Medical and nonmedical information during multidisciplinary team meetings in cancer care
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Medical and nonmedical information during multidisciplinary team meetings in cancer care. / Wihl, Jessica; Rosell, Linn; Nilbert, Mef; Carlsson, Tobias; Kinhult, Sara; Lindell, Gert.
I: Current Oncology, Bind 28, Nr. 1, 02.2021, s. 1008-1016.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Medical and nonmedical information during multidisciplinary team meetings in cancer care
AU - Wihl, Jessica
AU - Rosell, Linn
AU - Nilbert, Mef
AU - Carlsson, Tobias
AU - Kinhult, Sara
AU - Lindell, Gert
N1 - Funding Information: The study was financially supported by the Swedish Cancer Society and by the Regional Cancer Center South, Region Sk?ne. Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/2
Y1 - 2021/2
N2 - 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.
AB - 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.
KW - Cancer conference
KW - Comorbidity
KW - Decision-making
KW - Occupation tumor board
KW - Patient-centered
U2 - 10.3390/curroncol28010098
DO - 10.3390/curroncol28010098
M3 - Journal article
C2 - 33672110
AN - SCOPUS:85102465437
VL - 28
SP - 1008
EP - 1016
JO - Current Oncology
JF - Current Oncology
SN - 1198-0052
IS - 1
ER -
ID: 282478478