摘要
目的探讨多学科一体化诊治模式在乳腺癌诊治中的价值。方法建立乳腺癌多学科一体化管理模式,对两年来诊治的275例患者(试验组)与成立多学科一体化管理模式之前收治的164例患者(对照组)的临床资料进行统计分析,比较住院时间、入院至确诊的时间、治疗费用、保乳率、化疗实际剂量与标准计量的百分比、内分泌治疗的实施率、依从率、流失率及满意率。结果试验组的保乳率、内分泌治疗率及实际化疗剂量与标准剂量的百分比均显著高于对照组(P值均<0.05),而住院时间、入院至确诊的时间却显著短于对照组(P值均<0.05),满意率、依从率、随访率显著高于对照组(P值均<0.05),流失率显著低于对照组(P<0.05)。试验组的人均治疗费用显著高于对照组(P<0.05),上升的费用主要用于高危患者;低危患者的人均治疗费用则显著下降(P<0.05),复诊次数也显著减少(P<0.05)。结论乳腺癌多学科一体化诊治模式可作为乳腺癌患者最适宜的诊治方案。
Objective To discuss the value of multi-disciplinary integrated diagnosis and treatment mode for breast Cancer. Methods A multi-disciplinary integrated diagnosis and treatment mode was established for breast cancer. Comparison was made between the 275 patients who were treated according to the established mode and 164 patients who received the traditional mode before establishment of the mode. The parameters included hospitalization time, definite diagnosis time, inpatient expenses, rate of breast conserving surgery, percentage of actual chemotherapy dose with standard, rate of endocrinotherapy, and patients＇ satisfaction level, compliance and loss. Results The rate of breast conserving surgery, rate of endecrinotherapy, and percentage of actual chemotherapy dose were significantly improved in the experimental group compared with the control group （P〈O. 05）; and the hospitalization time and definite diagnosis time were significantly shorter than those in the control group （P〈O. 05）;the compliance and satisfaction rate were significantly higher than those of the control group; the loss rate of patients was significantly lower than that of the control group（P〈0.05）. The average expense of patients in the experimental group was higher than that in the control group （ P〈O. 05） ~ the increase of expense was mainly caused by critically ill patients. The expense of patients at lower risk was significantly decreased （P〈0.05）. Conclusion The multi-disciplinary integrated diagnosis and treatment mode is an optimal strategy for breast cancer patients. （Shanghai Med J, 2009, 32 = 617-619）
出处
《上海医学》
CAS
CSCD
北大核心
2009年第7期617-619,共3页
Shanghai Medical Journal
基金
上海市科委自然科学基金资助项目(06ZR14075)
关键词
乳腺癌
多学科
综合治疗
诊治模式
Breast cancer
Multidisciplinary
Comprehensive treatment
Treatment model
