Match!

Teamwork and Team Decision-making at Multidisciplinary Cancer Conferences: Barriers, Facilitators, and Opportunities for Improvement

Published on Sep 1, 2011in World Journal of Surgery2.77
· DOI :10.1007/s00268-011-1152-1
Benjamin W. Lamb12
Estimated H-index: 12
(Imperial College London),
Nick Sevdalis51
Estimated H-index: 51
(Imperial College London)
+ 3 AuthorsJames Green23
Estimated H-index: 23
Cite
Abstract
Background Anecdotally, multidisciplinary cancer conferences (MCCs) do not always function optimally. MCC members’ experiences with and attitudes toward MCCs are explored, and barriers to and facilitators of effective team-working are identified.
  • References (31)
  • Citations (52)
Cite
References31
Newest
Published on Oct 1, 2011in BMJ Quality & Safety7.04
Benjamin W. Lamb12
Estimated H-index: 12
,
Helen W. L. Wong8
Estimated H-index: 8
+ 2 AuthorsNick Sevdalis51
Estimated H-index: 51
Aim Team performance is important in multidisciplinary teams (MDTs), but no tools exist for assessment. Our objective was to construct a robust tool for scientific assessment of MDT performance. Materials and methods An observational tool was developed to assess performance in MDTs. Behaviours were scored on Likert scales, with objective anchors. Five MDT meetings (112 cases) were observed by a surgeon and a psychologist. The presentation of case history, radiological and pathological informatio...
Published on Sep 1, 2011in Surgical Oncology-oxford3.00
B. W. Lamb7
Estimated H-index: 7
(Imperial College London),
Judith Green1
Estimated H-index: 1
+ 1 AuthorsNick Sevdalis51
Estimated H-index: 51
(Imperial College London)
Decisions in surgical oncology are increasingly being made by multi-disciplinary teams (MDTs). Although MDTs have been widely accepted as the preferred model for cancer service delivery, the process of decision making has not been well described and there is little evidence pointing to the ideal structure of an MDT. Performance in surgery has been shown to depend on non-technical skills, such as decision making, as well as patient factors and the technical skills of the healthcare team. Applicat...
Published on Aug 1, 2011in Annals of Surgical Oncology3.68
Benjamin W. Lamb12
Estimated H-index: 12
(Imperial College London),
Katrina F. Brown10
Estimated H-index: 10
(Imperial College London)
+ 3 AuthorsNick Sevdalis51
Estimated H-index: 51
(Imperial College London)
Background Factors that affect the quality of clinical decisions of multidisciplinary cancer teams (MDTs) are not well understood. We reviewed and synthesised the evidence on clinical, social and technological factors that affect the quality of MDT clinical decision-making.
Published on Jan 1, 2011in Journal of Evaluation in Clinical Practice1.54
Benjamin W. Lamb12
Estimated H-index: 12
(Imperial College London),
Heather Payne10
Estimated H-index: 10
(UCL: University College London)
+ 2 AuthorsJames Green23
Estimated H-index: 23
Background and aims In the UK, cancer care is managed via multidisciplinary teams (MDT). Core members of these teams are typically surgeons, oncologists, radiologists, pathologists and clinical nurse specialists (with other health care professionals potentially present). Good teamwork, including team communication and leadership, has been shown to be a prerequisite for safe care delivery in other health care contexts, but cancer MDT team working processes are yet to be fully explored. This study...
Published on Nov 1, 2010in World Journal of Surgery2.77
Knut Magne Augestad15
Estimated H-index: 15
(Case Western Reserve University),
Rolv-Ole Lindsetmo16
Estimated H-index: 16
(University of Tromsø)
+ 6 AuthorsConor P. Delaney59
Estimated H-index: 59
(Case Western Reserve University)
Background Little is known regarding variations in preoperative treatment and practice for rectal cancer (RC) on an international level, yet practice variation may result in differences in recurrence and survival rates.
Published on Nov 1, 2010in Journal of Oncology Practice
Bianca Devitt6
Estimated H-index: 6
,
Jennifer Philip19
Estimated H-index: 19
,
Sue-Anne McLachlan27
Estimated H-index: 27
As the complexity of cancer treatment increases so too has the need for coordination between health care professionals. Multidisciplinary meetings are a useful tool in treating patients with cancer and are shown to improve survival and adherence to evidence based-guidelines.
Published on Apr 28, 2010in Journal of Surgical Oncology3.11
Nicole J. Look Hong4
Estimated H-index: 4
(U of T: University of Toronto),
Frances C. Wright28
Estimated H-index: 28
(U of T: University of Toronto)
+ 1 AuthorsLawrence Paszat41
Estimated H-index: 41
(U of T: University of Toronto)
Background and Objectives The aim of this review is to examine the relationship between multidisciplinary cancer care and patient survival. Methods A literature review was undertaken between January 1950 and September 2009. Included studies described multidisciplinary cancer care and its relation to patient survival. Multidisciplinary care was defined as involvement of a team of clinical and allied specialists whose intent is individualized patient management. Studies were critically appraised f...
Published on Mar 23, 2010in BMJ27.60
Cath Taylor16
Estimated H-index: 16
,
Alastair J. Munro21
Estimated H-index: 21
(Dund.: University of Dundee)
+ 4 AuthorsAmanda-Jane Ramirez23
Estimated H-index: 23
Cancer care is increasingly delivered by multidisciplinary teams. Cath Taylor and colleagues argue that stronger evidence is needed of their effectiveness
Published on Jan 1, 2010
Roger Kneebone37
Estimated H-index: 37
,
Heather Fry4
Estimated H-index: 4
In this chapter we describe the characteristics of qualitative research, considering why and when it might be used within surgical practice. We highlight similarities and differences between qualitative and quantitative approaches, exploring some common misconceptions. The characteristics of qualitative research are described; the key qualitative methods used in different types of enquiry into surgical practice are then outlined. Finally, we consider some practical issues around conducting and i...
Published on Oct 1, 2009in Annals of Surgical Oncology3.68
Frances C. Wright28
Estimated H-index: 28
(Sunnybrook Health Sciences Centre),
N. Lookhong1
Estimated H-index: 1
(Sunnybrook Health Sciences Centre)
+ 3 AuthorsAnna Gagliardi15
Estimated H-index: 15
(Sunnybrook Health Sciences Centre)
Background Cancer care is complex and multimodal therapy is now considered the standard of care. Multidisciplinary cancer conferences (MCCs) offer a venue to prospectively discuss cancer patients and plan treatment. MCCs are believed to improve patient outcomes and consequently have been internationally adopted. The purpose of this study was to describe the prevalence of MCCs in Ontario and identify individual and organizational barriers to their adoption.
Cited By52
Newest
Published on Jan 1, 2020
Duilio Pagano9
Estimated H-index: 9
(ISMETT),
Salvatore Gruttadauria25
Estimated H-index: 25
(ISMETT)
The preoperative assessment of patients with complex comorbidities is central in aiding the decision-making process for treating patients with hepatobiliary cancer and/or end-stage liver disease. Inappropriate surgical approaches or lack of evaluation of patients with challenging medical problems can compromise the patient care of those who have several comorbidities and are at higher risk of developing postoperative complications, with loss of functional residual reserve, and affect health care...
Published on Apr 1, 2019in Nature Reviews Clinical Oncology34.11
N. Gopalakrishna Iyer17
Estimated H-index: 17
,
N. Gopalakrishna Iyer + -1 AuthorsMelvin L. K. Chua
Multidisciplinary team meetings have several flaws; herein, we propose approaches for cancer centres to transform these limitations into improvements in the quality control of oncological care and into research opportunities.
Published on Apr 1, 2019in The Breast3.49
Arden L. Corter1
Estimated H-index: 1
(St. Michael's Hospital),
Brittany Speller1
Estimated H-index: 1
(St. Michael's Hospital)
+ 2 AuthorsNancy N. Baxter45
Estimated H-index: 45
(U of T: University of Toronto)
Abstract Aim International guidelines highlight the importance of implementation supports and quality monitoring of multidisciplinary care for breast cancer. In Canada, Ontario has standards for formal multidisciplinary cancer conferences (MCCs), but other provinces/territories do not. This study aimed to stocktake MCCs for breast cancer in Canadian sites participating in the RUBY cohort study (Reducing the Burden of Breast Cancer in Young Women) to better understand variations in multidisciplin...
Published on Feb 1, 2019in World Journal of Surgery2.77
T. A. K. Gandamihardja1
Estimated H-index: 1
(Broomfield Hospital),
T. Soukup1
Estimated H-index: 1
('KCL': King's College London)
+ 2 AuthorsNick Sevdalis51
Estimated H-index: 51
('KCL': King's College London)
Background Multidisciplinary team (MDT)-driven cancer care is a mandatory UK national policy, widely used globally. However, few studies have examined how MDT members make decisions as a team. We report a single-centre prospective study on team working within breast cancer MDT.
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 Aug 1, 2018in JAMA Surgery10.67
Syed Nabeel Zafar21
Estimated H-index: 21
(HU: Howard University),
Adil A. Shah9
Estimated H-index: 9
(HU: Howard University)
+ 3 AuthorsNabil Wasif25
Estimated H-index: 25
(Mayo Clinic)
Importance Increasing regionalization of cancer surgery has the inadvertent potential to lead to fragmentation of care if readmissions occur at a facility other than the index hospital. The magnitude and adverse effects of readmission to a facility other than the one where the surgery was performed are unclear. Objectives To assess rates of readmission to nonindex hospitals after major cancer surgery and to compare outcomes between index and nonindex hospital readmissions. Design, Setting, and P...
Published on Jul 1, 2018in Journal of Clinical Urology
Luke Hounsome7
Estimated H-index: 7
(PHE: Public Health England),
Julia Verne20
Estimated H-index: 20
(PHE: Public Health England)
+ 6 AuthorsRichard Pocock
Objective:The formation of multidisciplinary teams (MDTs) was formalised for urological cancer services by the National Institute for Health and Care Excellence (NICE) in the 2002 Improving Outcomes in Urological Cancer guidance. This project aimed to assess the variability of MDT recommendations when presented with the same patient. It covered the type and grade of tumour, recorded stage, treatment recommendations and whether clinical trials were considered.Materials and methods:Anonymised deta...
Published on Jan 2, 2018in Ergonomics2.18
Tom W. Reader17
Estimated H-index: 17
(LSE: London School of Economics and Political Science),
Geetha Reddy4
Estimated H-index: 4
(LSE: London School of Economics and Political Science),
Stephen J. Brett34
Estimated H-index: 34
(Imperial College Healthcare)
AbstractIn the intensive care unit (ICU), clinicians must often make risk trade-offs on patient care. For example, on deciding whether to discharge a patient before they have fully recovered in order to create a bed for another, sicker, patient. When misjudged, these decisions can negatively influence patient outcomes: yet it can be difficult, if not impossible, for clinicians to evaluate with certainty the safest course of action. Using a vignette-based interview methodology, a naturalistic dec...
Published on Jan 1, 2018
Rob Glynne-Jones (Chase Farm Hospital), Angela Wheeler1
Estimated H-index: 1
(Chase Farm Hospital)
+ 10 AuthorsM. Lynch (Chase Farm Hospital)
Colorectal cancer is the third most common cancer in the UK with approximately 40,000 new cases registered each year. The majority of patients undergo radical surgery as a curative procedure, which can result in permanent alteration in body image if a stoma is required. The associated symptoms of the disease and the implications of treatments, such as surgery, chemotherapy and radiotherapy, can adversely affect patients’ quality of life (QOL) [1]. Variations in practice and the different uptake ...
View next paperEffects of multidisciplinary team working on breast cancer survival: retrospective, comparative, interventional cohort study of 13 722 women