治疗方案时间的延长与较差的肿瘤学结果密切相关。我们研究了建立多学科头颈诊所对治疗包时间的影响。这是一项回顾性队列研究，评估了通过多学科诊所接受辅助放射治疗的患者与在单一学术机构的标准诊所进行比较的治疗包时间，时间为 7/31 /2020年和2022年7月31日。多学科诊所23名患者、标准诊所68名患者和卫星诊所17名患者接受了辅助放疗。在多学科诊所就诊的患者开始辅助放疗的时间较早（中位时间为 35 天 vs 41 天 vs 48 天，p=0.01），治疗方案时间也更紧凑（中位时间为 78 天 vs 84 天 vs 86 天，p=0.003）。标准诊所的 9 名患者（13%）和卫星诊所的 4 名患者（24%）的辅助治疗套餐时间超过 100 天。在多学科诊所就诊的患者中，没有患者的治疗包时间超过 100 天。多学科诊所的放射肿瘤学和耳鼻喉科护理的共定位显着缩短了术后放疗时间和治疗包时间。这可能是由于在临床表现早期识别出需要辅助放疗的患者，从而可以提前计划并最大程度地减少辅助放疗启动的延迟。版权所有 © 2024 美国外科医生学会。由 Wolters Kluwer Health, Inc. 出版。保留所有权利。

Prolongation of treatment package time is strongly associated with inferior oncologic outcomes. We examine the effect of creation of a multidisciplinary head and neck clinic on treatment package times.This was a retrospective cohort study evaluating treatment package time in patients receiving adjuvant radiation through a multidisciplinary clinic compared with standard clinics at a single academic institution between 7/31/2020 and 7/31/2022.Adjuvant radiotherapy was administered to 23 patients in multidisciplinary clinic, 68 patients in standard clinic and 17 patients in satellite clinics. Patients seen in multidisciplinary clinic began adjuvant radiation sooner (median 35 vs 41 vs 48 days, p=0.01) with more compact treatment package times (median 78 vs 84 vs 86 days, p=0.003). Nine patient (13%) in standard clinics and 4 patients (24%) at the satellite clinics had adjuvant treatment package times exceeding 100 days. No patient seen in multidisciplinary clinic had treatment package times exceeding 100 days.Colocalization of radiation oncology and otolaryngology care in multidisciplinary clinic substantially improved time to postoperative radiotherapy and treatment package times. This is likely due to the identification of patients requiring adjuvant radiation earlier in their clinical presentation which in turn allowed for advanced planning and minimization of delays in initiation of adjuvant radiation.Copyright © 2024 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.