Welcome to Francis Academic Press

Academic Journal of Medicine & Health Sciences, 2023, 4(1); doi: 10.25236/AJMHS.2023.040101.

Advances in multidisciplinary team-based collaborative care models in the nutritional management of patients with hepatocellular carcinoma


Tang Yipin1, Li Jieqiong2, Liu Xuanxuan1, Zhang Mi2, Gao Ya1, You Ning1

Corresponding Author:
Li Jieqiong

1School of Nursing, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, 712046, China

2The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, 710061, China


Liver cancer is a common and highly prevalent malignancy in China, and is a high prevalence of malnutrition. With the continuous innovation of medical technology and nursing model, the multidisciplinary teamwork nursing model has become inevitable for the care of liver cancer patients. This study reviews the concept of MDT nursing model, its development status at home and abroad and its application in the postoperative nutritional management of hepatocellular carcinoma patients, aiming to provide a basis for clinical hepatocellular carcinoma nutritional management.


multidisciplinary teamwork, hepatocellular carcinoma, care, malnutrition

Cite This Paper

Tang Yipin, Li Jieqiong, Liu Xuanxuan, Zhang Mi, Gao Ya, You Ning. Advances in multidisciplinary team-based collaborative care models in the nutritional management of patients with hepatocellular carcinoma. Academic Journal of Medicine & Health Sciences (2023) Vol. 4, Issue 1: 1-6. https://doi.org/10.25236/AJMHS.2023.040101.


[1] International Agency for Research on Cancer. Global cancer observatory: cancer today [EB/OL]. Lyon, France: International Agency for Research on Cancer. [2020-04- 20].https://gco.iarc.fr/today.

[2] Cao W, Chen HD, Yu YW, Li N, Chen WQ. Changing profiles of cancer burden worldwide and in China: a secondary analysis of the global cancer statistics 2020. Chin Med J (Engl). 2021; 134(7): 783-791. published 2021 Mar 17. 

[3] Schütte K, Tippelt B, Schulz C, et al. Malnutrition is a prognostic factor in patients with hepatocellular carcinoma (HCC). Clin Nutr. 2015;34(6):1122-1127. 

[4] Li Rong, Han Baohui. Assessment and significance of malnutrition screening in oncology patients[J]. Chinese Journal of Oncology Prevention and Control, 2007(16):1269-1271.

[5] Hu Qunling, Lan Shu. Analysis of the current situation of the operation and management of multidisciplinary tumor treatment teams in China[J]. Journal of Chinese Medicine Management, 2021, 29(08): 69-70.

[6] Xia Xiudan. The effect of feeding care on postoperative complications and nutritional status of hepatocellular carcinoma[J]. China Continuing Medical Education, 2019,11(06):197-198.

[7] Mubarak Ikram, Gulisumuhan Abulaiti, Zhang Cuiping. Meta-analysis of the effect of multidisciplinary collaborative care model in breast cancer patients[J]. Chinese Journal of Practical Nursing, 2022,38(02):147-154.

[8] He Xia, Lin Mei, Yang Qing, Han Ying, Wang Bei, Zhu Kejia, Ding Xin, Li Wei. Current status of application of multidisciplinary collaborative care model in China[J]. Tianjin Nursing, 2021, 29(03): 375-378.

[9] Zhao Xue, Jin Jin. Research progress in the construction and practice of multidisciplinary diabetes care team[J]. Chinese Journal of Nursing, 2017, 52(03):369-372.

[10] Li M, Liang X, Guo F, Xin X, Ma J, Wang N, Li T, Yao QQ, Zhao M, Shi BY. The application of nursing multidisciplinary collaboration model combined with information-based glucose management in perioperative hyperglycemic patients in a virtual ward[J]. Chinese Journal of Modern Nursing, 2020, 26(23):3210-3217.

[11] Ying Zhaohui, Hu Zeying. Study on the effect of multidisciplinary team collaboration nursing model in patients with brain metastases surgery[J]. Journal of Nurse Advancement, 2018, 33(14): 1257-1260.

[12] Ouyang M, Liu L, Liu W, Qiu Qian, Xiao Bing. Study on the effect of MDT collaborative care in patients undergoing surgery for acute cholecystitis[J]. Chinese contemporary medicine, 2017, 24(32): 189-191.

[13] Lv Jianping, Ding Shufang, Zhou Zhiqing, Wang Mingyue, Liu Xingxing, Xu Wenke, Liu Yao, Wang Ying. Impact of multidisciplinary collaborative extended care on the quality of life of patients with chronic obstructive pulmonary disease[J]. Chinese Journal of Practical Nursing, 2015, 31(22): 1657-1661.

[14] Xu YH. The application of integrated chronic wound management model of medical care and treatment[J]. China Nursing Management,2018,18(S1):66-68.

[15] Van Cleave J, Devine P, Odom-Ball P. Multidisciplinary care of hepatocellular carcinoma. Cancer Pract. 1999;7(6):302-308. 

[16] Serper M, Taddei TH, Mehta R, et al. Association of Provider Specialty and Multidisciplinary Care With Hepatocellular Carcinoma Treatment and Mortality. gastroenterology. 2017; 152(8): 1954-1964. 

[17] Chirikov VV, Mullins CD, Hanna N, Breunig IM, Seal B, Shaya FT. Multispecialist Care and Mortality in Hepatocellular Carcinoma. Am J Clin Oncol. 2015;38( 6):557-563. 

[18] Chang TT, Sawhney R, Monto A, et al. Implementation of a multidisciplinary treatment team for hepatocellular cancer at a Veterans Affairs Medical Center HPB (Oxford). 2008;10(6):405-411. 

[19] Xia Hongmei,Zhou Ying,Chen Meitong. Observation of the effect of multidisciplinary collaborative care model on the comprehensive treatment of patients with primary liver cancer[J]. Hubei Journal of Traditional Chinese Medicine,2017,39(12):46-48.

[20] Xu Chunyan, Liu Jin, Chen Ling. Study on the nursing care plan for patients with perioperative hepatocellular carcinoma under the multidisciplinary collaborative diagnosis and treatment model[J]. Journal of Nursing Management, 2017,17(03):217-219.

[21] Liu Liu, Wang J, Ren Lingli. Impact of multidisciplinary collaborative care model on self-perceived burden and quality of life of patients with recurrent primary liver cancer after surgery[J]. Tianjin Nursing, 2021,29(03):292-295.

[22] Wang S.Y.. The application of multidisciplinary joint collaboration in the continuity of care for patients undergoing liver cancer surgery[J]. International Journal of Nursing,2021,40(01):164-168.

[23] Xiao Huijuan, Ye Qing, Qi Yumei,et al. A comparative study of RFH-NPT and NRS2002 in nutritional risk screening of inpatients with cirrhosis[J]. Journal of Nutrition,2019,41(3):257-260,264. 

[24] Zhu Y D, Wu Y C,Wang J J,et al. Comparison of two malnutrition risk screening tools in patients hospitalized with primary liver cancer[J]. Medical Review,2021,27(8):1616-1620. 

[25] Ruiz-Margáin A, Román-Calleja BM, Moreno-Guillén P, et al. Nutritional therapy for hepatocellular carcinoma. World J Gastrointest Oncol. 2021; 13(10 ):1440-1452. 

[26] Alberino F, Gatta A, Amodio P, et al. Nutrition and survival in patients with liver cirrhosis. Nutrition, 2001(6):17.

[27] Tang CK. Nutritional screening tools and evaluation tools for tertiary diagnosis of malnutrition in primary liver cancer[J]. Electronic Journal of Oncology Metabolism and Nutrition, 2019, 06(1): 120-124.

[28] Montano-Loza AJ. Clinical relevance of sarcopenia in patients with cirrhosis. World J Gastroenterol. 2014; 20(25):8061-8071. 

[29] Chen YJ, Bian XJ, Chen DY, Fan YNY, Xu YY, Mao Lang, Qiu YD. The value and care experience of multidisciplinary combined nutrition assessment in the nutritional assessment of patients with hepatocellular carcinoma[J]. Parenteral and enteral nutrition, 2020,27(02):94-99.

[30] Sun Yue. Application of nurse-led multidisciplinary cooperation in postoperative nutritional management of gastrointestinal surgery patients[J]. Continuing Medical Education, 2021, 35(06): 111-112.

[31] Tang S-L, Wang H-Q, Yang J, Yu J-X, Zhao Y, Lu J-H, Cheng Y-L, Liu M-L, Zou J, Wang J, Zhang L-X. Clinical practice of perioperative targeted nutritional management in patients with hepatocellular carcinoma combined with cirrhosis[J]. Electronic Journal of Oncology Metabolism and Nutrition, 2021, 8(04):408-413.

[32] Duarte-Rojo A, Ruiz-Margáin A, Montaño-Loza AJ, Macías-Rodríguez RU, Ferrando A, Kim WR. Exercise and physical activity for patients with end-stage liver disease: improving functional status and sarcopenia while on the transplant waiting list. Liver Transpl. 2018;24(1):122-139. 

[33] Macías-Rodríguez, Ruiz-Margáin A, Román-Calleja BM, et al. Exercise prescription in patients with cirrhosis: recommendations for clinical practice. practice. prescripción de ejercicio en pacientes con cirrosis: recomendaciones para la atención clínica. rev Gastroenterol Mex (Engl Ed). 2019; 84(3):326-343. 

[34] Yu KETO,Jia J. Interpretation of guidelines and expert consensus related to hepatocellular carcinoma in the perspective of full-cycle rehabilitation[J]. China Medical Journal,2022,57(01):18-21.

[35] Wang Hongli,Xu Chunyan,Zhang Cuiping. Effectiveness of multidisciplinary collaborative model of extended care in postoperative patients with hepatocellular carcinoma[J]. Nursing Research, 2019,33(07):1202-1206.