Successful strategies in implementing a multidisciplinary team working in the care of patients with cancer: an overview and synthesis of the available literature
TLDR
The aim of the literature review is to synthesize current scientific and clinical understanding on cancer MDTs and their organization to provide an up-to-date summary of the current knowledge that those planning or leading cancer services can use as a guide for service implementation or improvement.Abstract:
In many health care systems globally, cancer care is driven by multidisciplinary cancer teams (MDTs). A large number of studies in the past few years and across different literature have been performed to better understand how these teams work and how they manage patient care. The aim of our literature review is to synthesize current scientific and clinical understanding on cancer MDTs and their organization; this, in turn, should provide an up-to-date summary of the current knowledge that those planning or leading cancer services can use as a guide for service implementation or improvement. We describe the characteristics of an effective MDT and factors that influence how these teams work. A range of factors pertaining to teamwork, availability of patient information, leadership, team and meeting management, and workload can affect how well MDTs are implemented within patient care. We also review how to assess and improve these teams. We present a range of instruments designed to be used with cancer MDTs - including observational tools, self-assessments, and checklists. We conclude with a practical outline of what appears to be the best practices to implement (Dos) and practices to avoid (Don'ts) when setting up MDT-driven cancer care.read more
Citations
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Journal ArticleDOI
The Multidisciplinary Team (MDT) Approach and Quality of Care.
Miren Taberna,Francisco Gil Moncayo,Enric Jané-Salas,M. Antonio,Lorena Arribas,Esther Vilajosana,Elisabet Peralvez Torres,Ricard Mesia +7 more
TL;DR: 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.
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Understanding and improving multidisciplinary team working in geriatric medicine
Graham Ellis,Nick Sevdalis +1 more
TL;DR: A perspective from behavioural safety science, which has been studying team-working in healthcare for the last 20 years, is offered and practical suggestions are made on how to integrate evidence and best practice into modern geriatric medicine-to address current and future challenges are offered.
Journal ArticleDOI
The Impact of the COVID-19 Pandemic on Genitourinary Cancer Care: Re-envisioning the Future.
Christopher J.D. Wallis,James W.F. Catto,Antonio Finelli,Adam Glaser,John L. Gore,Stacy Loeb,Todd M. Morgan,Alicia K. Morgans,Nicolas Mottet,Richard D Neal,Tim O'Brien,Anobel Y. Odisho,Thomas Powles,Ted A. Skolarus,Ted A. Skolarus,Angela B. Smith,Bernadett Szabados,Zachary Klaassen,Daniel E. Spratt +18 more
TL;DR: An evidence-informed, expert-derived review of genitourinary cancer care moving forward following the initial COVID-19 pandemic to raise concerns that physicians and health administrators must consider in order to ensure equitable access to care.
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Improving the effectiveness of cancer multidisciplinary team meetings: analysis of a national survey of MDT members’ opinions about streamlining patient discussions
TL;DR: This work complements previous analyses in supporting the development of tumour-specific guidance for streamlining MDM discussions considering a range of approaches and indicates that the majority of participants agreed that streamlining discussions may be beneficial although variable interpretations of ‘streamlining’ were apparent.
References
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Nurse–surgeon object transfer: Video analysis of communication and situation awareness in the operating theatre
TL;DR: The smoothness of object transfer can be improved by adjusting the scrub nurse's instrument trolley position, enabling a better monitoring of surgeon's bodily conduct and affording early orientation (awareness) to an upcoming request (changing situation).
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Cancer Care Decision Making in Multidisciplinary Meetings
Kevin Dew,Maria Stubbe,Louise Signal,Jeannine Stairmand,Elizabeth Dennett,Jonathan Koea,Andrew Simpson,Diana Sarfati,Chris Cunningham,Lesley Batten,Lis Ellison-Loschmann,Josh Barton,Maureen Holdaway +12 more
TL;DR: Attending to issues of process, authority, and values in MDMs has the potential to improve cancer care decision making and ultimately, health outcomes.
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Predictors of Treatment Decisions in Multidisciplinary Oncology Meetings: A Quantitative Observational Study
Tayana Soukup,Benjamin W. Lamb,Somita Sarkar,Sonal Arora,Sujay Shah,Ara Darzi,James S.A. Green,Nick Sevdalis +7 more
TL;DR: Multidisciplinary inputs into case reviews and patient psychosocial information stimulate decision making, thereby reinforcing the role of MTBs in cancer care in processing such information.
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Decision-making in Colorectal Cancer Tumor Board meetings: Results of a prospective observational assessment
Sujay Shah,Sujay Shah,Sonal Arora,G. Atkin,Rob Glynne-Jones,Pawan Mathur,Ara Darzi,Nick Sevdalis +7 more
TL;DR: The cMDT-MODe instrument can be reliably used to prospectively assess decision making in the multidisciplinary management of colorectal patients and can identify areas for improving practice so as to optimize decision making for cancer care.
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Developing and testing TEAM (Team Evaluation and Assessment Measure), a self-assessment tool to improve cancer multidisciplinary teamwork.
TL;DR: Self-assessment of team performance using this tool may support MDT development and may support existing and new standardised tools to measure performance.