[肺癌多学科诊治的现状与未来方向]。

Guowei Che, Qinghua Zhou
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引用次数: 0

摘要

多学科团队(MDT)诊疗模式虽然可以改善患者的生活质量和生存预后,但为什么没有达到MDT诊疗模式的预期目标呢?主要原因在于肺癌MDT诊疗模式落后于各种治疗方法的进展。本文将通过分析国内外肺癌MDT诊治的最新研究成果,结合四川大学华西医院肺癌中心肺癌MDT诊治的经验,从以下几个方面探讨和总结肺癌MDT的进展和未来方向:(1)肺癌MDT诊治模式的内涵和外延需要改变,适应新的诊治方法;(2)肺癌MDT诊治的临床决策应从 "多学科会诊(MDC)"转变为 "MDT";(3)肺癌MDT诊疗流程应从 "救火队模式 "向 "防火墙模式 "转变,最终实现 "个体化全程管理模式";(4)肺癌MDT诊疗路径应从 "临时召集模式 "向 "肺癌单病种中心制模式 "转变。.
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[Current Situation and Future Direction of Multidisciplinary Diagnosis 
and Treatment of Lung Cancer].

Although multidisciplinary team (MDT) diagnosis and treatment model can improve the quality of life and survival prognosis of the patients, why does it not reach the expected goal of the MDT diagnosis and treatment model? The main reason is that the diagnosis and treatment mode of MDT in lung cancer lags behind the progress of various treatment methods. By analyzing the latest research results of MDT diagnosis and treatment of lung cancer at home and abroad, combined with the experience of MDT diagnosis and treatment of lung cancer in the Lung Cancer Center of West China Hospital of Sichuan University, this article will discuss and summarize the progress and future direction of MDT in lung cancer from the following aspects: (1) The connotation and extension of MDT diagnosis and treatment mode of lung cancer need to be changed and adapted to new methods of diagnosis and treatment; (2) The clinical decision making in the diagnosis and treatment of MDT in lung cancer should be transformed from "multidisciplinary consultation (MDC)" to "MDT"; (3) The diagnosis and treatment process of MDT in lung cancer should shift from "fire brigade mode" to "firewall mode", and finally implement "individualized whole-process management mode"; (4) The path of MDT diagnosis and treatment of lung cancer should be changed from "temporary convening mode" to "single disease center system mode of lung cancer".
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来源期刊
中国肺癌杂志
中国肺癌杂志 Medicine-Pulmonary and Respiratory Medicine
CiteScore
1.40
自引率
0.00%
发文量
5131
审稿时长
14 weeks
期刊介绍: Chinese Journal of Lung Cancer(CJLC, pISSN 1009-3419, eISSN 1999-6187), a monthly Open Access journal, is hosted by Chinese Anti-Cancer Association, Chinese Antituberculosis Association, Tianjin Medical University General Hospital. CJLC was indexed in DOAJ, EMBASE/SCOPUS, Chemical Abstract(CA), CSA-Biological Science, HINARI, EBSCO-CINAHL,CABI Abstract, Global Health, CNKI, etc. Editor-in-Chief: Professor Qinghua ZHOU.
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