognostic factor independent of clinical characteristics (HR: 2.095, 95% CI: 1.568-2.800, p < 0.001), with a significantly improved median survival (58.0 vs. 29.0 months, p < 0.001). ConclusionBased on PSM, MDT itself did have a real favorable prognostic significance for Chinese lung cancer patients in the study.
基金:
Foundations of Department of Science and
Technology of Sichuan Province, China,
Grant/Award Numbers: 2020JDR0283,
20ZDYF1878
第一作者机构:[1]Univ Elect Sci & Technol China, Sichuan Canc Hosp & Inst, Sichuan Canc Ctr, Sch Med, Chengdu, Peoples R China
通讯作者:
通讯机构:[1]Univ Elect Sci & Technol China, Sichuan Canc Hosp & Inst, Sichuan Canc Ctr, Sch Med, Chengdu, Peoples R China[*1]Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
推荐引用方式(GB/T 7714):
Jing Xiao-mei,Chen Ping,Li Si-feng,et al.Effect of multidisciplinary treatment (MDT) on survival outcomes of lung cancer patients: Experiences from China[J].ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY.2023,doi:10.1111/ajco.13972.
APA:
Jing, Xiao-mei,Chen, Ping,Li, Si-feng,Feng, Zi-rui,Li, Yin-feng&Yang, Qing.(2023).Effect of multidisciplinary treatment (MDT) on survival outcomes of lung cancer patients: Experiences from China.ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY,,
MLA:
Jing, Xiao-mei,et al."Effect of multidisciplinary treatment (MDT) on survival outcomes of lung cancer patients: Experiences from China".ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY .(2023)