The natural evolution of this approach was the development of oncological functional units: disease-site specific cancers focused on the management and provision of services for cancer patients ( 3). The addition of the latter group of professionals improved the quality of cancer care by preventing and diminishing treatment side-effects, which in turn improved patient adherence and compliance to therapies ( 2).

When the MDT members became aware that this approach was actually improving patient care, additional specialities focused on supportive interventions were included in the MDTs.

The MDT initially consisted in a regulated committee that reviewed all new cancer patients and agreed on the therapeutic plan proposed by medical and radiation oncologist and surgical specialists based on their clinical expertise and the evidence available to date. In the meantime, organ-preservation strategies started to develop in HNC with the use of new available therapeutic techniques ( 1). The multidisciplinary approach emerged in oncology in the mid-1980s, when the addition of chemotherapy to radiotherapy and/or surgery was proven to improve survival. Joining the efforts from different professionals is thought to improve patient management in contrast with the old idea of a global treatment offered by a single physician. Patient symptoms and treatment side-effects as well as physical and psychological impact will vary according to cancer location and treatment plan. Head and neck cancer (HNC) involves multiple and biologically distinct diseases that require different therapeutic approaches. The aim of this comprehensive review is to assess the role of the different supportive disciplines integrated in an MDT and how they help providing a better care to HNC patients during diagnosis, treatment and follow up.Р”Р„ multidisciplinary team (MDT) in oncology is defined as the cooperation between different specialized professionals involved in cancer care with the overarching goal of improving treatment efficiency and patient care. In addition, involving translational research teams should also be considered, as it will help reducing the existing gap between basic research and the daily clinical practice. Hence, these professionals should be integrated in HNC MDTs. The impairment of these functions can significantly impact patients' quality of life and psychosocial status, and highlights the crucial role of specialized nurses, dietitians, psycho-oncologists, social workers, and onco-geriatricians, among others. HNC often compromise relevant structures of the upper aerodigestive tract involving functions such as speech, swallowing and breathing, among others. Most of head and neck cancer (HNC) units are currently led by MDTs that at least include ENT and maxillofacial surgeons, radiation and medical oncologists. In the United States and Canada, Central Standard Time is commonly shortened to Central Time (CT).Р”В®ffective 2007, the local time changes from CST to CDT at 02:00 LST to 03:00 LDT on the second Sunday in March, and returns at 02:00 LDT to 01:00 LST on the first Sunday in November.Р”В«eginning and end dates of the daylight saving time in the United States and in Canada.The core function of a multidisciplinary team (MDT) is to bring together a group of healthcare professionals from different fields in order to determine patients' treatment plan. In these areas Central Standard Time is observed year-around. There are areas which do not follow daylight saving time. While Central Daylight Time (CDT) is observed during daylight saving time in the spring, summer, and autumn months. The Central Standard Time is based on the mean solar time of the 90th meridian west of the Greenwich Observatory.Р”В¬entral Standard Time is observed during the winter months.

CST means a standard time where six hours is subtracted from GMT (UTC/GMT РІв‚¬вЂ™6), and during daylight saving time (DST), five hours is subtracted from GMT (UTC/GMT -5). In North America, Central Standard Time (CST) refers to a time which is followed in the Central Time Zone.

What time is it in mdt