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Contributions to multidisciplinary team meetings in cancer care : Predictors of complete case information and comprehensive case discussions

Wihl, Jessica LU ; Rosell, Linn LU orcid ; Frederiksen, Kirsten ; Kinhult, Sara LU ; Lindell, Gert LU and Nilbert, Mef LU (2021) In Journal of Multidisciplinary Healthcare 14. p.2445-2452
Abstract

Purpose: Multidisciplinary team (MDT) meetings integrate complex information and base recommendations for clinical management on interdisciplinary and multiprofessional deci-sion-making. To support high-quality decision-making and define key performance indica-tors, we aimed to determine completeness of case information and contributions to MDT case discussions in cancer care. Methods: In a prospective observational study design, based on three MDTs, we applied the Metric for Observation of Decision-Making (MODe) tool to assess the quality of case presentation and team members’ contributions to case discussions. The MDTs handled patients with brain tumors, soft tissue sarcomas and hepatobiliary cancers. The results were correlated to... (More)

Purpose: Multidisciplinary team (MDT) meetings integrate complex information and base recommendations for clinical management on interdisciplinary and multiprofessional deci-sion-making. To support high-quality decision-making and define key performance indica-tors, we aimed to determine completeness of case information and contributions to MDT case discussions in cancer care. Methods: In a prospective observational study design, based on three MDTs, we applied the Metric for Observation of Decision-Making (MODe) tool to assess the quality of case presentation and team members’ contributions to case discussions. The MDTs handled patients with brain tumors, soft tissue sarcomas and hepatobiliary cancers. The results were correlated to patient and team characteristics and to MDT leadership skills. Results: Data were collected from 349 case discussions during 32 MDT meetings. Information on radiology received the highest scores, followed by case history and information on histopathology. Patient-related information was less frequently mentioned and gen-erally received low scores. Contributions to the case discussions were predominantly by the chair, surgeons, and oncologists with limited contributions from nurses. Leadership skills showed a positive correlation with case presentations scores and failure to reach a treatment recommendation correlated with lower case discussion scores. Conclusion: Considerable resources are spent on MDT meetings in cancer care, which motivate initiatives to ensure high-quality and efficient decision-making processes. We identify unbalanced contributions from team members during MDT meetings, demonstrate limited provision of patient-related information and show that leadership skills may posi-tively influence the quality of the case presentations. We suggest that MDTs should consider and develop these aspects to ensure high-quality MDT-based case management and decision-making.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cancer conference, Comorbidity, Decision-making, Patient-centred, Tumor board
in
Journal of Multidisciplinary Healthcare
volume
14
pages
8 pages
publisher
Dove Medical Press Ltd.
external identifiers
  • scopus:85114859244
  • pmid:34511928
ISSN
1178-2390
DOI
10.2147/JMDH.S309162
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2021 Wihl et al.
id
53b6689f-0f70-4a37-a73a-901e06551ead
date added to LUP
2021-10-12 14:36:10
date last changed
2024-06-15 17:56:46
@article{53b6689f-0f70-4a37-a73a-901e06551ead,
  abstract     = {{<p>Purpose: Multidisciplinary team (MDT) meetings integrate complex information and base recommendations for clinical management on interdisciplinary and multiprofessional deci-sion-making. To support high-quality decision-making and define key performance indica-tors, we aimed to determine completeness of case information and contributions to MDT case discussions in cancer care. Methods: In a prospective observational study design, based on three MDTs, we applied the Metric for Observation of Decision-Making (MODe) tool to assess the quality of case presentation and team members’ contributions to case discussions. The MDTs handled patients with brain tumors, soft tissue sarcomas and hepatobiliary cancers. The results were correlated to patient and team characteristics and to MDT leadership skills. Results: Data were collected from 349 case discussions during 32 MDT meetings. Information on radiology received the highest scores, followed by case history and information on histopathology. Patient-related information was less frequently mentioned and gen-erally received low scores. Contributions to the case discussions were predominantly by the chair, surgeons, and oncologists with limited contributions from nurses. Leadership skills showed a positive correlation with case presentations scores and failure to reach a treatment recommendation correlated with lower case discussion scores. Conclusion: Considerable resources are spent on MDT meetings in cancer care, which motivate initiatives to ensure high-quality and efficient decision-making processes. We identify unbalanced contributions from team members during MDT meetings, demonstrate limited provision of patient-related information and show that leadership skills may posi-tively influence the quality of the case presentations. We suggest that MDTs should consider and develop these aspects to ensure high-quality MDT-based case management and decision-making.</p>}},
  author       = {{Wihl, Jessica and Rosell, Linn and Frederiksen, Kirsten and Kinhult, Sara and Lindell, Gert and Nilbert, Mef}},
  issn         = {{1178-2390}},
  keywords     = {{Cancer conference; Comorbidity; Decision-making; Patient-centred; Tumor board}},
  language     = {{eng}},
  pages        = {{2445--2452}},
  publisher    = {{Dove Medical Press Ltd.}},
  series       = {{Journal of Multidisciplinary Healthcare}},
  title        = {{Contributions to multidisciplinary team meetings in cancer care : Predictors of complete case information and comprehensive case discussions}},
  url          = {{http://dx.doi.org/10.2147/JMDH.S309162}},
  doi          = {{10.2147/JMDH.S309162}},
  volume       = {{14}},
  year         = {{2021}},
}