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Multidisciplinary team working across different tumour types: analysis of a national survey

Lamb, B. W., Sevdalis, N., Taylor, C., Vincent, C. and Green, J. S. A. (2011) Multidisciplinary team working across different tumour types: analysis of a national survey Annals of Oncology, 23 (5). pp. 1293-1300.

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Background: Using data from a national survey, this study aimed to address whether the current model for multidisciplinary team (MDT) working is appropriate for all tumour types. Patients and methods: Responses to the 2009 National Cancer Action Team national survey were analysed by tumour type. Differences indicate lack of consensus between MDT members in different tumour types. Results: One thousand one hundred and forty-one respondents from breast, gynaecological, colorectal, upper gastrointestinal, urological, head and neck, haematological and lung MDTs were included. One hundred and sixteen of 136 statements demonstrated consensus between respondents in different tumour types. There were no differences regarding the infrastructure for meetings and team governance. Significant consensus was seen for team characteristics, and respondents disagreed regarding certain aspects of meeting organisations and logistics, and patient-centred decision making. Haematology MDT members were outliers in relation to the clinical decision-making process, and lung MDT members disagreed with other tumour types regarding treating patients with advanced disease. Conclusions: This analysis reveals strong consensus between MDT members from different tumour types, while also identifying areas that require a more tailored approach, such as the clinical decision-making process, and preparation for and the organisation of MDT meetings. Policymakers should remain sensitive to the needs of health care teams working in individual tumour types.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Faculty of Health and Medical Sciences
Authors :
Lamb, B. W.
Sevdalis, N.
Vincent, C.
Green, J. S. A.
Date : 19 October 2011
Funders : National Institute for Health Research
DOI : 10.1093/annonc/mdr453
Copyright Disclaimer : Copyright © 2018 European Society for Medical Oncology
Uncontrolled Keywords : Multidisciplinary; Neoplasms; Patient care team; Policy; Quality assurance
Depositing User : Diane Maxfield
Date Deposited : 02 Aug 2018 13:58
Last Modified : 02 Aug 2018 13:58

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