The application of clinical multi-disciplinary team in the diagnosis and treatment of pituitary adenoma and related diseases_West China Medical Journal

Authors：

TAN Huiwen ^1,2 , LI Jiaqi ^1,2 ,  YU Yerong ^1,2 , AN Zhenmei ^1,2 , WANG Chun ^1,2 , LI Jianwei ^1,2 , ZHOU Peizhi ^2,3 , WEI Yi ^2,4 , TANG Ying ^2,5 , CAI Bowen ^2,3 , JIANG Su ^2,3

1. Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Center of Pituitary Adenoma and Related Diseases, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
4. Department of Imaging, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
5. Department of Pathology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

YU Yerong, Email: yerongyu@scu.edu.cn

Keywords：

Pituitary adenoma; Multi-disciplinary team; Diagnosis; Treatment

DOI：

10.7507/1002-0179.201806080

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Multi-disciplinary team (MDT) is increasingly applied in oncology and refractory diseases. In recent years, MDT has also been applied in diagnosis and treatment of pituitary adenoma and related diseases. This review summarizes the advantages and characteristics of the MDT diagnosis and treatment mode, and analyzes the application and effect of the MDT diagnosis and treatment mode in the Center of Pituitary Adenoma and Related Diseases, West China Hospital, Sichuan University. So far, it has shown that MDT has advantages such as it is professional, full of collaborative interaction, and efficient and optimized. It is a platform of multi-disciplinary cooperation and resources in the diagnosis and treatment of difficult diseases. Case discussion in MDT mode is conducive to timely selection of the best treatment options for patients with pituitary adenoma and related diseases, providing a good learning platform for doctors with different professional backgrounds, and promoting the improvement of professional diagnosis and treatment level of doctors in related departments. The development of MDT will help us to use limited medical resources efficiently, promote the medical team to be more specialized, optimize the diagnosis and treatment process, and improve the effectiveness of the treatment, for benefiting more patients with pituitary adenomas and related diseases.

Citation： TAN Huiwen, LI Jiaqi, YU Yerong, AN Zhenmei, WANG Chun, LI Jianwei, ZHOU Peizhi, WEI Yi, TANG Ying, CAI Bowen, JIANG Su. The application of clinical multi-disciplinary team in the diagnosis and treatment of pituitary adenoma and related diseases. West China Medical Journal, 2018, 33(12): 1526-1529. doi: 10.7507/1002-0179.201806080 Copy

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9.	陈政源, 沈明, 赵曜, 等. 多学科协作模式在肢端肥大症中的应用. 中国神经精神疾病杂志, 2017, 43(1): 31-35.
10.	Blazeby JM, Wilson L, Metcalfe C, et al. Analysis of clinical decision-making in multi-disciplinary cancer teams. Ann Oncol, 2006, 17(3): 457-460.
11.	Lamb BW, Sevdalis N, Arora S, et al. Teamwork and team decision-making at multidisciplinary cancer conferences: barriers, facilitators, and opportunities for improvement. World J Surg, 2011, 35(9): 1970-1976.
12.	Roelfsema F, Biermasz NR, Pereira AM. Clinical factors involved in the recurrence of pituitary adenomas after surgical remission: a structured review and meta-analysis. Pituitary, 2012, 15(1): 71-83.
13.	Melmed S, Bronstein MD, Chanson PA, et al. A consensus statement on acromegaly therapeutic outcomes. Nat Rev Endocrinol, 2018, 14(9): 552-561.

1. Taylor M, Campbell C. The multi-disciplinary team in the operating department. Br J Theatre Nurs, 1999, 9(4): 178-183.
2. 张绿, 王镛斐, 叶红英, 等. 临床多学科综合治疗团队诊治库欣病. 中华神经外科杂志, 2015, 31(6): 601-604.
3. 刘飞, 王卫红, 李志范, 等. 多学科协作团队模式在垂体腺瘤诊疗的价值与实施. 中国微侵袭神经外科杂志, 2016, 21(5): 236-238.
4. Torre LA, Bray F, Siegel RL, et al. Global cancer statistics, 2012. CA Cancer J Clin, 2015, 65(2): 87-108.
5. Carminucci AS, Ausiello JC, Page-Wilson G, et al. Outcome of implementation of a multidisciplinary team approach to the care of patients after transsphenoidal surgery. Endocr Pract, 2016, 22(1): 36-44.
6. Woodmansee WW, Carmichael J, Kelly D, et al. American association of clinical endocrinologists and american college of endocrinology disease state clinical review: postoperative management following pituitary surgery. Endocr Pract, 2015, 21(7): 832-838.
7. Dutta P, Hajela A, Pathak A, et al. Clinical profile and outcome of patients with acromegaly according to the 2014 consensus guidelines: impact of a multi-disciplinary team. Neurol India, 2015, 63(3): 360-368.
8. Rajasekaran S, Vanderpump M, Baldeweg S, et al. UK guidelines for the management of pituitary apoplexy. Clin Endocrinol (Oxf), 2011, 74(1): 9-20.
9. 陈政源, 沈明, 赵曜, 等. 多学科协作模式在肢端肥大症中的应用. 中国神经精神疾病杂志, 2017, 43(1): 31-35.
10. Blazeby JM, Wilson L, Metcalfe C, et al. Analysis of clinical decision-making in multi-disciplinary cancer teams. Ann Oncol, 2006, 17(3): 457-460.
11. Lamb BW, Sevdalis N, Arora S, et al. Teamwork and team decision-making at multidisciplinary cancer conferences: barriers, facilitators, and opportunities for improvement. World J Surg, 2011, 35(9): 1970-1976.
12. Roelfsema F, Biermasz NR, Pereira AM. Clinical factors involved in the recurrence of pituitary adenomas after surgical remission: a structured review and meta-analysis. Pituitary, 2012, 15(1): 71-83.
13. Melmed S, Bronstein MD, Chanson PA, et al. A consensus statement on acromegaly therapeutic outcomes. Nat Rev Endocrinol, 2018, 14(9): 552-561.

West China Medical Journal

The application of clinical multi-disciplinary team in the diagnosis and treatment of pituitary adenoma and related diseases

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