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Re-focusing cancer Multidisciplinary Team (MDT) meetings in the United Kingdom; comparing Urology to other specialities

Warner, Ross, Hoinville, Linda, Pottle, E., Taylor, Cath and Green, JSA (2020) Re-focusing cancer Multidisciplinary Team (MDT) meetings in the United Kingdom; comparing Urology to other specialities Annals of The Royal College of Surgeons of England.

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Abstract

Introduction

Multi-disciplinary meetings (MDMs) have been the gold standard of cancer care in the UK since the 1990s. Our aim was to identify the views of UK Urology cancer multi-disciplinary team (MDT) members on ways to improve the functioning of MDMs and compare them with other specialities in order to manage the increasing demand on healthcare resources and enhance the care of complex cancer cases.

Materials and Methods

An analysis of data from two national surveys (2294 and 1258 MDT members respectively) distributed by Cancer Research UK, focussing on their views about cancer MDT meetings.

Results

The majority of Breast, Colorectal, Lung and Urology cancer teams felt that cancer MDMs could be improved in the following areas: time for MDM preparation in job plans, streamlining of patients, auditing MDT decisions and prioritising complex cases. With regards streamlining, 87% percent of Urology respondents agreed some patients could be managed outside a full MDT discussion. The support was lower in other specialities (Breast 75%, Colorectal 64%, Lung 78%).

Discussion

To facilitate decisions on which patients do require discussion, factors across all tumour types were identified as adding to case complexity, including rare tumour type, cognitive impairment and previous treatment failure.

Conclusion

This study confirms that Urology MDT members are supportive of a change in approach from reviewing all new cancer diagnoses to discussing complex cases with all others managed using a more protocolised pathway. The mechanism for how this is done and how the safety of patients is ensured requires further clarification.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Warner, Rossr.warner@surrey.ac.uk
Hoinville, Lindal.hoinville@surrey.ac.uk
Pottle, E.
Taylor, Cathcath.taylor@surrey.ac.uk
Green, JSA
Date : 2020
Copyright Disclaimer : © 2020 The Royal College of Surgeons of England
Uncontrolled Keywords : Multi-disciplinary team; Streamlining; Urologic neoplasms
Related URLs :
Depositing User : James Marshall
Date Deposited : 17 Aug 2020 09:03
Last Modified : 21 Aug 2020 11:56
URI: http://epubs.surrey.ac.uk/id/eprint/858415

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