The MDT initially consisted in a regulated committee that reviewed all new cancer patients and agreed on the therapeutic plan proposed by medical and radiation oncologist and surgical specialists based on their clinical expertise and the evidence available to date.
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In the meantime, organ-preservation strategies started to develop in HNC with the use of new available therapeutic techniques ( 1). The multidisciplinary approach emerged in oncology in the mid-1980s, when the addition of chemotherapy to radiotherapy and/or surgery was proven to improve survival. Joining the efforts from different professionals is thought to improve patient management in contrast with the old idea of a global treatment offered by a single physician. Patient symptoms and treatment side-effects as well as physical and psychological impact will vary according to cancer location and treatment plan. Head and neck cancer (HNC) involves multiple and biologically distinct diseases that require different therapeutic approaches. The aim of this comprehensive review is to assess the role of the different supportive disciplines integrated in an MDT and how they help providing a better care to HNC patients during diagnosis, treatment and follow up.Ī multidisciplinary team (MDT) in oncology is defined as the cooperation between different specialized professionals involved in cancer care with the overarching goal of improving treatment efficiency and patient care. In addition, involving translational research teams should also be considered, as it will help reducing the existing gap between basic research and the daily clinical practice. Hence, these professionals should be integrated in HNC MDTs. The impairment of these functions can significantly impact patients' quality of life and psychosocial status, and highlights the crucial role of specialized nurses, dietitians, psycho-oncologists, social workers, and onco-geriatricians, among others.
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HNC often compromise relevant structures of the upper aerodigestive tract involving functions such as speech, swallowing and breathing, among others. Most of head and neck cancer (HNC) units are currently led by MDTs that at least include ENT and maxillofacial surgeons, radiation and medical oncologists. In many of the areas where this time zone is used, during fall to winter months Mountain Standard Time ( MST) is observed, and then during Daylight Saving (spring to summer months) Mountain Daylight Time or MDT is used.The core function of a multidisciplinary team (MDT) is to bring together a group of healthcare professionals from different fields in order to determine patients' treatment plan. Heure Avancée des Rocheuses or HAR (in French)
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North American Mountain Daylight Time or NAMDT It also passes through Canada in the North, and Mexico in the South.ĭepending on where the time zone is being referenced, it may be called one of these additional names: states, including Arizona, Colorado, Kansas, Montana, New Mexico, Texas, and many more. Territories observing the time zone are primarily in North America. That means to find the standard time in the zone you must subtract six hours from Coordinated Universal Time. Mountain Daylight Time is six hours behind the Coordinated Universal Time standard, written as an offset of UTC - 6:00.