title: [Should cases of hepatocellular carcinoma be discussed by non-specialized multidisciplinary team meetings?].
abstract: The treatment of hepatocellular carcinoma (HCC) is difficult due to the underlying cirrhosis which has its own influence on therapeutic issues. An inquiry was performed in centres with specialized multidisciplinary team meetings dedicated to HCC (HCC-MTM) or in centres with non-specialized (digestive oncology or general oncology) multidisciplinary team meetings (NS-MTM). The number of cases of HCCs taken in charge yearly was significantly higher in HCC-MTM than in NS-MTM (p=0,0014). Interventional radiologists and transplant surgeons were more frequently implied in HCC-MTM than in NS-MTM (respectively p=0,009 and p=0,02). On site availability of every treatment of HCC was higher in RCP-MTM than in NS-MTM (p=0,015). There were no inclusion in clinical trials in 40.5 % of NS-MTM versus only 17.6 % of HCC-MTM (p=0,0086). In three clinical cases out of seven there were discrepancies between the therapeutic options of HCC-MTM and NS-MTM. In all three cases, the treatment offered to the patient by HCC-MTM was more consistent with clinical standards. These results prompt to perform more studies on the quality of management of patients with HCCs by MTMs.
authors.affiliation: CHU d'Amiens ; Hôpital Nord, délégation à la recherche clinique et à l'innovation, Place Victor Pauchet, 80054 Amiens cedex 1, France.
authors.forename: Jean-Claude
authors.initials: JC
authors.lastname: Barbare
authors.affiliation: Hôpital universitaire Antoine-Béclère, Clamart, France.
authors.forename: Dominique
authors.initials: D
authors.lastname: Franco
authors.affiliation: Hôpital universitaire Saint-Antoine, Paris, France.
authors.forename: Thierry
authors.initials: T
authors.lastname: André
authors.affiliation: Hôpital universitaire de Nancy Brabois, Vandœuvre-lès-Nancy, France.
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Bronowicki
authors.affiliation: Hôpital universitaire de La Croix Rousse, Lyon, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Merle
authors.affiliation: Hôpital universitaire Purpan, Toulouse, France.
authors.forename: Jean-Marie
authors.initials: JM
authors.lastname: Péron
authors.affiliation: Institut Paoli Calmette, Marseille, France.
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Raoul
authors.affiliation: Hôpital universitaire de La Timone, Marseille, France.
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Seitz
authors.affiliation: Institut Val d'Aurelle, Montpellier, France.
authors.forename: Marc
authors.initials: M
authors.lastname: Ychou
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000628:therapy*; D005602:France; D019538:Health Care Surveys; D006801:Humans; D033183:Interdisciplinary Communication; D008113:Liver Neoplasms / Q000628:therapy*; D010347:Patient Care Planning / Q000706:statistics & numerical data; D010348:Patient Care Team / Q000706:statistics & numerical data; D013038:Specialization
keywords: hepatocellular carcinoma; multidisciplinary team meetings