Keywords
Interdisciplinary team
Integrative oncology
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To analyze the impact of interdisciplinary care on quality of life and clinical and psychosocial outcomes in oncology patients compared with conventional care. Methods: A systematic literature review was conducted according to the PRISMA protocol and registered in PROSPERO (CRD420251218749). The search strategy used MeSH/DeCS descriptors in PubMed, Cochrane, LILACS, and SciELO databases. Randomized clinical trials and observational studies investigating structured interdisciplinary team interventions in oncology were included, with standardized data selection and extraction. Risk of bias was assessed using validated instruments. Results: Eleven studies published in the last five years were included, and findings indicated an association between interdisciplinary care and increased overall survival, reduced treatment toxicity, improved symptom control, especially pain, as well as benefits in quality of life and mental health. Early integration of palliative care, guided geriatric assessments, and structured interdisciplinary support were highlighted. However, clinical and methodological heterogeneity requires caution in generalizing the findings. Final considerations: Interdisciplinary care was associated with more favorable clinical and psychosocial outcomes, particularly when integrated early into treatment, reinforcing the need for standardized care protocols and institutional strengthening.
References
AGÊNCIA INTERNACIONAL DE PESQUISA SOBRE O CÂNCER. Global cancer burden growing, amidst mounting need for services. Press release, 2024.
ALLENDE S, et al. Early incorporation to palliative care (EPC) in patients with advanced non-small cell lung cancer: The PACO randomized clinical trial. The Oncologist, 2024; 29(10): e1373-e1385.
AUBIN M, et al. Continuity of cancer care and collaboration between family physicians and oncologists: Results of a randomized clinical trial. Annals of Family Medicine, 2021; 19(2): 117-125.
BENEDETTI GMS, et al. Cuidado da equipe de saúde sob a ótica de pacientes em quimioterapia paliativa: Análise existencial. REME – Revista Mineira de Enfermagem, 2018; 22: e-1122.
BERARDI R, et al. Benefits and limitations of a multidisciplinary approach in cancer patient management. Cancer Management and Research, 2020; 12: 9363-9374.
BERRETTA M, et al. Multidisciplinary integrative medicine approach for cancer patients: A multicenter retrospective study. Nutrients, 2025; 17(6): 1012.
BRASIL. MINISTÉRIO DA SAÚDE. Cuidados paliativos no tratamento do câncer. Brasília: Ministério da Saúde, 2025.
DAGHER D, KHAN M. Writing a Systematic Review and Meta-analysis: A Step-by-Step Guide. Sports Health, 2025; 17(5): 885–890.
ITO T, et al. Experience of symptom control, anxiety and associating factors in a palliative care unit evaluated with Support Team Assessment Schedule Japanese version. Scientific Reports, 2021; 11(1): 19321.
KAZZI AIM. Atenção ao adulto jovem com câncer no Brasil: Realidade e proposição de uma linha de cuidado recurso-adaptada. Dissertação (Mestrado) – Universidade Federal de Minas Gerais, 2023.
LI D, et al. Geriatric assessment-driven intervention (GAIN) on chemotherapy-related toxic effects in older adults with cancer: A randomized clinical trial. JAMA Oncology, 2021; 7(11): e214158.
LIU YJ, et al. The clinical effect evaluation of multidisciplinary collaborative team combined with palliative care model in patients with terminal cancer: A randomized controlled study. BMC Palliative Care, 2023; 22(1): 71.
LU Z, et al. Early interdisciplinary supportive care in patients with previously untreated metastatic esophagogastric cancer: A phase III randomized controlled trial. Journal of Clinical Oncology, 2021; 39(7): 748-756.
MA H, et al. Multidisciplinary team quality improves the survival outcomes of locally advanced rectal cancer patients: A post hoc analysis of the STELLAR trial. Radiotherapy and Oncology, 2024; 200: 110524.
MAZTI A, et al. How can a multidisciplinary approach improve prognosis of soft-tissue sarcomas of extremities? International Journal of Surgical Oncology, 2021; 8871557.
PAGE MJ, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 2021; 372: n71.
PICHELLI KR. Desafios à intervenção interdisciplinar no olhar da equipe multiprofissional em oncologia. Revista Brasileira de Cancerologia, 2019; 65(2): 231-240.
SOTO-PEREZ-DE-CELIS E, et al. Patient navigation to improve early access to supportive care for patients with advanced cancer in resource-limited settings: A randomized controlled trial. The Oncologist, 2021; 26(2): 157-164.
WOOD WA, et al. Piloting HealthScore: Feasibility and acceptability of a clinically integrated health coaching program for people living with cancer. Cancer Medicine, 2023; 12: e5625.
XIANG XB, et al. Clinical efficacy analysis of surgical treatment for spinal metastasis under the multidisciplinary team using the NOMS decision system combined with the revised Tokuhashi scoring system: A randomized controlled study. Journal of Orthopaedic Surgery and Research, 2024; 19(1): 195.