Multidisciplinary diagnosis and treatment is most suitable for use in the field of cancer treatment, the earlier the application, the better!

" Although the World Health Organization has long defined cancer as a chronic disease, the fear of cancer remains deeply rooted, not only because of its high mortality rate, but also because of the huge burden of diseaseAt present, China's tumor 5-year survival rate is lower than Japan, South Korea, Western developed countries:first, we have not yet reached the state of a comprehensive census, many early tumor patients can not be found in time, found in the late stage, 5 years survival rate is naturally relatively lowSecondly, we do not have so many new drugs, innovative drugs are now in europe and the United States developed countries, in China often listed 2-3 years later, the treatment effect will be relatively poorBecause of the unbalanced economic development, in the western region of China, poor areas, some patients can not even use the ordinary medical insurance reimbursement chemotherapy drugs, can not affordabout 8 million cancer-causing deaths worldwide each year, but the vast majority of early-diagnosed cancer patients can be cured, so early prevention and early treatment, especially in the community to do cancerscreeningEven if you get a tumor, the cure rate for the tumor will certainly be higher and higher in the futureProfessor Li Jin, Director of Oncology Medicine department of Oriental Hospital, predicts that in the next two to three years, the five-year survival rate of tumors should be greatly improved, mainly due to the emergence of new therapies, such asimmunotherapy, cell therapy, dual-target, dual-functional monotophobic, etc., the therapeutic effect will be better and betterany patient at some stage, there must be a most suitable treatment, but each person's ability and knowledge is limited, especially now, the division of the doctor is getting more and more detailedTumor patients to a certain stage, whether suitable for surgical treatment, or medical treatment, or do radiotherapy, or do other treatment, each doctor only master his own professional side, this time need to sit together with doctors in different disciplines, including pathology, imagingdepartments, interventional, internal medicine, surgery, radiotherapy, etc., on the patient's current situation to develop the most appropriate treatment strategy, so that the patient's interests, which isthein the UK, all cancer patients must go through MDT discussions to give the best treatmentThere are currently no conditions for a wide range of MDTs in China, but we still try to instill the MDT concept in our doctorsThe doctor in the process of multidisciplinary discussion, is to learn from other departments of the process, the next time I meet the patient, I know: the original patient I can not only give him the system of chemotherapy, but also after the tumor shrinks, the patient to the surgeon's hand, let him cut off the lesionsIf the doctor treats the patient on his own (by experience rather than by guidance), it is up to the doctor's conscience to decide how long the patient can liveauthor this article is inspired by the above interview report content, multidisciplinary diagnosis and treatment of cancer combined significance is very obviousHowever, the concrete implementation also needs to be further discussed, refined, perfected, this paper throws bricks to introduce jade, to do some theoretical and practical discussion, multidisciplinary diagnosis and treatment, should make tumor treatment affordable singlemultidisciplinary diagnosis and treatment is not smooth, can not promote, there may be three reasons: First, doctors are not enough, especially expert doctors concentrated in the hospital, supply is less than demand, separation of skills; The patient stoppedBut in fact, these three reasons are false propositions, can be changed by general rulesthe total number of doctors in our country, the total number of specialists in the field of cancer treatment alone, and then look at the multidisciplinary field of diagnosis and treatment, the number of doctors is more considerable; The latter does not improve, the former is even worseabout inefficiency and inadequate patients, it can be put togetherFirst, multidisciplinary diagnosis and treatment, does not mean that the participation of disciplines and the number of doctors the better, or even in person to the good, this biased understanding greatly interferes with the cross-regional, cross-hospital multidisciplinary diagnosis and treatment developmentSecond, multidisciplinary diagnosis and treatment, should be closely around the current situation of patients and the main objective needs to do menu-style, personalized design, to cancer patients as an example, because there is a huge burden of disease, the cost of treatment is expensive, hope to take fewer detours, planning and then moving, what platform doctors rely on to learntumor treatment, there are two current situations: first, the patient sinks, not only the city, in the vast rural areas also have a normal incidence rate, and the more in rural areas, the more effective treatment coverage of the contradiction is more prominent; Some multinational drug companies are also sinking academic promotion and marketing teams to county hospitalsMultidisciplinary diagnosis and treatment is also divided into lower levels and high eras, and mDT levels in lower-grade hospitals are lowerinspired by the new crown epidemic diagnosis and treatment program, we see the combination of national excellent medical resources, and in the clinically safe attempt, rapid testing, several versions of the diagnosis and treatment program can be quickly iteratingHowever, in the daily medical service order and industry exchange frequency, the local medical scene, lower-grade hospital doctors are difficult to break through barriers to get better learning On the contrary, some abusive, doctors are staring at tumor patients, false treatment, they think that the tumor patients can not cure anyway hospital doctors with these abilities or poor character, did not expect that once cancer patients were exposed to more comprehensive and reasonable timely treatment, the quality of life and survival could be significantly improved Not to mention: even if some cancer patients eventually can not be cured, but in the way to seek medical treatment can avoid a lot of useless, psychological and economically better The use of efficient multidisciplinary diagnosis and treatment to open up barriers can reduce this inefficient and ineffective treatment behavior At the same time, all doctors involved in tumor treatment are forced to participate in MDT this efficient tool is Internet-based multidisciplinary cooperation in diagnosis and treatment It can break through the geographical interval, so that tumor patients run less and take fewer detours It can push the boundaries of time, so that a tumor patient has been exposed to doctors in different disciplines of the diagnosis and treatment, it can try to break through the knowledge and interests blocking, to find the cancer patients eager to find the treatment team Around tumor treatment, it can strengthen the communication between multidisciplinary doctors, more doctors
consensus In tumor treatment, in addition to accessibility also reflects more science 3, MDT for tumor treatment, support and constraint tumor treatment if in reality is truly defined as a chronic disease, the role and responsibilities of the attending physician is more visible, which is also needed in a multidisciplinary cooperative atmosphere Multidisciplinary care needs to firmly embody the principles of open responsibility and selflessness in order to win the trust of society and patients In the MDT of tumor treatment, neither can we follow the old-fashioned, nor can we blindly innovate, all treatment strategies must be seeking truth from facts and emancipating the mind within the scope of multidisciplinary diagnosis and treatment The most important one is not to be paranoid about self-interest As far as we know, many multinational pharmaceutical companies have made it clear that they will actively sink into the primary health care institutions to sell anti-cancer drugs Pharmaceutical enterprises have some motivation to participate in multidisciplinary diagnosis and treatment cooperation, multidisciplinary medical and therapeutic hospital doctors should adhere to rational drug use, avoid the interest of drug use, should be combined with multidisciplinary diagnosis and treatment to promote prescription outflow, graded diagnosis and treatment and chronic disease management and other work Considering the huge therapeutic advantages of some new drugs in the world, we should also face up to the need for their drug effectiveness and rational use, and make the most appropriate recommendation for patients , tumor treatment and public health, chronic disease and health mention of cancer disease, the first thought of treatment, but prevention , screening, rehabilitation, health care are equally important, even more effective The transition from the most difficult treatment field to the most efficient area of public health is a typical priority for medical services and public health services In particular, tumor disease syllabery as a specific disease, tumor patients as a special group, under the coverage of the insurance and relief system of severe diseases, we need to do more on tumor treatment, practice norms, do a good job of multi-level medical security multidisciplinary treatment can help make the cancer treatment program as reasonable as possible, and help to make the cost of treatment as manageable as possible A chain of health management, whether of a non-profit or for-profit nature, is based on cancer disease, with treatment, prevention, screening, rehabilitation, and health care as its content Multi-level medical insurance, including triple medical insurance, commercial health insurance, etc., has a deeper understanding of the feasibility and insurability of cancer treatment and actuarial Tumor treatment is the right of people's right to health, is the main point in the construction of big health Code Wan-Wan (Special) Source: Health