Cancer Multidisciplinary Team Meetings: Evidence, Challenges, and the Role of Clinical Decision Support Technology
Vivek Patkar,Dionisio Acosta,Tim Davidson,Alison Jones,John Fox,M.R.S. Keshtgar,M.R.S. Keshtgar +6 more
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TLDR
A targeted summary of the available evidence on the impact of cancer MDT meetings is presented, the reported challenges are discussed, and the role that a CDS technology could play in addressing some of these challenges are explored.Abstract:
Multidisciplinary team (MDT) model in cancer care was introduced and endorsed to ensure that care delivery is consistent with the best available evidence. Over the last few years, regular MDT meetings have become a standard practice in oncology and gained the status of the key decision-making forum for patient management. Despite the fact that cancer MDT meetings are well accepted by clinicians, concerns are raised over the paucity of good-quality evidence on their overall impact. There are also concerns over lack of the appropriate support for this important but overburdened decision-making platform. The growing acceptance by clinical community of the health information technology in recent years has created new opportunities and possibilities of using advanced clinical decision support (CDS) systems to realise full potential of cancer MDT meetings. In this paper, we present targeted summary of the available evidence on the impact of cancer MDT meetings, discuss the reported challenges, and explore the role that a CDS technology could play in addressing some of these challenges.read more
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References
More filters
Journal ArticleDOI
Designing and evaluating complex interventions to improve health care
Neil C Campbell,Elizabeth Murray,Janet Darbyshire,Jon Emery,Andrew Farmer,Frances Griffiths,Bruce Guthrie,Helen Lester,Phil Wilson,Ann Louise Kinmonth +9 more
TL;DR: The importance of ground work in getting usable results is explained and the effectiveness of complex interventions can be difficult and time consuming.
Journal ArticleDOI
A policy framework for commissioning cancer services.
TL;DR: Hippocrates cannot have been overconfident about the provision of care for patients with cancer, but the failure of health planners to respond to the improved understanding and treatment of cancers has more than justified much of the recent criticism.
Journal ArticleDOI
Multidisciplinary teams in cancer care: are they effective in the UK?
TL;DR: It is shown that despite an increase in the delivery of cancer services via this method, research showing the effectiveness of MDT working is scarce.
Journal ArticleDOI
Multidisciplinary team working in cancer: what is the evidence?
Cath Taylor,Alastair J. Munro,Rob Glynne-Jones,Clive D M Griffith,Paul Trevatt,Michael Richards,Amanda-Jane Ramirez +6 more
TL;DR: Cancer care is increasingly delivered by multidisciplinary teams but stronger evidence is needed of their effectiveness, according to Cath Taylor and colleagues.