Evidence map›Paper›PMID 42380516›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

Association of multidisciplinary team management with survival in sinonasal malignancies: a real-world IPTW cohort study.

Huanhuan Lyu, Hang Li, Rui He, Yaqiong Lu, Dewei Tian, Mengyu Chen, Zihan Qiu, Jingtao Lin, Lishuo Shi, Weiping Wen and 2 more

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Huanhuan LyuDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, No 58, Zhong Shan 2nd Road, Guangzhou, 510080, Guangdong, PR China.
Hang LiDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, No 58, Zhong Shan 2nd Road, Guangzhou, 510080, Guangdong, PR China.
Rui HeDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, No 58, Zhong Shan 2nd Road, Guangzhou, 510080, Guangdong, PR China.
Yaqiong LuDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, No 58, Zhong Shan 2nd Road, Guangzhou, 510080, Guangdong, PR China.
Dewei TianDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, No 58, Zhong Shan 2nd Road, Guangzhou, 510080, Guangdong, PR China.
Mengyu ChenDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, No 58, Zhong Shan 2nd Road, Guangzhou, 510080, Guangdong, PR China.
Zihan QiuDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, No 58, Zhong Shan 2nd Road, Guangzhou, 510080, Guangdong, PR China.
Jingtao LinDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, No 58, Zhong Shan 2nd Road, Guangzhou, 510080, Guangdong, PR China.
Lishuo ShiCenter for Clinical Research, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, PR China.
Weiping WenDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, No 58, Zhong Shan 2nd Road, Guangzhou, 510080, Guangdong, PR China.
Wenbin LeiDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, No 58, Zhong Shan 2nd Road, Guangzhou, 510080, Guangdong, PR China.
Yihui WenDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, No 58, Zhong Shan 2nd Road, Guangzhou, 510080, Guangdong, PR China. wenyihui@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0001-6452-1196

Funding

Guangdong Special Support Program for Young Top Talents 0720240203Key-Area Research and Development of Guangdong Province 2020B1111190001Key-Area Research and Development of Guangdong Province 2023B1111040004Key Clinical Technique of Guangzhou 2023P-ZD06Noncommunicable Chronic Diseases-National Science and Technology Major Project 2025ZD0544200The National Natural Science Foundation of China (NSFC) grants 81900918
6 · The paper itself

Abstract

purposeSinonasal malignancies (SNMs) are rare, heterogeneous, and aggressive. High-quality evidence to guide management is limited, and the prognostic value of multidisciplinary team (MDT) management remains incompletely characterized. This study aims at evaluating the association of MDT management with survival outcomes and treatment selection among patients with SNMs.

methodsRetrospective cohort study including 304 consecutive patients with histologically confirmed SNMs treated at the First Affiliated Hospital of Sun Yat-sen University between September 2017 and December 2023. Patients were classified according to whether their cases underwent a formal MDT review process before the definitive treatment plan was initiated. The primary outcome was overall survival (OS). Baseline differences were addressed using stabilized inverse probability of treatment weighting (IPTW). Survival was analyzed with Kaplan-Meier estimates and weighted Cox proportional hazards models. Treatment patterns were compared using weighted logistic regression. Secondary outcomes included length of hospital stay and hospitalization costs.

resultsOf 304 included patients, 106 (34.9%) received MDT management. After weighting, 3-year and 5-year OS rates were 85.9% and 75.8% with MDT versus 74.8% and 63.3% without MDT (P = 0.034 and 0.125 respectively). MDT management was associated with longer OS (hazard ratio, 0.52; 95% CI, 0.30-0.91; P = 0.020). Subgroup analyses suggested consistent associations across all predefined subgroups. MDT involvement was also associated with shorter hospital stay without increased hospitalization costs.

conclusionsIn this single-center cohort, MDT management was associated with optimized treatment selection and improved overall survival in patients with SNMs, with consistent effects across clinical subgroups. Establishing efficient, standardized MDT workflows may help improve outcomes for sinonasal and skull base malignancies; prospective multicenter studies are warranted to validate these associations.

Indexed as

Paranasal Sinus NeoplasmsPatient Care TeamAgedFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesSurvival Rate

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.