Jessica Wihl1,2,3, Linn Rosell1,2, Tobias Carlsson2, Sara Kinhult3, Gert Lindell4, Mef Nilbert1,5,6. 1. Department of Clinical Sciences Lund, Division of Oncology, Lund University, 22381 Lund, Sweden. 2. Regional Cancer Centre South, Region Skåne, 22381 Lund, Sweden. 3. Department of Hemathology, Oncology and Radiation Physics, Skåne University Hospital, 22185 Lund, Sweden. 4. Department of Surgery, Skåne University Hospital, Lund University, 22185 Lund, Sweden. 5. Clinical Research Centre, Hvidovre Hospital and Copenhagen University, 2650 Hvidovre, Denmark. 6. Danish Cancer Society Research Centre, 2100 Copenhagen, Denmark.
Abstract
BACKGROUND: Multidisciplinary team (MDT) meetings provide treatment recommendations based on available information and collective decision-making in teams with complementary professions, disciplines and skills. We aimed to map ancillary medical and nonmedical patient information during case presentations and case discussions in MDT meetings in cancer care. METHODS: Through a nonparticipant, observational approach, we mapped verbal information on medical, nonmedical and patient-related characteristics and classified these based on content. Data were collected from 336 case discussions in three MDTs for neuro-oncology, sarcoma and hepato-biliary cancer. RESULTS: Information on physical status was presented in 48.2% of the case discussions, psychological status in 8.9% and comorbidity in 48.5% of the cases. Nonmedical factors, such as family relations, occupation, country of origin and abode were referred to in 3.6-7.7% of the cases, and patient preferences were reported in 4.2%. CONCLUSIONS: Provision of information on comorbidities in half of the cases and on patient characteristics and treatment preferences in <10% of case discussions suggest a need to define data elements and develop reporting standards to support robust MDT decision-making.
BACKGROUND: Multidisciplinary team (MDT) meetings provide treatment recommendations based on available information and collective decision-making in teams with complementary professions, disciplines and skills. We aimed to map ancillary medical and nonmedical patient information during case presentations and case discussions in MDT meetings in cancer care. METHODS: Through a nonparticipant, observational approach, we mapped verbal information on medical, nonmedical and patient-related characteristics and classified these based on content. Data were collected from 336 case discussions in three MDTs for neuro-oncology, sarcoma and hepato-biliary cancer. RESULTS: Information on physical status was presented in 48.2% of the case discussions, psychological status in 8.9% and comorbidity in 48.5% of the cases. Nonmedical factors, such as family relations, occupation, country of origin and abode were referred to in 3.6-7.7% of the cases, and patient preferences were reported in 4.2%. CONCLUSIONS: Provision of information on comorbidities in half of the cases and on patient characteristics and treatment preferences in <10% of case discussions suggest a need to define data elements and develop reporting standards to support robust MDT decision-making.
Entities:
Keywords:
cancer conference; comorbidity; decision-making; occupation; patient-centered; tumor board
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