Cargando…

Heart Team—the Indian perspective

PURPOSE: The European Society of Cardiology and the European Association for Cardio-Thoracic Surgery as well as the American College of Cardiology and the American Heart association have recognized the “Heart Team” as the best option for a patient centric treatment strategy and has granted a class I...

Descripción completa

Detalles Bibliográficos
Autor principal: Sarkar, Kunal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Singapore 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7525544/
https://www.ncbi.nlm.nih.gov/pubmed/33060959
http://dx.doi.org/10.1007/s12055-018-0764-6
_version_ 1783588750058586112
author Sarkar, Kunal
author_facet Sarkar, Kunal
author_sort Sarkar, Kunal
collection PubMed
description PURPOSE: The European Society of Cardiology and the European Association for Cardio-Thoracic Surgery as well as the American College of Cardiology and the American Heart association have recognized the “Heart Team” as the best option for a patient centric treatment strategy and has granted a class I recommendation for its formation. The aim of this review is to discuss the evolution, scope and composition, the benefits, and problems inherent in its implementation in the Indian scenario. METHODS: A review of articles on Heart Team from cardiac surgery as well as multidisciplinary meetings from other specialties was performed. Advantages of Heart Team formation and its implementation have been critically evaluated and its applicability to the Indian scenario considered in particular. RESULTS: Heart Team formation is associated with many positives. Concern remains about the implementation of Heart Team approach in its true sense. Heart Team-led decisions are definitely patient centric despite multiple challenges in resource-limited environments. CONCLUSIONS: Despite the challenges, a multidisciplinary team approach in the form of Heart Team is recommended and its implementation possible in India. However, adjustments to the mechanism of implementation are required. Further research needs to focus on creating models for implementation and assessment of these models in terms of cost effectiveness, improved patient outcomes, and patient satisfaction in the process.
format Online
Article
Text
id pubmed-7525544
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Springer Singapore
record_format MEDLINE/PubMed
spelling pubmed-75255442020-10-13 Heart Team—the Indian perspective Sarkar, Kunal Indian J Thorac Cardiovasc Surg Review Article PURPOSE: The European Society of Cardiology and the European Association for Cardio-Thoracic Surgery as well as the American College of Cardiology and the American Heart association have recognized the “Heart Team” as the best option for a patient centric treatment strategy and has granted a class I recommendation for its formation. The aim of this review is to discuss the evolution, scope and composition, the benefits, and problems inherent in its implementation in the Indian scenario. METHODS: A review of articles on Heart Team from cardiac surgery as well as multidisciplinary meetings from other specialties was performed. Advantages of Heart Team formation and its implementation have been critically evaluated and its applicability to the Indian scenario considered in particular. RESULTS: Heart Team formation is associated with many positives. Concern remains about the implementation of Heart Team approach in its true sense. Heart Team-led decisions are definitely patient centric despite multiple challenges in resource-limited environments. CONCLUSIONS: Despite the challenges, a multidisciplinary team approach in the form of Heart Team is recommended and its implementation possible in India. However, adjustments to the mechanism of implementation are required. Further research needs to focus on creating models for implementation and assessment of these models in terms of cost effectiveness, improved patient outcomes, and patient satisfaction in the process. Springer Singapore 2018-11-16 2018-12 /pmc/articles/PMC7525544/ /pubmed/33060959 http://dx.doi.org/10.1007/s12055-018-0764-6 Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Review Article
Sarkar, Kunal
Heart Team—the Indian perspective
title Heart Team—the Indian perspective
title_full Heart Team—the Indian perspective
title_fullStr Heart Team—the Indian perspective
title_full_unstemmed Heart Team—the Indian perspective
title_short Heart Team—the Indian perspective
title_sort heart team—the indian perspective
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7525544/
https://www.ncbi.nlm.nih.gov/pubmed/33060959
http://dx.doi.org/10.1007/s12055-018-0764-6
work_keys_str_mv AT sarkarkunal heartteamtheindianperspective