ArticleJournal of multidisciplinary healthcare2026
Multidisciplinary Practice Patterns and Barriers to Preoperative Radiotherapy for Soft Tissue Sarcoma: A National Multicenter Survey.
Article in Journal of multidisciplinary healthcare, 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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11 authors.
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Abstract
Background: Preoperative radiotherapy (pre-opRT) is an established component of multimodal treatment for soft tissue sarcoma (STS), offering advantages in margin control and long-term functional outcomes. Its integration into clinical practice depends on effective multidisciplinary decision-making between surgical and radiation oncology teams. We conducted a national multicenter survey to evaluate practice patterns, multidisciplinary coordination, and barriers to pre-opRT implementation in China. Methods: A cross-sectional survey was conducted across 25 provinces, including 123 clinicians (67 radiation oncologists and 56 surgeons). The questionnaire assessed institutional multidisciplinary team (MDT) structure, pre-opRT utilization, and perceived barriers. Associations between MDT structure and pre-opRT use were explored. Results: Pre-opRT utilization was low: 30% of clinicians reported no use, and over 60% applied pre-opRT in fewer than 10% of eligible patients. Surgeons identified postoperative wound complications as the primary concern, while non-core surgeons frequently reported limited access to sarcoma-specialized radiation oncologists. Radiation oncologists highlighted difficulty achieving cross-disciplinary agreement. Clinicians practicing within structured MDT settings were significantly more likely to report higher pre-opRT utilization (P = 0.019). Despite limited adoption, more than 70% of respondents recognized the clinical value of pre-opRT. Conclusion: The use of pre-opRT for STS is shaped not only by clinical considerations but also by the effectiveness of multidisciplinary coordination. Strengthening MDT structures, addressing surgical concerns regarding wound complications, and improving cross-specialty communication may facilitate more consistent integration of pre-opRT into sarcoma care.
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