Multi-disciplinary team for early gastric cancer diagnosis improves the detection rate of early gastric cancer

BMC Gastroenterology

Research Article

Hui Chen¹  Hua Zhang²  Huichao Wu²  Rong Zhu²  Kui Zhao²  Haibo Wang²  Lianjun Di²  Bigung Tuo²  Youfeng Li²  Hongping Li²  Rui Xie²  Hong Xiao²  Xuefeng Yang³  Ming Xie³  Hong Zhen⁴  Xinglong Wu⁴ 

[1] Department of Anesthesiology, Affiliated Hospital, Zunyi Medical College, Zunyi, China;Department of Gastroenterology, Affiliated Hospital, Zunyi Medical College, 563003, Zunyi, China;Digestive Endoscopy Center, Affiliated Hospital, Zunyi Medical Colleage, Zunyi, China;Department of Gastrointestinal Surgery, Affiliated Hospital, Zunyi Medical College, Zunyi, China;Department of Pathology, Affiliated Hospital, Zunyi Medical College, Zunyi, China;

关键词: Early gastric cancer;    Diagnosis;    Intensive gastroscopy;    Multi-disciplinary team;   

DOI  :  10.1186/s12876-017-0711-9

 received in 2016-10-09, accepted in 2017-11-27,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundGastric cancer is a frequent malignant tumor worldwide and its early detection is crucial for curing the disease and enhancing patients’ survival rate. This study aimed to assess whether the multi-disciplinary team (MDT) can improve the detection rate of early gastric cancer (EGC).MethodsThe detection rate of EGC at the Digestive Endoscopy Center, Affiliated Hospital, Zunyi Medical College, China between September 2013 and September 2015 was analyzed. MDT for the diagnosis of EGC in the hospital was established in September 2014. The study was divided into 2 time periods: September 1, 2013 to August 31, 2014 (period 1) and September 1, 2014 to September 1, 2015 (period 2).ResultsA total of 60,800 patients’ gastroscopies were performed during the two years. 61 of these patients (0.1%) were diagnosed as EGC, accounting for 16.44% (61/371) of total patients with gastric cancer. The EGC detection rate before MDT (period 1) was 0.05% (16/29403), accounting for 9.09% (16/176) of total patients with gastric cancer during this period. In comparison, the EGC detection rate during MDT (period 2) was 0.15% (45/31397), accounting for 23% (45/195) of total patients with gastric cancer during this period (P < 0.05). Univariate and multivariate logistic analyses showed that intensive gastroscopy for high risk patients of gastric cancer enhanced the detection rate of EGC in cooperation with Department of Pathology (OR = 10.1, 95% CI 2.39–43.3, P < 0.05).ConclusionMDT could improve the endoscopic detection rate of EGC.

【 授权许可】

CC BY   
© The Author(s). 2017