TY - JOUR
T1 - Medical and Nonmedical Information during Multidisciplinary Team Meetings in Cancer Care
AU - Wihl, Jessica
AU - Rosell, Linn
AU - Carlsson, Tobias
AU - Kinhult, Sara
AU - Lindell, Gert
AU - Nilbert, Mef
N1 - Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/2/23
Y1 - 2021/2/23
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
UR - http://www.scopus.com/inward/record.url?scp=85102465437&partnerID=8YFLogxK
U2 - 10.3390/curroncol28010098
DO - 10.3390/curroncol28010098
M3 - Journal article
C2 - 33672110
VL - 28
SP - 1008
EP - 1016
JO - Current oncology (Toronto, Ont.)
JF - Current oncology (Toronto, Ont.)
SN - 1198-0052
IS - 1
ER -