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- W2156800002 abstract "The evaluation of decisions in the multidisciplinary meeting (MDM) is a useful tool for the analysis of professional practices. We report our experience of doing a retrospective analysis of new cases of lung cancer presented in MDM from 2006 to 2011 with comparison between MDM and decisions support real patient. 962 records submitted on first line, there were 794 cases of lung cancer (88% men) mostly NSCLC: 88.2% (33.9% adenocarcinoma, squamous 41.6%), advanced stage (stage III 30.4%, stage IV 57%). At the first presentation of the case histology was present in 98% of cases, the T and N defined in all patients, TNM was complete in 50.8% of cases. Average of three weeks elapsed between the first imaging and histological evidence, then a week before the proposed therapeutic MDM, the average time between MDM and the treatment was variable (1 week in case of chemotherapy, 3 weeks if surgery, 15 weeks in case of radiotherapy). The compliance rate for surgical decision was 80% (non-compliance was due to disruption of functional assessment preoperative) chemotherapy for 82% (non-compliance due to a deterioration of the general condition and the patient9s refusal) and the treatment with chemoradiotherapy 49%. 100% compliance decisions investigations, surveillance or symptomatic treatment. The overall compliance rate was 77.7%, the implementation of decisions taken was faced with several challenges such as availability of antimitotic treatment the difficulty of access to some care." @default.
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- W2156800002 date "2013-09-01" @default.
- W2156800002 modified "2023-09-26" @default.
- W2156800002 title "Multidisciplinary management of lung cancer in a university teaching hospital in Algiers" @default.
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