Evaluation of Multidisciplinary Team Meetings in Uro-Oncology

Khoury, Raghid El; Chahrouri, Mario; Hachem, Charbel El; Zeid, Joseph Abi; Alam, Paul El; Abdessater, Maher

doi:10.12816/0027462

Cited by 8 publications

(19 citation statements)

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“…Forty-one articles investigated the effect of MDTMs on cancer care pathways in colorectal cancer (21/41) , lung cancer (10/41) [38][39][40][41][42][43][44][45][46][47], prostate cancer (6/41) [48][49][50][51][52][53] and breast cancer (4/41) [54][55][56][57] (Table 1). All studies were conducted in adults (total n = 82,073, range 42-32,569 study subjects per study, mean 2002), with studies originating from in Oceania (8/41) [20,26,29,38,39,43,45,52], Asia (9/41) [18,21,23,35,41,46,50,56,57], Europe (13/41) [17,19,24,25,27,31,32,34,36,37,44,…”

Section: Study Characteristicsmentioning

confidence: 99%

“…All studies were conducted in adults (total n = 82,073, range 42-32,569 study subjects per study, mean 2002), with studies originating from in Oceania (8/41) [20,26,29,38,39,43,45,52], Asia (9/41) [18,21,23,35,41,46,50,56,57], Europe (13/41) [17,19,24,25,27,31,32,34,36,37,44,48,49], North America (10/41) [22,28,30,33,40,42,47,51,53,54] or Africa (1/41) [55]. Studies were performed in multicenter (6/41) [34,37,38,40,41,56] or single-center (35/41) [17][18]…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The frequency of MDTMs ranged from 4 times a week [21], to weekly [17,19,20,[22][23][24][25]29,[33][34][35][36]38,39,[42][43][44][45][46]49,[52][53][54][55] to biweekly [26,28,30,40,47,48]. Ten articles provided limited or no information on the frequency of MDTMs [18,27,31,32,37,41,50,51,56,57]. The outcomes measured in the articles were changes in or differences between: (1) process outcomes (9/41), (2) patient management (34/41) and (3) patient outcomes (18/41).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Studies using a before-after study design (12/41) [17,23,24,26,28,32,[34][35][36]44,46,55] or a casecontrol study design (13/41) [18,20,25,27,31,33,[37][38][39][40]43,47,56] investigated a combination of all three outcome groups. When a cohort study design (16/41) [19,21,22,29,30,41,42,45,[48][49][50][51][52][53][54]57] was used, most investigated patient management (13/16).…”

Section: Study Characteristicsmentioning

confidence: 99%

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The Effects of Multidisciplinary Team Meetings on Clinical Practice for Colorectal, Lung, Prostate and Breast Cancer: A Systematic Review

Kočo

Weekenstroo

Lambregts

et al. 2021

Cancers

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Objective: The aim of our systematic review is to identify the effects of multidisciplinary team meetings (MDTM) for lung, breast, colorectal and prostate cancer. Methods: Our systematic review, performed following PRISMA guidelines, included studies examining the impact of MDTMs on treatment decisions, patient and process outcomes. Electronic databases PUBMED, EMBASE, Cochrane Library and Web of Science were searched for articles published between 2000 and 2020. Risk of bias and level of evidence were assessed using the ROBINS-I tool and GRADE scale. Results: 41 of 13,246 articles were selected, evaluating colorectal (21), lung (10), prostate (6) and breast (4) cancer. Results showed that management plans were changed in 1.6–58% of cases after MDTMs. Studies reported a significant impact of MDTMs on surgery type, and a reduction of overall performed surgery after MDTM. Results also suggest that CT and MRI imaging significantly increased after MDTM implementation. Survival rate increased significantly with MDTM discussions according to twelve studies, yet three studies did not show significant differences. Conclusions: Despite heterogeneous data, MDTMs showed a significant impact on management plans, process outcomes and patient outcomes. To further explore the impact of MDTMs on the quality of healthcare, high-quality research is needed.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

See 2 more Smart Citations

The Effects of Multidisciplinary Team Meetings on Clinical Practice for Colorectal, Lung, Prostate and Breast Cancer: A Systematic Review

Kočo

Weekenstroo

Lambregts

et al. 2021

Cancers

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“…We also offer training and post-graduate courses in uro-oncological diseases for urologists, oncologists and related specialists. 5,16 , including for the personnel from nearby provinces.…”

Section: Teachingmentioning

confidence: 99%

The experience of a multidisciplinary uro-oncological team in a provincial hospital in Cuba

Larrea¹,

Martínez²,

Rodríguez³

et al. 2019

UNOAJ

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Objective:The objective of the present article is to advertise the experience of a multidisciplinary urologic oncology team in a provincial hospital in Cuba. Methods:Description and presentation of experience and working algorithm followed by three urologists, an oncologists and a trained nurse in a provincial general hospital from 1993 until now, as well as the interaction with other disciplines related to the uro-oncological treatment. Results:The medical care, teaching, and research aspects have provided us with a greater understanding of the oncological disease in the area of urology. Conclusion:The integration of an uro-oncological branch in a provincial general hospital is possible whenever exists enough will in the hospital administration and the readiness of a multidisciplinary medical staff (urologists, oncologists, radiotherapists, etc.) to collaborate and to put work in the creation and implementation of the same. The result will be an interdisciplinary and qualified care of patients with uro-oncological diseases.

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Implementation of the measure of case discussion complexity to guide selection of prostate cancer patients for multidisciplinary team meetings

Wihl,

Falini,

Borg

et al. 2023

Cancer Medicine

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Background Multidisciplinary team meetings (MDTMs) provide an integrated team approach to ensure individualized and evidence‐based treatment recommendations and best expert advice in cancer care. A growing number of patients and more complex treatment options challenge MDTM resources and evoke needs for case prioritization. In this process, decision aids could provide streamlining and standardize evaluation of case complexity. We applied the recently developed Measure of Case Discussion Complexity, MeDiC, instrument with the aim to validate its performance in another healthcare setting and diagnostic area as a means to provide cases for full MDTM discussions. Methods The 26‐item MeDiC instrument evaluates case complexity and was applied to 364 men with newly diagnosed prostate cancer in Sweden. MeDiC scores were generated from individual‐level health data and were correlated with clinicopathological parameters, healthcare setting, and the observed clinical case selection for MDTMs. Results Application of the MeDiC instrument was feasible with rapid scoring based on available clinical data. Patients with high‐risk prostate cancers had significantly higher MeDiC scores than patients with low or intermediate‐risk cancers. In the total study, population affected lymph nodes and metastatic disease significantly influenced MDTM referral, whereas comorbidities and age did not predict MDTM referral. When individual patient MeDiC scores were compared to the clinical MDTM case selection, advanced stage, T3/T4 tumors, involved lymph nodes, presence of metastases and significant physical comorbidity were identified as key MDTM predictive factors. Conclusions Application of the MeDiC instrument in prostate cancer may be used to streamline case selection for MDTMs in cancer care and may complement clinical case selection.

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Evaluation of Multidisciplinary Team Meetings in Uro-Oncology

Cited by 8 publications

References 0 publications

The Effects of Multidisciplinary Team Meetings on Clinical Practice for Colorectal, Lung, Prostate and Breast Cancer: A Systematic Review

The Effects of Multidisciplinary Team Meetings on Clinical Practice for Colorectal, Lung, Prostate and Breast Cancer: A Systematic Review

The experience of a multidisciplinary uro-oncological team in a provincial hospital in Cuba

Implementation of the measure of case discussion complexity to guide selection of prostate cancer patients for multidisciplinary team meetings

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