두경부암 다학제 진료의 도입 양상 및 환자 만족도

Abstract

Background and Objectives The head and neck multidisciplinary team (MDT) approachplays a crucial role in bringing together the ideas of various medical professionals. This studyaimed to evaluate the early characteristics of the MDT approach for head and neck cancer andanalyzed patients’ satisfaction. Subjects and Method We analyzed 450 head and neck cancer patients who received MDTcare from August 2014 to June 2022. Patient satisfaction with MDT care was evaluated by selfadministeredquestionnaires consisting of 9 questions. Results Of 450, 298 (66.2%) were male and 152 (33.8%) were female. The mean age was60.8±14.7 year. The most common primary site was the larynx (17.3%), followed by the oralcavity and oropharynx. A total of 726 cases of the MDT approach were performed in 266MDT sessions, and the mean number of patients per MDT session was 2.74. The number ofmedical professionals participating in MDT ranged from a minimum of 3 to a maximum of 9,with a mean of 5.11. The mean running time of MDT meetings per case was 19.51 minutes. The time of the 2nd MDT was significantly shorter than that of the 1st or 3rd MDT. The meanscore was close to very satisfactory in each of the 9 patient satisfaction questions. Conclusion We believe that the MDT approach is feasible and recommend its introductionfor the treatment of head and neck cancer as most patients have shown very high satisfaction. Further studies on the role and efficacy of MDT care for head and neck cancer are necessary.