Effects of Multidisciplinary Team Care on Survival of Newly Diagnosed Breast Cancer Patients: An Example of 2000-2008 Breast Cancer Cohort in Taiwan

2.50
Hdl Handle:
http://hdl.handle.net/10755/304541
Category:
Abstract
Type:
Presentation
Title:
Effects of Multidisciplinary Team Care on Survival of Newly Diagnosed Breast Cancer Patients: An Example of 2000-2008 Breast Cancer Cohort in Taiwan
Author(s):
Hsieh, Pi-Ching; Kan, Shih-Fan; Su, Hui-Fang
Lead Author STTI Affiliation:
Non-member
Author Details:
Pi-Ching Hsieh, RN, PhD, hpc@ntunhs.edu.tw; Shih-Fan Kan, MS; Hui-Fang Su, RN, PhD;
Abstract:

Poster presented on: Thursday, July 25, 2013, Wednesday, July 24, 2013

Purpose: To examine the prevalence of newly diagnosed breast cancer patients who were enrolled in multidisciplinary team care within one-year, and to evaluate the effect of multidisciplinary team care on survival in a population-based cohort of patients with breast cancer in Taiwan.

Methods: A retrospective cohort study design was conducted by using the population-based data in National Health Insurance Research Database between 1997- 2009 in Taiwan. 50,776 patients were enrolled in 2000 to 2008 breast cancer cohort. Those patients were observed through the end of 2009. Logistic regression was used to estimate the change of prevalence of patients received multidisciplinary team care trends in 2000-2008. Cox proportional-hazards model was used to obtain the hazard ratios for the effects of multidisciplinary team care, with adjustment for propensity scores associated with survival.

Results: Overall 42,553(83.81%) patients received multidisciplinary team care. There were significantly increased in the prevalence of patients received multidisciplinary team care in 2000 to 2008 breast cancer cohort. After adjusting for the propensity scores, patients who received multidisciplinary team care had a lower risk of death (HR = 0.88; 95% CI = 0.80-0.98; p= 0.02) than those cared only by surgeon.

Conclusion: The prevalence of breast cancer patients received multidisciplinary team care increased gradually and multidisciplinary team care could improve survival of breast cancer patients. The results can be the references for policy making, practice and future studies. The multidisciplinary team care model can be applied to other cancers for improving the quality of cancer care.

Keywords:
survival analysis; breast cancer; multidisciplinary team care
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEffects of Multidisciplinary Team Care on Survival of Newly Diagnosed Breast Cancer Patients: An Example of 2000-2008 Breast Cancer Cohort in Taiwanen_GB
dc.contributor.authorHsieh, Pi-Chingen_GB
dc.contributor.authorKan, Shih-Fanen_GB
dc.contributor.authorSu, Hui-Fangen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsPi-Ching Hsieh, RN, PhD, hpc@ntunhs.edu.tw; Shih-Fan Kan, MS; Hui-Fang Su, RN, PhD;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304541-
dc.description.abstract<p>Poster presented on: Thursday, July 25, 2013, Wednesday, July 24, 2013</p><b>Purpose: </b>To examine the prevalence of newly diagnosed breast cancer patients who were enrolled in multidisciplinary team care within one-year, and to evaluate the effect of multidisciplinary team care on survival in a population-based cohort of patients with breast cancer in Taiwan. <p><b>Methods: </b>A retrospective cohort study design was conducted by using the population-based data in National Health Insurance Research Database between 1997- 2009 in Taiwan. 50,776 patients were enrolled in 2000 to 2008 breast cancer cohort. Those patients were observed through the end of 2009. Logistic regression was used to estimate the change of prevalence of patients received multidisciplinary team care trends in 2000-2008. Cox proportional-hazards model was used to obtain the hazard ratios for the effects of multidisciplinary team care, with adjustment for propensity scores associated with survival. <p><b>Results: </b>Overall 42,553(83.81%) patients received multidisciplinary team care. There were significantly increased in the prevalence of patients received multidisciplinary team care in 2000 to 2008 breast cancer cohort. After adjusting for the propensity scores, patients who received multidisciplinary team care had a lower risk of death (<i>HR</i> = 0.88; 95% <i>CI</i> = 0.80-0.98; <i>p</i>= 0.02) than those cared only by surgeon. <p><b>Conclusion: </b>The prevalence of breast cancer patients received multidisciplinary team care increased gradually and multidisciplinary team care could improve survival of breast cancer patients. The results can be the references for policy making, practice and future studies. The multidisciplinary team care model can be applied to other cancers for improving the quality of cancer care.en_GB
dc.subjectsurvival analysisen_GB
dc.subjectbreast canceren_GB
dc.subjectmultidisciplinary team careen_GB
dc.date.available2013-10-22T20:38:21Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:38:21Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.