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“No decision about me without me” in the context of cancer multidisciplinary team meetings: a qualitative interview study

Published on Dec 1, 2014in BMC Health Services Research1.93
· DOI :10.1186/s12913-014-0488-2
Cath Taylor16
Estimated H-index: 16
('KCL': King's College London),
Jennifer Finnegan-John1
Estimated H-index: 1
,
James Green23
Estimated H-index: 23
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Abstract
Cancer care is commonly managed by multidisciplinary teams (MDTs) who meet to discuss and agree treatment for individual patients. Patients do not attend MDT meetings but recommendations for treatments made in the meetings directly influence the decision-making process between patients and their responsible clinician. No research to-date has considered patient perspectives (or understanding) regarding MDTs or MDT meetings, though research has shown that failure to consider patient-based information can lead to recommendations that are inappropriate or unacceptable, and can consequently delay treatment.
  • References (26)
  • Citations (21)
Cite
References26
Newest
Published on Apr 12, 2017in Cochrane Database of Systematic Reviews7.75
Dawn Stacey38
Estimated H-index: 38
(U of O: University of Ottawa),
Krystina B. Lewis7
Estimated H-index: 7
(U of O: University of Ottawa)
+ 7 AuthorsLyndal Trevena29
Estimated H-index: 29
(USYD: University of Sydney)
Background Decision aids are intended to help people participate in decisions that involve weighing the benefits and harms of treatment options often with scientific uncertainty. Objectives To assess the effects of decision aids for people facing treatment or screening decisions. Search methods For this update, we searched from 2009 to June 2012 in MEDLINE; CENTRAL; EMBASE; PsycINFO; and grey literature. Cumulatively, we have searched each database since its start date including CINAHL (to Septe...
Published on Jan 1, 2014in Urologic nursing
Benjamin W. Lamb12
Estimated H-index: 12
,
Rozh Jalil9
Estimated H-index: 9
+ 5 AuthorsNick Sevdalis51
Estimated H-index: 51
This qualitative, focus-group study explores what patients understand about the multidisciplinary team (MDT) in cancer care. Participants were positive towards MDT working, and by strengthening the role of nurses in MDT decision-making, the representation of patients' interests can be improved.
Published on Dec 20, 2013
Jane Ritchie4
Estimated H-index: 4
(University of Giessen),
Jane Lewis6
Estimated H-index: 6
+ 1 AuthorsRachel Ormston1
Estimated H-index: 1
The Foundations of Qualitative Research - Rachel Ormston, Liz Spencer, Matt Barnard, Dawn Snape The Applications of Qualitative Methods to Social Research - Jane Ritchie and Rachel Ormston Design Issues - Jane Lewis and Carol McNaughton Nicholls Ethics of Qualitative Research - Stephen Webster, Jane Lewis and Ashley Brown Designing and Selecting Samples - Jane Ritchie, Jane Lewis, Gilliam Elam, Rosalind Tennant and Nilufer Rahim Designing Fieldwork - Sue Arthur, Martin Mitchell, Jane Lewis and C...
Published on Aug 1, 2013
Cath Taylor16
Estimated H-index: 16
('KCL': King's College London),
Amanda Shewbridge4
Estimated H-index: 4
+ 1 AuthorsJames Green23
Estimated H-index: 23
The widespread introduction of multidisciplinary team (MDT)-work for breast cancer management has in part evolved due to the increasing complexity of diagnostic and treatment decision-making. An MDT approach aims to bring together the range of specialists required to discuss and agree treatment recommendations and ongoing management for individual patients. MDTs are resource-intensive yet we lack strong (randomized controlled trial) evidence of their effectiveness. Clinical consensus is generall...
Published on Jul 29, 2013in JAMA Internal Medicine20.77
Kathryn L. Taylor13
Estimated H-index: 13
(GUMC: Georgetown University Medical Center),
Randi M. Williams8
Estimated H-index: 8
(GUMC: Georgetown University Medical Center)
+ 11 AuthorsAlex H. Krist33
Estimated H-index: 33
(VCU: Virginia Commonwealth University)
Importance The conflicting recommendations for prostate cancer (PCa) screening and the mixed messages communicated to the public about screening effectiveness make it critical to assist men in making informed decisions. Objective To assess the effectiveness of 2 decision aids in helping men make informed PCa screening decisions. Design, Setting, and Participants A racially diverse group of male outpatients aged 45 to 70 years from 3 sites were interviewed by telephone at baseline, 1 month, and 1...
Published on May 1, 2013in Annals of Surgical Oncology3.68
B. W. Lamb7
Estimated H-index: 7
(Imperial College London),
Cath Taylor16
Estimated H-index: 16
('KCL': King's College London)
+ 4 AuthorsNick Sevdalis51
Estimated H-index: 51
(Imperial College London)
Background Multidisciplinary teams (MDTs) are the standard means of making clinical decisions in surgical oncology. The aim of this study was to explore the views of MDT members regarding contribution to the MDT, representation of patients’ views, and dealing with disagreements in MDT meetings—issues that affect clinical decision making, but have not previously been addressed.
Published on Jan 1, 2013
Barry W. Rovner34
Estimated H-index: 34
,
Robin J. Casten19
Estimated H-index: 19
+ 4 AuthorsWilliam Tasman42
Estimated H-index: 42
Published on Dec 1, 2012in BMC Cancer2.93
Cath Taylor16
Estimated H-index: 16
(Florence Nightingale School of Nursing and Midwifery),
Louise Atkins6
Estimated H-index: 6
(UCL: University College London)
+ 2 AuthorsAmanda-Jane Ramirez23
Estimated H-index: 23
(St Thomas' Hospital)
Background Cancer multidisciplinary teams (MDTs) are established in many countries but little is known about how well they function. A core activity is regular MDT meetings (MDMs) where treatment recommendations are agreed. A mixed methods descriptive study was conducted to develop and test quality criteria for observational assessment of MDM performance calibrated against consensus from over 2000 MDT members about the “characteristics of an effective MDT”.
Published on Nov 8, 2012in BMJ27.60
Albert G. Mulley8
Estimated H-index: 8
(Dartmouth College),
Chris Trimble11
Estimated H-index: 11
(Dartmouth College),
Glyn Elwyn Ba Mb BCh MSc Frcgp72
Estimated H-index: 72
(Dartmouth College)
Correct treatment recommendations require accurate diagnosis not only of the medical condition but of patients’ treatment preferences. Al Mulley , Chris Trimble , and Glyn Elwyn outline how to ensure that preferences are not misdiagnosed
Cited By21
Newest
Published on Dec 1, 2019in BMC Cancer2.93
Christian Heuser1
Estimated H-index: 1
(University Hospital Bonn),
Annika Diekmann (University Hospital Bonn)+ 5 AuthorsNicole Ernstmann19
Estimated H-index: 19
(University Hospital Bonn)
Background Decisions made in multidisciplinary tumor conferences (MTC) that consider patient preferences result in better patient outcomes. Furthermore, it has been shown that in some breast cancer centers in Germany, patients participate in MTCs and that participation is associated with sociodemographic and breast cancer center-related factors. Health literacy (HL) has been shown to be predictive for individual health behavior and is an important prerequisite for patient participation in health...
Published on Sep 1, 2019in Journal of orthopaedics
Awad F (RD&E: Royal Devon and Exeter Hospital), David Searle (RD&E: Royal Devon and Exeter Hospital)+ 6 AuthorsJonathan R. A. Phillips2
Estimated H-index: 2
(RD&E: Royal Devon and Exeter Hospital)
Abstract Background A Knee Infection Multi-Disciplinary Team meeting was established in Exeter. This study was designed to qualitatively evaluate the impact of the MDT on those involved. Materials and methods Semi-structured interviews of all members of the MDT at Exeter were undertaken and analysed using Nvivo software. Data was coded to identify common patterns and trends. Results The common themes identified were improved communication and standardisation of care. The main challenges identifi...
Published on Apr 1, 2019in BMJ Open2.38
Christian Heuser1
Estimated H-index: 1
(University Hospital Bonn),
Annika Diekmann (University Hospital Bonn)+ 1 AuthorsLena Ansmann9
Estimated H-index: 9
Introduction A central instrument of multidisciplinary care is the multidisciplinary tumour conference (MTC). In MTCs, diagnosis and treatment of cancer patients are discussed, and therapy recommendations are worked out. As we found previously, patients participate in MTCs in some breast cancer centres in the state of North Rhine-Westphalia, Germany. However, studies on risks and benefits of patient participation have not provided substantiated findings. Therefore, the study’s objective is to an...
Published on Jan 1, 2019in Rare Tumors
Linn Rosell2
Estimated H-index: 2
(Lund University),
Jessica Wihl1
Estimated H-index: 1
+ 2 AuthorsMef Nilbert38
Estimated H-index: 38
(UCPH: University of Copenhagen)
National virtual multidisciplinary team meetings have been established in Swedish cancer care in response to centralized treatment of rare cancers. Though national meetings grant access to a large multidisciplinary network, we hypothesized that video-based meetings may challenge participants’ contributions to the case discussions. We investigated participants’ views and used observational tools to assess contributions from various health professionals during the multidisciplinary team meetings. ...
Published on Dec 2, 2018in British Journal of Healthcare Management
Abimbola Afolabi (ARU: Anglia Ruskin University), Senaka Fernando (ARU: Anglia Ruskin University), Tony Bottiglieri (Papworth Hospital)
Healthcare employee motivation is a key concept when attempting to achieve an efficient, effective and good quality healthcare delivery. In this article, a systematic review of primary data from the UK, Europe, Africa and Asia was conducted to consolidate the available evidence on the effect of organisational factors on healthcare employee motivation. Because healthcare delivery is highly labour intensive, it must be acknowledged that human resources are extremely critical in the drive for healt...
Published on Dec 1, 2018in BMC Health Services Research1.93
Linn Rosell2
Estimated H-index: 2
(Lund University),
Nathalie Alexandersson2
Estimated H-index: 2
+ 1 AuthorsMef Nilbert38
Estimated H-index: 38
(Lund University)
Background Case review and discussion at multidisciplinary team meetings (MDTMs) have evolved into standard practice in cancer care with the aim to provide evidence-based treatment recommendations. As a basis for work to optimize the MDTMs, we investigated participants’ views on the meeting function, including perceived benefits and barriers.
Published on Jun 1, 2018
Christian Heuser1
Estimated H-index: 1
,
Annika Diekmann + 1 AuthorsNicole Ernstmann19
Estimated H-index: 19
Hintergrund Ein zentrales Instrument multidisziplinarer Versorgung in der Onkologie sind multidisziplinare Tumorkonferenzen (MTK). Die meisten MTK finden ohne die Teilnahme von Patienten statt und es ist unklar, welchen Nutzen und welche Risiken die Patientinnenteilnahme an MTK hat. Fragestellung Das vorliegende Forschungsvorhaben zielt auf die Beantwortung folgender drei Fragestellungen ab: 1) Wie unterscheiden sich MTK mit und ohne Patientinnenteilnahme hinsichtlich Organisation und Interaktio...
Published on Apr 1, 2018in BMJ Open2.38
Lorna McWilliams3
Estimated H-index: 3
,
Carole Farrell6
Estimated H-index: 6
+ 5 AuthorsJanelle Yorke18
Estimated H-index: 18
Objectives Little is known about the cancer experience and support needs of people with dementia. In particular, no evidence currently exists to demonstrate the likely complex decision-making processes for this patient group and the oncology healthcare professionals (HCP) involved in their care. The aim of this study was to explore the cancer-related information needs and decision-making experiences of patients with cancer and comorbid dementia, their informal caregivers and oncology HCPs. Desig...
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