Impact of a multidisciplinary approach and patient routing on the outcomes of treatment of patients with hepatocellular cancer

Introduction : Hepatocellular cancer (HCC) is the sixth most common form of worldwide and third cause death. The long-term results treatment are influenced by organizational decisions aimed at increasing availability specialized care. purpose our study to evaluate impact rerouting introduction a multidisciplinary approach on overall survival (OS) patients with HCC. Materials methods. A retrospective was conducted tactics in all HCC registered Sverdlovsk Regional Oncological Cancer Registry diagnosis from 2015 2021. comparative analysis carried out 3 groups patients: control group, before changes, group after changes routing, involving gastroenterologist/hepatologist an interventional oncologist. Results There increase number who received advice oncologist referred for treatment: 12.0 %, 19.5 % 34.9 respectively (p < 0.001). Median OS increased significantly only 3.1 versus 2.2 months = 0.002). Low rates associated large proportion late stages. significant BCLC C stage: 3.4 12.5 0.046). Conclusions Simplifying patient's route gastroenterologist shortens time start, increases receive advisory assistance oncological dispensary, but does not affect OS. allows more At same time, maximum effect noted stage.