BACKGROUND: The purpose of this study was for us to present our findings on the prospectively audited impact of head and neck multidisciplinary team meetings on patient management. METHODS: We collected clinical data, the pre-multidisciplinary team meeting treatment plan, the post-multidisciplinary team meeting treatment plans, and follow-up data from all patients discussed at a weekly multidisciplinary team meeting and we recorded the changes in management. RESULTS: One hundred seventy-two patients were discussed in 39 meetings. In 52 patients (30%), changes in management were documented of which 20 (67%) were major. Changes were statistically more likely when the referring physician was a medical or radiation oncologist, when the initial treatment plan did not include surgery, and when the histology was neither mucosal squamous cell cancer nor a skin malignancy. Compliance to the multidisciplinary team meeting treatment recommendation was 84% for all patients and 70% for patients with changes in their treatment recommendation. CONCLUSION: Head and neck multidisciplinary team meetings changed management in almost a third of the cases.
BACKGROUND: The purpose of this study was for us to present our findings on the prospectively audited impact of head and neck multidisciplinary team meetings on patient management. METHODS: We collected clinical data, the pre-multidisciplinary team meeting treatment plan, the post-multidisciplinary team meeting treatment plans, and follow-up data from all patients discussed at a weekly multidisciplinary team meeting and we recorded the changes in management. RESULTS: One hundred seventy-two patients were discussed in 39 meetings. In 52 patients (30%), changes in management were documented of which 20 (67%) were major. Changes were statistically more likely when the referring physician was a medical or radiation oncologist, when the initial treatment plan did not include surgery, and when the histology was neither mucosal squamous cell cancer nor a skin malignancy. Compliance to the multidisciplinary team meeting treatment recommendation was 84% for all patients and 70% for patients with changes in their treatment recommendation. CONCLUSION: Head and neck multidisciplinary team meetings changed management in almost a third of the cases.
Authors: Peter P Luk; Christina I Selinger; Wendy A Cooper; Annabelle Mahar; Carsten E Palme; Sandra A O'Toole; Jonathan R Clark; Ruta Gupta Journal: Head Neck Pathol Date: 2018-11-22
Authors: Bróna Nic Giolla Easpaig; Gaston Arnolda; Yvonne Tran; Mia Bierbaum; Klay Lamprell; Geoffrey P Delaney; Winston Liauw; Renuka Chittajallu; Teresa Winata; Robyn L Ward; David C Currow; Ian Olver; Jonathan Karnon; Johanna Westbrook; Jeffrey Braithwaite Journal: BMJ Open Date: 2019-10-10 Impact factor: 2.692
Authors: Roos Leroy; Cindy De Gendt; Sabine Stordeur; Viki Schillemans; Leen Verleye; Geert Silversmit; Elizabeth Van Eycken; Isabelle Savoye; Vincent Grégoire; Sandra Nuyts; Jan Vermorken Journal: Front Oncol Date: 2019-10-09 Impact factor: 6.244
Authors: Harish Dharmarajan; Jennifer L Anderson; Seungwon Kim; Shaum Sridharan; Umamaheswar Duvvuri; Robert L Ferris; Mario G Solari; David A Clump; Heath D Skinner; James P Ohr; Dan P Zandberg; Barton Branstetter; Marion A Hughes; Katie S Traylor; Raja Seethala; Simion I Chiosea; Marci L Nilsen; Jonas T Johnson; Mark W Kubik Journal: Head Neck Date: 2020-04-27 Impact factor: 3.147
Authors: Lidia S van Huizen; Pieter U Dijkstra; Bernard F A M van der Laan; Harry Reintsema; Kees T B Ahaus; Hendrik P Bijl; Jan L N Roodenburg Journal: BMC Health Serv Res Date: 2018-10-29 Impact factor: 2.655
Authors: Haneen A AlFarhan; Ghada F Algwaiz; Hajer A Alzahrani; Roaa S Alsuhaibani; Ashwaq Alolayan; Nafisa Abdelhafiz; Yosra Ali; Sami Boghdadly; Abdul Rahman Jazieh Journal: J Glob Oncol Date: 2018-09