Improved Overall Survival of Colorectal Cancer under Multidisciplinary Team: A Meta-Analysis

Biomed Res Int. 2021 May 1:2021:5541613. doi: 10.1155/2021/5541613. eCollection 2021.

Abstract

Purpose: The purpose of the current meta-analysis was to evaluate whether multidisciplinary team improved overall survival of colorectal cancer.

Methods: PubMed, EMBASE, and Cochrane Library database were searched from inception to October 25, 2020. The hazard ratio (HR) and 95% confidence (CI) of overall survival (OS) were calculated.

Results: A total of 11 studies with 30814 patients were included in this meta-analysis. After pooling the HRs, the MDT group was associated with better OS compared with the non-MDT group (HR = 0.81, 95% CI 0.69-0.94, p = 0.005). In subgroup analysis of stage IV colorectal cancer, the MDT group was associated with better OS as well (HR = 0.73, 95% CI 0.59-0.90, p = 0.004). However, in terms of postoperative mortality, no significant difference was found between MDT and non-MDT groups (OR = 0.84, 95% CI 0.44-1.61, p = 0.60).

Conclusion: MDT could improve OS of colorectal cancer patients.

Publication types

  • Meta-Analysis

MeSH terms

  • Colorectal Neoplasms / mortality*
  • Colorectal Neoplasms / therapy*
  • Female
  • Humans
  • Male
  • Patient Care Team / statistics & numerical data*
  • Survival Analysis